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​Numerical Index of Approved Michigan Court Forms

 

  
  
  
Citation
Previous Versions
mc016/17Summons 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)
(5/15) Can be used until 12/31/2017
mc01a3/85Summons and Complaint (second page)
mc01b6/09Motion for Second Summons and Order
MCR 2.102(D)
mc023/08Appearance
MCR 2.117, MCR 3.915(C), MCR 3.916(B)
mc034/14Answer, Civil
MCR 2.111
(3/13), (8/12) versions can be used until stock is depleted; Replaced DC 03; previous version of DC 03 (dated 3/08) can no longer be used
mc045/84Blank (does not contain SCAO approval)
mc063/15Notice to Appear
(3/13) version can be used until stock is depleted
mc073/10Default Request, Affidavit, and Entry
MCL 32.517, MCL 600.2441,
MCL 600.5759, MCR 2.603,
50 USC 521
mc07a12/12Default 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
mc094/14Dismissal
MCR 2.504
(6/97) version can be used until stock is depleted
mc09a4/14Dismissal, Nonservice/No Progress
MCR 2.102(D), MCR 2.502,
MCR 3.209(B)
(3/01) version can be used until stock is depleted
mc103/16Judgment, Civil
MCL 600.2441, MCL 600.5759, MCL 600.6013, MCL 600.8375, MCR 2.601, MCR 2.602, MCR 2.603, 50 USC App 521
(3/13) version can be used until stock is depleted
mc113/15Subpoena, Order to Appear and/or Produce
MCL 600.1455, MCL 600.1701, MCL 600.6110, MCL 600.6119, MCR 2.506
(4/14) version can be used until stock is depleted
mc1212/15Request and Writ for Garnishment (Periodic)
MCL 600.4011 et seq., MCR 3.101
(9/15) version can be used. However, correction to the disclosure fee is required if the garnishee is the State of Michigan.
mc133/15Request and Writ for Garnishment (Nonperiodic)
MCL 600.4011 et seq., MCR 3.101
(4/14), (1/14) versions can be used until stock is depleted.
mc149/15Garnishee Disclosure
15 USC 1672, 15 USC 1673, MCR 3.101
(4/14) version can be used until 12/31/2015. P 01 A Guide to Garnishment of Periodic Payments was merged into this form.
mc158/12Motion 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
mc15a4/16Order Regarding Installment Payments
MCL 600.6201 et seq., MCR 3.101(N), MCR 3.104
(8/12) version can be used until stock is depleted
mc166/13Motion to Set Aside Order for Installment Payments
MCL 600.6201 et seq., MCR 3.101(N), MCR 3.104
mc16a9/15Order on Motion to Set Aside Order for Installment Payments
MCL 600.6201 et seq., MCR 3.101(N)(4), MCR 3.104
(8/12) version can be used until stock is depleted.
mc176/04Certificate of Satisfied Judgment
MCR 2.620
mc193/13Request and Order to Seize Property
MCL 600.2920, MCL 600.6002,
MCR 3.106
mc206/17Waiver/Suspension of Fees and Costs (Affidavit and Order)
MCR 2.002
(4/14) Can be used until 12/31/2017
mc20a6/17Order Regarding Suspension of Prisoner Fees/Costs
MCL 600.2963, MCR 2.002
(3/15) version can be used until 6/9/17
mc243/10Taxation of Costs
MCR 2.625
mc254/16Notice of Intent to Escheat Unclaimed Personal Property
MCL 567.224a, MCL 567.234, MCL 567.238(5)
(3/08) version can be used until depleted
mc266/17Notice of Intent to Dismiss for No Progress
MCR 2.501(C), MCR 2.502(A)
(3/16) version can be used until stock is depleted
mc272/89Request and Notice for Film and Electronic Media Coverage of Court Proceedings
Sup Ct AO 1989-1
mc289/08Notice 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

mc296/93Notice of Intent to Destroy Discovery Materials
MCR 2.316
mc307/00Order for Case Evaluation
MCR 2.403
mc314/14Case Evaluation Notice
MCR 2.403(G)
(3/12) version can be used until stock is depleted
mc325/07Notice of Case Evaluation and Acceptance or Rejection of Award
MCR 2.403(K), (L)
mc333/06Notice of Acceptance/Rejection of Case Evaluation Award
MCR 2.403(L)(2), (M), (N)
mc343/13Case Evaluator Application
MCR 2.404
mc353/09Complaint, Claim and Delivery
MCL 600.2920, MCR 3.105
mc363/08Motion for Possession Pending Judgment, Claim and Delivery
MCL 600.2920, MCR 3.105
mc373/08Order of Possession Pending Judgment, Claim and Delivery
MCL 600.2920, MCR 3.105(E)(4)(c)
mc383/08Bond, Claim and Delivery
MCL 600.2920, MCR 3.105, MCR 3.604
mc393/09Judgment, Claim and Delivery
MCL 600.2920, MCR 3.105, 50 USC 521
mc489/15Final Statement on Garnishment of Periodic Payments
MCR 3.101(J)(6), 15 USC 1672, 15 USC 1673
(3/13) version can be used until stock is depleted.
