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​Numerical Index of Approved Circuit Court Family Division Juvenile Forms

 

  
  
  
Citation
Previous Versions
jc013/10Complaint (Request for Action, Delinquency Proceedings)
MCL 712A.2, MCL 712A.11, MCL 712A.14,
MCL 712A.15, MCR 3.903(A)(9), MCR 3.933(A), MCR 3.934, MCR 3.983
(9/06) previous approved form which can be used until stock is depleted
jc029/13Complaint (Request for Action, Child Protective Proceedings)
MCL 712A.2, MCL 712A.11, MCR 3.903(A)(9), MCR 3.963(A)

(3/10) previous approved form which can be used until stock is depleted
jc039/03Order Appointing Attorney/Guardian Ad Litem/Lawyer-Guardian Ad Litem
MCL 712A.17c(9), MCL 712A.17d(2),
MCR 3.915, MCR 3.916
jc04a6/15Petition (Delinquency Proceedings)
MCL 600.2950h-600.2950m, MCL 712A.2,
MCL 712A.2d, MCL 764.15b,MCR 3.903(A)(19), MCR 3.926(A), MCR 3.931, MCR 3.944, MCR 3.951
(3/10) previous approved form which can be used until 12/31/15 with hand correction only.
jc04b9/13Petition (Child Protective Proceedings)
MCL 712A.2, MCR 3.903(A)(19), MCR 3.926(A), MCR 3.961
(9/12), (9/11), (9/10) previous approved forms which can be used until stock is depleted
jc05a9/10Order to Apprehend and Detain (Delinquency Proceedings/Minor Personal Protection)
MCL 712A.2c, 712A.15, MCR 3.933(B),(C),
MCR 3.934(B), MCR 3.944(A), MCR 3.983(B),(D)
(9/08) previous approved form which can be used until stock is depleted
jc05b9/15Order to Take Child(ren) into Protective Custody and Place (Child Protective Proceedings)
MCL 712A.2(b), MCL 712A.14a, MCL 712A.19a(2), MCR 3.963(B), (C), (D)(2), MCR 3.974(C)(1), MCR 3.979(F)(2)

(9/14) previous approved form which can be used until 6/30/2016
jc0611/05Waiver of Attorney or Request for Appointment of Attorney
MCR 3.915, MCR 3.935(B)(4), MCR 3.942(B)(3), MCR 3.944(B)(4),(C)(1)(b), MCR 3.946(C)(2), MCR 3.951(A)(2)(b)(i), MCR 3.985(B)(3), MCR 3.987(C)(3)

jc076/03Appearance of Attorney/Guardian Ad Litem/Lawyer-Guardian Ad Litem
MCR 3.915(C), MCR 3.916
jc0811/05Bond for Appearance
MCR 3.604, MCR 3.935(C),(E),(F)
jc1010/13Order after Preliminary Hearing/Inquiry (Delinquency/Personal Protection)
25 USC 1912, PL-96-272, 42 USC 670 et seq., MCL 712A.2, MCL 712A.11, MCL 712A.14, MCL 712A.15, MCR 3.905, MCR 3.920(C)(1), MCR 3.932, MCR 3.935
(09/10), (3/10) previous approved forms which can be used until stock is depleted
jc11a9/15Order after Preliminary Hearing (Child Protective Proceedings)
MCL 712A.2(b), MCL 712A.13a, MCL 712A.14, MCL 712A.19a(2), MCL 712A.19b(4), MCL 722.638, MCR 3.920(C), MCR 3.921(C), MCR 3.965


(9/13) previous approved form which can be used until 6/30/2016
jc11b9/15Order after Pretrial Hearing (Child Protective Proceedings)
MCL 712A.2, MCL 712A.13a, MCL 712A.14, MCL 712A.19a(2), MCL 712A.19b(4), MCL 722.638, MCR 3.002, MCR 3.921(C), MCR 3.965

