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​Numerical Index of Approved Michigan Court Forms

 

  
  
  
Citation
Previous Versions
  
3/08Summons and Complaint
MCR 2.102(B)(11), MCR 2.104,
MCR 2.105, MCR 2.107,
MCR 2.113(C)(2)(a),(b),
MCR 3.206(A)
  
3/85Summons and Complaint (second page)
  
6/09Motion for Second Summons and Order
MCR 2.102(D)
(3/06) previous approved form which can be used until stock is depleted
  
3/08Appearance
MCR 2.117, MCR 3.915(C), MCR 3.916(B)
  
3/13Answer, Civil
MCR 2.111
(8/12) previous approved form which can be used until stock is depleted; Replaced DC 03; previous version of DC 03 (dated 3/08) can be used as appropriate in district court until stock is depleted
  
5/84Blank (does not contain SCAO approval)
  
3/13Notice to Appear
(3/12) previous approved form which can be used until December 31, 2013
  
3/10Default Request, Affidavit, and Entry
MCL 32.517, MCL 600.2441,
MCL 600.5759, MCR 2.603,
50 USC 521
  
12/12Default Request, Affidavit, Entry, and Judgment (Sum Certain)
MCL 32.517, MCL 600.2441,
MCL 600.5759, MCL 600.6013,
MCR 2.603(B)(2), 50 USC 521
  
6/97Dismissal
MCR 2.504
  
3/01Dismissal, Nonservice/No Progress
MCR 2.102(D), MCR 2.502,
MCR 3.209(B)
  
3/13Judgment, Civil
MCL 600.2441, MCL 600.5759,
MCL 600.6013, MCL 600.8375, MCR 2.601, MCR 2.602, MCR 2.603, 50 USC 521
(8/12) previous approved form which can be used until December 31, 2013
  
6/04Subpoena, Order to Appear and/or Produce
MCL 600.1455, MCL 600.1701, MCL 600.6110, MCL 600.6119,  MCR 2.105, 2.506
  
6/13Request and Writ for Garnishment (Periodic)
MCL 600.4011 et seq., MCR 3.101
(10/12) previous approved form which can be used until stock is depleted with hand correction
  
1/14Request and Writ for Garnishment (Nonperiodic)
MCL 600.4011 et seq., MCR 3.101
(4/12) previous approved form can be used until December 31, 2014
  
9/12Garnishee Disclosure
15 USC 1672, 15 USC 1673, MCR 3.101
(5/09) previous approved form which can be used with appropriate hand correction
  
8/12Motion and Affidavit for Installment Payments/To Amend Order for Installment Payments
MCL 600.6201 et seq., MCR 2.119(B)(1)(c), MCR 3.101(N), MCR 3.104
(12/05) previous approved form can be used until stock is depleted
  
8/12Order Regarding Installment Payments
MCL 600.6201 et seq., MCR 3.101(N), MCR 3.104
(6/04) previous approved form which can be used until stock is depleted
  
6/13Motion to Set Aside Order for Installment Payments
MCL 600.6201 et seq., MCR 3.101(N), MCR 3.104
(8/12) and (6/04) previous approved forms which can be used until stock is depleted
  
8/12Order on Motion to Set Aside Order for Installment Payments
MCL 600.6201 et seq., MCR 3.101(N)(4), MCR 3.104
(6/04) previous approved form which can be used until stock is depleted
  
6/04Certificate of Satisfied Judgment
MCR 2.620
  
3/13Request and Order to Seize Property
MCL 600.2920, MCL 600.6002,
MCR 3.106
(8/12) previous approved form which can be used until December 31, 2013
  
8/12Waiver/Suspension of Fees and Costs (Affidavit and Order)
MCR 2.002
(3/10) previous approved form which can be used until stock is depleted
  
3/10Taxation of Costs
MCR 2.625
  
3/08Notice of Intent to Escheat Unclaimed Personal Property
MCL 567.234, MCL 567.238(5)
  
3/08Notice of Intent to Dismiss for No Progress
MCR 2.501(C), MCR 2.502(A)
  
2/89Request and Notice for Film and Electronic Media Coverage of Court Proceedings
Sup Ct AO 1989-1
  
9/08Notice to Prior Court of Proceedings Affecting Minor(s)
MCL 712A.2(b)(2), MCL 712A.3a, MCR 3.205, MCR 3.927,  MCR 5.112

  
6/93Notice of Intent to Destroy Discovery Materials
MCR 2.316
  
7/00Order for Case Evaluation
MCR 2.403, MCR 3.217
  
3/12Case Evaluation Notice
MCR 2.403(G)
  