mc493/16Objections to Garnishment and Notice of Hearing
15 USC 1672, 15 USC 1673, MCR 3.101(K)(3)
(9/15) version can be used until stock is depleted.
mc506/09Garnishment Release
MCR 3.101
mc513/08Order on Objections to Garnishment
MCR 3.101(K)
mc526/14Request and Writ for Garnishment (Income Tax Refund/Credit)
MCL 600.4061, MCL 600.4061a
(4/14), (4/12) versions can be used until stock is depleted
mc559/17Claim of Appeal
MCR 4.401(D), MCR 7.104(C), MCR 7.108(C)(3), MCR 7.204(D)
Existing paper stock cannot be used.
mc565/12Bond on Appeal
MCR 7.108, MCR 7.204(E), MCR 7.209(E)
mc573/13Certificate of Records Transmitted for Appeal and Notice to Parties
MCR 7.109(G), MCR 7.210(G)
mc605/12Notice of Record Return from Circuit Court/Court of Appeals
MCR 7.109(I), MCR 7.210(I)
mc623/08Affidavit and Notice of Entry of Foreign Judgment
MCL 691.1171 et seq.
mc633/08Motion and Order to Seize Vehicle Subject to Forfeiture
MCL 257.625n
mc646/04Notice of Intent to Forfeit Vehicle
MCL 257.625n(4)
mc653/08Motion for Return of Vehicle Pending Forfeiture Proceedings
MCL 257.625n(5)
mc663/08Order on Motion for Return of Vehicle Pending Forfeiture Proceedings
MCL 257.625n(5)
mc673/08Claim of Interest on Vehicle Seized for Forfeiture
MCL 257.625n(6)
mc683/08Order on Claim of Interest on Vehicle Seized for Forfeiture
MCL 257.625n(6)
mc693/08Order to Return/Forfeit Vehicle after Sentencing
MCL 257.625n
mc7010/15Request for Reasonable Accommodations and Response
MCL 393.501 et seq.,
42 USC 12111 et seq.
(3/11) version can be used until 10/15/2015
mc70a10/15Review of Request for Reasonable Accommodations and Response
MCL 393.501 et seq., 42 USC 12111 et seq.
mc723/10Petition for Testing of Infectious Disease and Waiver of Notice of Hearing
MCL 333.5204(4), MCL 333.5205(3)
mc733/10Notice of Hearing on Petition for Testing of Infectious Disease
MCL 333.5205(5), (12)
mc743/08Order Following Hearing on Petition for Testing of Infectious Disease
MCL 333.5205(7), (9)
mc812/14Request 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
mc81a2/14Review 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)
mc824/14Payment Receipt and Inventory of Seized Property
MCR 3.106
(3/08) version can be used with hand correction until stock is depleted
mc836/13Report of Collection Activity under Order to Seize Property
MCL 600.6002, MCR 3.106
mc926/05Cash Bond
MCL 600.1701, MCR 3.604
mc946/17Notice of Judgment Lien
MCL 600.2805
(3/06) version can be used until stock is depleted
mc953/06Request for Approval of Bond and Notice (Settlement/Judgment/Wrongful Death Settlement)
MCR 2.420
mc966/17Judgment of Contempt
MCL 600.1701 et seq.