(9/13) previous approved form which can be used until 6/30/2016
jc12a9/06Proof of Service/Nonservice
MCR 2.107(D), MCR 3.920(H)
jc12b9/06Proof of Service/Nonservice
MCR 2.107(D), MCR 3.920(H)
jc136/03Record of Trial/Plea
MCL 712A.18(1), MCR 3.925(B), MCR 3.941, MCR 3.942, MCR 3.971, MCR 3.972
jc14a6/15Order of Disposition, In-Home (Delinquency Proceedings)
MCL 28.241a, MCL 600.2950h, MCL 600.2950m, MCL 712A.18, MCL 712A.18K, MCL 712A.20, MCL 764.15b, MCL 769.1f, MCL 769.16a, MCR 3.936, MCR 3.943


(12/10) previous approved form which can be used until 12/31/15 with hand correction only.
jc14b6/15Order of Disposition, Out-of-Home (Delinquency Proceedings)
MCL 28.241a, MCL 600.2950h, MCL 600.2950m, MCL 712A.18, MCL 712A.18K, MCL 712A.20, MCL 764.15b, MCL 769.1f, MCL 769.16a, MCR 3.936, MCR 3.943


(12/10) previous approved form which can be used until 12/31/15 with hand correction only.
jc159/15Motion and Authorization/Denial
MCL 712A.13a(14), MCL 712A.17, MCL 712A.18d, MCL 712A.19(10), MCL 712A.21, MCL 3.923(G), MCR 3.932(C)(8), MCR 3.942(A), MCR 3.945(A), MCR 3.966, MCR 3.972(A), MCR 3.975(H), MCR 3.992(A)

(6/03) previous approved form which can be used until stock is depleted
jc166/03Request and Order for Fingerprinting/Photographing/Lineup
MCL 712A.32, MCR 3.923(C)
jc179/15Order of Disposition (Child Protective Proceedings)
PL 96-272, 42 USC 670 et seq., MCL 400.55(h), MCL 400.203, MCL 712A.13a, MCL 712A.18, MCL 712A.18f, MCL 712A.19, MCL 712A.20, MCR 3.921(C), MCR 3.973(F)


(9/14) previous approved form which can be used until 6/30/2016
jc17a9/15Order of Disposition, Child In-Home (Child Protective Proceedings)
MCL 712A.18, MCL 712A.18f, MCL 712A.20, MCR 3.973(F)


(9/06) previous approved form which can be used until 6/30/2016
jc186/03Motion to Waive Jurisdiction and Notice
MCL 712A.4, MCR 3.950
jc199/15Order Following Dispositional Review/Permanency Planning Hearing (Child Protective Proceedings)
MCL 712A.17d(1)(c), MCL 712A.18f, MCL 712A.19, MCL 712A.19a, MCL 712A.20, MCR 3.002, MCR 3.921(C), MCR 3.974(A)(3), MCR 3.975, MCR 3.976(B)(1), MCR 3.979
(9/14) previous approved forms which can be used until 6/30/2016
jc209/09Summons:  Order to Appear (DelinquencyProceedings) / (Personal Protection Proceedings)
MCL 712A.13, MCR 3.911, MCR 3.912,
MCR 3.915, MCR 3.920, MCR 3.928, MCR 3.944, MCR 3.983(B)
jc219/09Summons:  Order to Appear (Child Protective Proceedings)
MCL 712A.13, MCR 3.911, MCR 3.912, MCR 3.915, MCR 3.920, MCR 3.928

jc226/03Blank (does not contain SCAO approval) (for second sheets or general purpose)
jc239/14Waiver of Summons/Notice of Hearing
MCR 3.911, MCR 3.915, MCR 3.920(E)
(11/05) previous approved form can be used until December 31, 2014
jc256/15Order of Disposition, Commitment or Referral to Department of Human Services (Delinquency Proceedings)
MCL 400.55(h), MCL 712A.18, MCL 712A.18k, MCL 712A.20, MCL 712A.24, MCL 803.301, MCR 3.936, MCR 3.943