5/07Notice of Case Evaluation
MCR 2.403(K), (L)
  
3/06Notice of Acceptance/Rejection of Case Evaluation
MCR 2.403(L)(2), (M), (N)
  
3/13Case Evaluator Application
MCR 2.404
(3/08) previous approved form which can be used until stock is depleted
  
3/09Complaint, Claim and Delivery
MCL 600.2920, MCR 3.105
  
3/08Motion for Possession Pending Judgment, Claim and Delivery
MCL 600.2920, MCR 3.105
  
3/08Order of Possession Pending Judgment, Claim and Delivery
MCL 600.2920, MCR 3.105(E)(4)(c)
  
3/08Bond, Claim and Delivery
MCL 600.2920, MCR 3.105, MCR 3.604
  
3/09Judgment, Claim and Delivery
MCL 600.2920, MCR 3.105, 50 USC 521
  
3/13Final Statement on Garnishment of Periodic Payments
MCR 3.101(J)(6), 15 USC 1672, 15 USC 1673
(6/04) previous approved form which can be used until stock is depleted
  
8/12Objections to Garnishment and Notice of Hearing
15 USC 1672, 15 USC 1673, MCR 3.101(K)(3)
(3/08) previous approved form which can be used until stock is depleted
  
6/09Garnishment Release
MCR 3.101
  
3/08Order on Objections to Garnishment
MCR 3.101(K)
  
4/12Request and Writ for Garnishment (Income Tax Refund/Credit)
MCL 600.4061, MCL 600.4061a
  
5/12Claim of Appeal
MCR 4.401(D), MCR 7.104(C), MCR 7.108(C)(3), MCR 7.204(D)
(5/07) previous approved form which can be used until stock is depleted
  
5/12Bond on Appeal
MCR 7.108, MCR 7.204(E), MCR 7.209(E)
(3/08) previous approved form which can be used until stock is depleted
  
3/13Certificate of Records Transmitted for Appeal and Notice to Parties
MCR 7.109(G), MCR 7.210(G)
(7/12) previous approved form which can be used until stock is depleted; (5/12) previous approved form which can be used with hand corrections as appropriate
  
5/12Notice of Record Return from Circuit Court/Court of Appeals
MCR 7.109(I), MCR 7.210(I)
  
3/08Affidavit and Notice of Entry of Foreign Judgment
MCL 691.1171 et seq.
  
3/08Motion and Order to Seize Vehicle Subject to Forfeiture
MCL 257.625n
  
6/04Notice of Intent to Forfeit Vehicle
MCL 257.625n(4)
  
3/08Motion for Return of Vehicle Pending Forfeiture Proceedings
MCL 257.625n(5)
  
3/08Order on Motion for Return of Vehicle Pending Forfeiture Proceedings
MCL 257.625n(5)
  
3/08Claim of Interest on Vehicle Seized for Forfeiture
MCL 257.625n(6)
  
3/08Order on Claim of Interest on Vehicle Seized for Forfeiture
MCL 257.625n(6)
  
3/08Order to Return/Forfeit Vehicle after Sentencing
MCL 257.625n
  
3/11Request for Accommodations
MCL 393.501 et seq.,
42 USC 12111 et seq.
  
3/10Petition for Testing of Infectious Disease and Waiver of Notice of Hearing
MCL 333.5204(4), MCL 333.5205(3)
(3/09) previous approved form which can be used until stock is depleted
  
3/10Notice of Hearing on Petition for Testing of Infectious Disease
MCL 333.5205(9)
(6/04) previous approved form which can be used until stock is depleted
  
3/08Order Following Hearing on Petition for Testing of Infectious Disease
MCL 333.5205(7), (9)
  
2/14Request and Order for Interpreter (also available in bi-lingual format for Arabic, Chinese, Korean, Serbo-Croatian, Spanish, and Vietnamese)
MCR 1.111(B), (F), (H)
(3/08) previous approved form which cannot be used after April 1, 2014
  
2/14Review of Request for Interpreter and Order (also available in bi-lingual format for Arabic, Chinese, Korean, Serbo-Croatian, Spanish, and Vietnamese)
MCR 1.111(B), (F), (H)
  
3/08Partial Payment Receipt and Inventory of Seized Property
MCR 3.106
  
6/13Report of Collection Activity under Order to Seize Property
MCL 600.6002, MCR 3.106
3/08 previous approved form which can be used until stock is depleted with hand correction
  
6/05Cash Bond
MCL 600.1701, MCR 3.604
  
3/06Notice of Judgment Lien
MCL 600.2805
  
3/06Request for Approval of Bond and Notice (Settlement/Judgment/Wrongful Death Settlement)
MCR 2.420
  
5/07Judgment of Contempt
MCL 600.1701 et seq.
  