(12/10) previous approved form which can be used until 12/31/15 with hand correction only.
jc299/11Order to Transfer Case
MCL 712A.2, MCR 3.926
(9/10) previous approved form which can be used until stock is depleted
jc319/06Authorization for Return of Bond
MCR 3.604, MCR 3.935(F)(4)
jc329/07Publication of Hearing
MCR 3.920(B)(4)(b), (5)(c)
jc346/03Financial Statement
jc369/06Request to Terminate Court Jurisdiction and Order
MCL 712A.18(2), MCL 712A.18c(4),
MCL 712A.19(1), MCR 3.932(C)(7)
jc379/07Request for Financial Information
jc389/12Order for Reimbursement
MCL 712A.17c(8), MCL 712A.18, MCR 3.915(E), MCR 3.916(D)
(6/03) previous approved form which can be used until stock is depleted
jc396/03Order for Assignment of Wages
MCL 712A.18b
jc409/09Order for Contempt of Court
MCL 600.1701, MCR 600.1715, MCL 600.1721, MCL 712A.6a, MCL 712A.26, MCR 3.928, MCR 3.987(F)
jc4111/05Motion and Order to Close Proceedings to Public
MCL 712A.17(7), MCR 3.925(A)
jc426/03Request and Order for Review of Referee Recommendation
MCR 3.991
jc4411/05Advice of Rights after Order Terminating Parental Rights (Juvenile Code)
MCL 712A.21, MCL 710.27a, MCR 3.977(I), MCR 3.992, MCR 7.204(A)(1)(c)

jc459/07Notice of Hearing
MCL 712A.19(5), MCL 712A.19a,
MCL 712A.19b, MCR 3.920(C), MCR 3.945(B)(1)(b), MCR 3.963(C)(2), MCR 3.975(B), MCR 3.976(C), MCR 3.977(C),
MCR 3.978(B), MCR 3.985(C)
jc466/03Motion for Alternate Service
MCR 3.920(B)(4)
jc479/15Order for Alternate Service
MCR 3.920(B)(4),(5)
(9/07) previous approved form which can be used until stock is depleted
jc487/11Notice of Proceedings Concerning An Indian Child
25 USC 1912, MCR 3.920(C)(1)
jc499/15Order of Adjudication (Child Protective Proceedings)
MCL 712A.2, MCL 712A.13a, MCL 712A.14, MCL 712A.19a(2), MCL 712A.19b(4), MCL 722.638, MCR 3.002, MCR 3.205(A), MCR 3.206(A)(4), MCR 3.921(C), MCR 3.972
(11/13) previous approved form which can be used until 6/30/2016
jc5211/05Motion and Order for Modification or Cancellation
MCL 712A.18(19)
jc5311/05Notice to Putative Father
MCR 3.921(C)
jc5411/05Motion and Order for Modification
MCL 712A.18
jc556/03Diversion Record
MCL 722.821 et seq., MCR 3.932(A)
jc566/03Notice of Diversion Conference
MCL 722.824, MCL 722.825, MCR 3.932(A)
jc579/10Supplemental Order of Disposition Following Review Hearing (Delinquency Proceedings)
MCL 712A.18, MCL 712A.18c, MCL 712A.18d, MCL 712A.19, MCL 712A.20, MCL 712A.24, MCR 3.945
(9/07) previous approved form which can be used until stock is depleted except for cases involving IV-E funded youth

jc586/03Order Cancelling Wage Assignment
MCL 712A.18b
jc599/09Order of Adjudication (Delinquency Proceedings)
MCL 712A.18, MCR 3.942
jc606/03Notice of Intent to Intercept State Income Tax
MCL 712A.18(2), MCL 769.1(7)
jc616/03Order to Intercept State Income Tax
MCL 712A.18(2), MCL 769.1(7)
jc626/03Order to Cancel State Income Tax Intercept
MCL 712A.18(2), MCL 769.1(7)
jc639/15Order Following Hearing to Terminate Parental Rights (Child Protective Proceedings)
25 USC 1912, MCL 400.201 et seq., MCL 712A.18, MCL 712A.19a, MCL 712A.19b, MCL 712A.20, MCR 3.977
(11/13) previous approved form which can be used until stock is depleted
jc659/15Order Removing Alleged Abuser from Child's Home (Child Protective Proceedings)
MCL 712A.13a
(9/07) previous approved form which can be used until stock is depleted
jc6610/15Application to Set Aside Adjudication(s)
MCL 712A.18e, MCR 3.925(F)
(3/14) previous approved form which cannot be used after 12/31/2015
jc679/06Notice of Hearing (Designated Case)
MCL 712A.2d, MCL 712A.18i, MCR 3.920(C), MCR 3.951, MCR 3.952(B), MCR 3.956
jc6811/05Order after Designation Hearing
MCL 712A.2d, MCR 3.952
jc699/10Order after Preliminary Examination (Designated Case)
MCL 712A.2d, MCR 3.953
jc709/08Judgment of Conviction (Designated Case)
MCL 712A.2d, MCR 3.954
jc7111/05Judgment of Sentence, Commitment to Jail (Designated Case)
MCL 12.206, MCL 712A.18g, MCL 712A.18i, MCL 712A.18j, MCL 712A.18k, MCR 3.936, MCR 3.955

jc716/15Judgment of Sentence, Commitment to Jail (Designated Case)
MCL 12.206, MCL 712A.18g, MCL 712A.18i, MCL 712A.18j, MCL 712A.18k, MCR 3.936, MCR 3.955
(11/05) previous approved form which can be used until 12/31/15 with hand correction only.
jc7211/05Judgment of Sentence, Commitment to Corrections Department (Designated Case)
MCL 12.206, MCL 712A.18(1)(n), MCL 712A.18g, MCL 712A.18k, MCR 3.936,
MCR 3.955


jc726/15Judgment of Sentence/Commitment to Department of Corrections (Designated Case)
MCL 12.206, MCL 712A.18(1)(m), MCL 712A.18g, MCL 712A.18k, MCR 3.936, MCR 3.955
(11/05) previous approved form which can be used until 12/31/15 with hand correction only.
jc731/11Order Delaying Sentence (Designated Case)
MCL 12.206, MCL 712A.18(1)(n),
MCL 712A.18k, MCR 3.936, MCR 3.955(D)
jc736/15Order Delaying Sentence (Designated Case)
MCL 12.206, MCL 712A.18(1)(m), MCL 712A.18k, MCR 3.936, MCR 3.955(D)
(1/11) previous approved form which can be used until 12/31/15 with hand correction only.
jc7412/10Order of Probation (Designated Case)
MCL 712A.18, MCL 712A.18(1)(n), MCL 712A.18k, MCR 3.955, 18 USC 922(g)(8)(c)
jc746/15Order of Probation (Designated Case)
MCL 712A.18, MCL 712A.18(1)(m), MCR 3.955, 18 USC 922(g)(8)(c)
(12/10) previous approved form which can be used until 12/31/15 with hand correction only.
jc759/15Order Following Removal Hearing (Child Protective Proceedings)
MCL 712A.13a, MCR 3.002, MCR 3.920(C)(2)(a), MCR 3.965(C), MCR 3.974, MCR 3.979(F)(2)
(9/13) previous approved form which can be used until 12/31/2015
jc769/15Order after Post-Termination Review/Permanency Planning Hearing
MCL 712A.19, MCL 712A.19c, MCL 712A.20, MCR 3.978, MCR 3.979