8/12Motion and Affidavit to Set Aside Default (Civil) (formerly DC 99)
MCR 2.603(D), MCR 2.612(C)
Replaced DC 99; existing stock of DC 99 can be used as appropriate in district court until depleted
  
8/12Order Regarding Motion to Set Aside Default (formerly DC 99a)
MCR 2.603(D), MCR 4.201(M)
Replaced DC 99a; existing stock of DC 99a can be used as appropriate in district court until depleted
  
8/12Motion to Intervene to Protect Assets and Notice of Hearing
MCR 2.209(A)(3), (C)
  
8/12Order on Motion to Intervene to Protect Assets
MCR 2.209(A)(3), (C)
  
3/12Felony Set
MCL 764.1 et seq., MCL 766.1 et seq.,
MCL 767.1 et seq., MCR 6.101, MCR 6.102, MCR 6.110, MCR 6.112(D)
(7/05) previous approved form which can be used until stock is depleted
  
7/05Felony Set (information only)
MCL 764.1 et seq.,  MCL 766.1 et seq., MCL 767.1 et seq., MCR 6.112(D)
  
4/89Witness/Juror Certificate
  
6/03Certification of Records/Attestation of Exemplified Copies
28 USC 1738
  
3/12Writ of Habeas Corpus
MCL 600.4301 et seq.,  MCR 3.303, MCR 3.304
(3/11), (11/85) previous approved forms which can be used until stock is depleted
  
5/07Order for Competency Examination
MCL 330.2026, MCL 330.2028,
MCR 6.125(C)
  
3/06Finding and Order on Competency
MCL 330.2050
  
3/09Order for Evaluation Relative to Criminal Responsibility
MCL 768.20a
  
5/07Commitment Order, Not Guilty by Reason of Insanity
MCL 330.2050, MCR 6.304
  
3/08Demand/Waiver for Transcript of Preliminary Examination
MCL 600.8635, MCL 712A.2d(7), MCR 6.113(D)
  
3/10Affidavit and Order for Restricted Driver’s License
MCL 333.7408a
  
3/08Order for Substance Abuse Evaluation
MCL 257.624a(3), MCL 257.624b(1),
MCL 257.625b(5), MCL 333.7408a(3), MCL 436.1703(1)(a)
  
6/99Summary of Substance Abuse Assessment Report
  
3/0814-Day Notice, Traffic
MCL 257.321a(2), MCR 1.110
  
3/08Notice of Noncompliance, Drinking/Driving Offense
MCL 257.321a(3), MCL 324.80193,
MCL 324.82149, MCR 1.110
  
3/08Order Revoking Release and Forfeiting Bond, Notice of Intent to Enter Judgment
MCL 765.15, MCL 780.66,
MCL 780.67, MCR 3.935(F)(5), MCR 6.106(I)
  
3/10Judgment of Sentence/Commitment to Jail
MCL 765.15(2), MCL 769.1k, MCL 769.16a, MCL 775.22, MCL 780.766, MCL 780.826, MCR 6.427
(3/09), (3/08) previous approved forms which can be used until stock is depleted
  
3/02Recall of Warrant/Order to Apprehend
  
3/09Statement of Service and Order for Payment of Court-Appointed Representative
  
3/09Request for Court-Appointed Attorney and Order
MCR 6.005(B),  MCR 6.610(D), (G)
  
3/08Order and Receipt for Driver's License Held as Security
MCL 257.311a
  
3/13Application to Set Aside Conviction
MCL 780.621, MCL 780.622,
 MCL 780.772a, MCL 780.827a
(9/11) previous approved form which can be used until stock is depleted

  
9/11Order on Application to Set Aside Conviction
MCL 780.621, MCL 780.623
(7/11) previous approved form which can be used until stock is depleted

  
3/10Motion, Affidavit, and Bench Warrant (two-page form)
MCR 3.606
  
5/13Motion and Order to Show Cause
MCR 2.108(D), MCR 3.606(A)
MCR 5.108
(3/12) (3/09) previous approved forms which can be used until stock is depleted
  
3/10Affidavit for Search Warrant and Search Warrant (two-page form)
  
6/04Affidavit for Search Warrant
  
5/07Order for Fingerprints
MCL 28.243, MCL 764.29,
MCL 769.1, MCL 769.16a(5), MCR 3.936
  