(9/14) previous version of forms which can be used until 6/30/2016
jc779/07Waiver and Consent to Enter Teen Court (Plea under Advisement)
jc789/07Waiver and Consent to Enter Teen Court (Diversion)
jc796/03Publication of Hearing, Notice to Putative Father
MCR 3.921(C)
jc806/03Notice of Hearing on Probation Violation
MCR 3.920(C), MCR 3.944(C)
jc8111/05Request and Order for Court-Appointed Appellate Counsel
MCR 3.915(B)
jc829/11Affidavit of Service Performed by Lawyer-Guardian Ad Litem
MCL 712A.17d, MCR 3.915
(9/07) previous approved form which can be used until stock is depleted
jc838/05Affidavit of Efforts to Locate Absent Parent
Children’s Foster Care Manual 722-6, Absent Parent Protocol
jc849/14Claim of Appeal and Order Appointing Appellate Counsel
MCR 3.977(J)(2), MCR 3.993(A)(2), MCR 7.204, MCR 7.210(B)(3)
(9/12) previous approved form which can be used until December 31, 2014
jc859/07Order Denying Appointment of Appellate Counsel
MCR 3.977(l), MCR 3.993(A)(2), MCR 7.205
jc8611/05Order after First-Phase Hearing to Waive Jurisdiction (Delinquency Proceedings)
jc8711/05Order after Second-Phase Hearing to Waive Jurisdiction (Delinquency Proceedings)
jc8811/05Order Appointing Next Friend (Personal Protection Proceedings)
jc899/06Order Transferring Petition from Formal Calendar to Consent Calendar
 MCR 3.932(C)
jc909/08Order Correcting Identifying Information (Child Protective Proceedings)
 MCR 2.612(A)
jc919/15Order Appointing Juvenile Guardian
MCL 712A.19a, MCL 712A.19c, MCR 3.979
(6/09) previous approved form which can be used until until stock is depleted
jc926/09Acceptance of Appointment (Juvenile Guardian)
MCL 700.5215, MCR 3.979(B), (E)
jc939/10Letters of Juvenile Guardianship
MCR 3.979(B)(2)
(6/09) previous approved form which can be used until stock is depleted
jc946/09Annual Report of Juvenile Guardian on Condition of Child
MCL 700.5215(f), MCR 3.979(E)(1)
jc959/15Order Appointing Person to Investigate Juvenile Guardianship
MCR 3.979(D)(1) and (2), MCR 3.979(F)(3)
(6/09) previous approved form which can be used until stock is depleted
jc969/10Report after Investigation of Juvenile Guardianship
MCR 3.979(D)(2)
(6/09) previous approved form which can be used until stock is depleted
jc979/15Order Following Investigation and Report on Juvenile Guardianship
MCR 3.979(D)(3)
(9/11) previous approved form which can be used until stock is depleted
jc989/15Petition to Terminate Appointment of Juvenile Guardian, Notice of Hearing, and Order for Investigation
MCR 3.979(F)
(9/12) previous approved form which can be used until stock is depleted
jc999/15Petition to Revoke Juvenile Guardianship, Notice of Hearing, and Order for Investigation
MCR 3.979(F)
(6/09) previous approved form which can be used until stock is depleted
jc1009/15Order Following Hearing on Petition to Terminate Appointment of Juvenile Guardian
MCR 3.979(F)
(9/10) previous approved form which can be used until stock is depleted
jc1019/15Order Regarding Revocation of Juvenile Guardianship
MCR 3.979(F)
(6/09) previous approved form which can be used until stock is depleted
jc1029/09Request and Order for Court-Appointed Attorney
MCR 3.915
jc1049/10Order Discharging Juvenile Guardian
MCR 3.979
jc10510/15Order on Application to Set Aside Adjudication(s)
MCL 712A.18e, MCR 3.925(F)
(1/13) previous approved form which cannot be used after 12/31/2015
jc1069/11Findings Following Putative Father Hearing
MCR 3.921(D)
jc10710/13Order for Competency Evaluation (Delinquency Proceedings)
MCL 712A.18n, MCL 712A.18o, MCL 712A.18p
New Form
jc10810/13Order After Hearing on Competency (Delinquency Proceedings)
MCL 712A.18q, MCL 712A.18r(5), MCL 712A.18s(1)
New Form
jc10910/13Ex Parte Renewal of Restoration Order (Delinquency Proceedings)
MCL 712A.18s(3)
New Form
jc11010/13Order Following Report on Restoration (Delinquency Proceedings)
MCL 712A.18s(4)
New Form