3/13Order for Counseling and Testing for Disease/Infection
MCL 333.5129, MCL 333.5131
(3/08) previous approved form which can be used until stock is depleted
  
3/09Motion for Destruction of Fingerprints and Arrest Card
MCL 28.243, MCR 3.936(D)
  
3/09Judgment after Bond Forfeiture
MCL 765.15, MCL 765.22,
MCL 780.66, MCL 780.67, MCR 6.106(I)
  
3/06Removal of Entry from LEIN
MCL 764.15b, MCL 765.6b
  
1/08Order for Pretrial Release/Custody (four-page form)
MCL 765.6b, MCL 780.582a,
MCR 5.935, MCR 6.106,
MCR 6.610, 18 USC 922(g)(8)(c)
  
6/05Order Extending Bond for Protection of Named Person(s)
MCL 765.6b
  
1/08Bond
MCL 765.6b, MCL 780.582a,
MCR 5.935, MCR 6.106, MCR 6.610, 18 USC 922(g)(8)(c)
  
5/07Assignment to Youthful Trainee Status
MCL 762.11 - 762.14
  
3/10Petition and Order for Amendment of   Order of Probation, Parts 1 and 2
(3/01) previous approved form which can be used until stock is depleted 
  
3/13Motion and Order for Discharge from Probation
MCL 769.1j, MCL 769.1k, MCL 771.5, MCL 780.766(13), MCL 780.794(13), MCL 780.905, MCL 791.225a(6)



(5/07) previous approved form which can be used until stock is depleted with hand correction as appropriate
  
3/09Motion and Summons Regarding Probation   Violation
MCR 6.103(B), (C), MCR 6.445(A)
  
3/08Department of Natural Resources, Complaint
MCL 324.1604, R9114
  
3/08Department of Natural Resources, Order to Show Cause
MCL 324.1604, R9141
  
3/08Department of Natural Resources, Order
MCL 324.1604, R9138
  
3/09Order for Vehicle Impoundment
MCL 257.624b, MCL 257.724, MCL 257.904(1)
  
5/07Summons, Criminal
MCR 6.103(B)
  
3/09Report of Nonpayment of Restitution
MCL 712A.30(18),   MCL 769.1a(18),    MCL 780.766(15), MCL 780.794(18),
MCL 780.826(15)


  
3/08Waiver of Trial by Jury and Election to be Tried without Jury
MCL 712A.2d(7), MCL 763.3,
MCR 6.402(B)
  
3/09Order of Acquittal/Dismissal or Remand
MCL 769.16a, MCR 6.419, MCR 7.101(M)
  
3/09Motion/Order of Nolle Prosequi
MCL 28.243, MCL 767.29, MCL 769.16a, MCR 3.936(D)
  
3/12Order of Disqualification/Reassignment
  
6/03Order for Vehicle Immobilization
MCL 257.904d, MCL 257.904e
  
3/09Order Regarding Extradition
MCL 780.9
  
3/09Waiver of Extradition
MCL 780.25
  
12/09Waiver of Disqualification
MCR 2.003(E)
  
3/13Personal Service on Prisoner and Affidavit
MCR 2.103(C), MCR 2.105, MCR 5.103(B)
(3/09) previous approved form which can be used until stock is depleted
  
3/10Order for Mediation
MCR 2.411, MCR 3.216
(3/09), (3/08) previous approved forms which can be used until stock is depleted
  
8/00Notice Regarding Court-Selected Mediator
MCR 2.411(B)
  
3/08Motion to Remove Case from Mediation
MCR 2.410(E), MCR 3.216(D)
  
3/08Order on Motion to Remove Case from Mediation
MCR 2.410(E), MCR 3.216(D)
  
3/08Motion to Modify Order for Mediation
MCR 2.410(E)
  
8/00Stipulation for Mediation
MCR 2.411(B), MCR 3.216(A)
  
3/12Mediation Status Report
MCR 2.411(C)(3), MCR 3.216(H)(6)
(3/02) previous approved form which can be used until stock is depleted
  
3/13Civil Mediator Application
MCR 2.411(E)
(1/13) previous approved form which can be used until stock is depleted
  
1/13Domestic Relations Mediator Application
MCR 3.216(G)
  
3/08Domestic Violence Screening for Referral to Mediation
  
3/09Order for DNA Sample
MCL 712A.18k, MCL 750.520m
  
3/09Binding Arbitration Award
MCR 2.410, MCR 3.602
  
3/08Judgment Regarding Arbitration Award
MCR 2.601, MCR 2.602, MCR 3.602
  
3/08Order Requesting Prisoner be Allowed to Participate in Court Proceedings
MCR 2.004
  
3/09Financial Statement
  
3/11Order to Remit Prisoner Funds for Fines, Costs, and Assessments
MCL 769.11
(3/10), (9/08) previous approved forms which can be used until stock is depleted

  
5/07Order for Assignment of Wages
MCL 769.1k, MCL 771.3(2)(f)
  
3/11Satisfaction of Financial Obligation
(3/10), (9/08) previous approved forms which can be used until stock is depleted

  
3/08Disclosure of Employment or Contract in Michigan School System
MCL 380.1230d(2),
MCL 380.1535a(7)
  
5/07Order Delaying Sentence
MCL 769.1k, MCL 771.1
  
3/11Order for Administrative Closing Due to Bankruptcy
(6/86) previous approved form which can be used until stock is depleted
  
3/08Motion and Order Reopening Case after Bankruptcy Stay
  
3/08Proof of Mailing
MCR 2.107(C)(3), (D)

  
3/11Motion and Verification for Alternate Service
MCR 2.105
(3/06) previous approved form which can be used until stock is depleted
  
9/09Order Regarding Alternate Service
MCR 2.103, MCR 2.105
  
3/85Order for Security for Costs
  
6/97Substitution of Attorney
MCR 2.117
  
9/09Order for Service by Publication/Posting and Notice of Action
MCR 2.106
  
9/01Order for Adjournment
MCR 2.503
  
3/06Authorization for Release of Medical Information
MCL 333.5131(5)(d), MCR 2.314,
MCR 2.506(I)(1)(b)
  
8/07Order for Change of Venue
MCR 2.222, MCR 2.223,
MCR 2.225, MCR 2.226
  
3/12Juror Qualification Questionnaire
MCL 600.1307a,  MCL 600.1313
(3/08) previous approved form which can be used until stock is depleted
  
3/09Juror Personal History Questionnaire
MCR 2.510
  
2/86Request for Hearing on a Motion
  
3/10Notice of Hearing and Motion
(6/05) previous approved form which can be used until stock is depleted
  
2/86Order
  
3/11Ex Parte Motion and Order to Renew Civil Judgment
MCL 600.5809
(3/10) previous approved form which can be used until stock is depleted
  
3/09Order Canceling Assignment of Wages
MCL 769.1k, MCL 771.3(2)(f)
  
3/10Order Regarding Destruction of Fingerprints and Arrest Card
MCL 28.243, MCL 780.621,
MCL 780.623, MCR 3.936(D)
(3/09) previous approved form which can be used until stock is depleted
  
12/10Certification to Department of State (Interlock Pilot Project)
approved for use in statewide pilot project (circuit and district drug courts only)
  
1/13Order Transferring Supervision to Drug Treatment Court Program
MCL 600.1060, et seq., SCAO Administrative Memorandum 2013-01
  
1/13Order of Discharge from Drug Treatment Court Program
MCL 600.1060, et seq., SCAO Administrative Memorandum 2013-01
  
3/12Motion to Set Aside Forfeiture and Discharge of Bond and Notice of Hearing
MCL 765.15, MCL 765.22,
MCL 765.28, MCL 780.66,
MCL 780.67, MCR 6.106(I)
  
3/12Order on Motion to Set Aside Forfeiture and Discharge of Bond
MCL 765.15, MCL 765.22,
MCL 765.28, MCL 780.66,
MCL 780.67, MCR 6.106(I)
  
9/11Petition to Discontinue Sex Offender Registration
MCL 28.728c
  
9/11Order on Petition to Discontinue Sex Offender Registration
MCL 28.728c
  
3/08Uniform Child Custody Jurisdiction Enforcement Act Affidavit
MCL 722.1206, MCL 722.1209
  
3/13Reporter/Recorder Certificate of Ordering of Transcript on Appeal
MCR 7.109(B)(3)(a), MCR 7.210(B)(3)(a)
(5/12) previous approved form which can be used until stock is depleted
  
5/12Notice of Filing of Transcript and Affidavit of Mailing
MCR 7.109(B)(3)(e), MCR 7.210(B)(3)(e)
(3/08) previous approved form which can be used until stock is depleted
  
3/13Motion to Extend Time for Filing Transcript on Appeal
MCR 7.109(B)(3)(b)(ii), MCR 7.210(B)(3)
(5/12) previous approved form which can be used until December 31, 2013
  
7/13Instructions - A Guide to Garnishment of Periodic Payments
(10/12), (3/08) previous approved instructions which can be used until stock is depleted with appropriate hand correction