(5/07) version can be used until stock is depleted
mc998/12Motion and Affidavit to Set Aside Default (Civil) (formerly DC 99)
MCR 2.603(D), MCR 2.612(C)
mc99a8/12Order Regarding Motion to Set Aside Default (formerly DC 99a)
MCR 2.603(D), MCR 4.201(M)
mc1128/12Motion to Intervene to Protect Assets and Notice of Hearing
MCR 2.209(A)(3), (C)
mc1138/12Order on Motion to Intervene to Protect Assets
MCR 2.209(A)(3), (C)
mc2006/17Felony Set
MCL 764.1 et seq., MCL 766.1 et seq., MCL 767.1 et seq., MCR 6.110
(3/16) version can be used until 6/30/2017
mc200a7/05Felony Set (information only)
MCL 764.1 et seq.,  MCL 766.1 et seq., MCL 767.1 et seq., MCR 6.112(D)
mc2014/89Witness/Juror Certificate
mc2026/03Certification of Records/Attestation of Exemplified Copies
28 USC 1738
mc2035/16Writ of Habeas Corpus
MCL 600.4301 et seq., MCR 3.304
(3/12) version can be used until stock is depleted
mc2043/16Order for Competency Examination
MCL 330.2026, MCL 330.2028, MCR 6.125(C)
(5/07) version can be used until stock is depleted
mc2053/06Finding and Order on Competency
MCL 330.2050
mc2063/09Order for Evaluation Relative to Criminal Responsibility
MCL 768.20a
mc2075/07Commitment Order, Not Guilty by Reason of Insanity
MCL 330.2050, MCR 6.304
mc2083/08Demand/Waiver for Transcript of Preliminary Examination
MCL 600.8635, MCL 712A.2d(7), MCR 6.113(D)
mc2103/10Affidavit and Order for Restricted Driver’s License
MCL 333.7408a
mc2113/08Order 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)
mc2126/99Summary of Substance Abuse Assessment Report
mc2163/0814-Day Notice, Traffic
MCL 257.321a(2), MCR 1.110
mc216a3/08Notice of Noncompliance, Drinking/Driving Offense
MCL 257.321a(3), MCL 324.80193,
MCL 324.82149, MCR 1.110
mc2186/17Order 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(l)
(3/08) can be used until 12/31/2017
mc218a1/17Notice to Surety of Defendant's Failure to Appear
MCL 765.28
New Form
mc2196/17Judgment of Sentence/Commitment to Jail
MCL 765.15(2), MCL 769.1k, MCL 769.3, MCL 769.16a, MCL 775.22, MCL 780.766, MCL 780.826, MCR 6.427
(3/16) version can be used until stock is depleted
mc2203/16Recall of Warrant/Order to Apprehend and Removal From LEIN
MCL 764.15b, MCL 765.6b
(3/02) version can be used until stock is depleted
mc2216/14Statement of Service and Order for Payment of Court-Appointed Representative
(3/09) version can be used until stock is depleted
mc2223/16Request for Court-Appointed Attorney and Order
MCR 6.005(B),  MCR 6.610(D), (G)
(3/09) version can be used until stock is depleted
mc2246/17Order and Receipt for Driver's License Held as Security
MCL 257.311a
(3/08) version can be used until stock is depleted
mc2275/16Application to Set Aside Conviction
MCL 780.621, MCL 780.622, MCL 780.772a, MCL 780.827a
(1/16) version can be used until stock is depleted
mc22810/15Order on Application to Set Aside Conviction
MCL 780.621, MCL 780.623
(3/15) version can be used until 12/31/2015
mc2293/16Motion, Affidavit, and Bench Warrant
MCR 3.606
(3/15) version can be used until stock is depleted
mc2305/13Motion and/or Order to Show Cause
MCL 2.107(B), MCR 2.108(D), MCR 3.606(A), MCR 5.108
mc2313/10Affidavit for Search Warrant and Search Warrant  (two-page form)
mc231a6/04Affidavit for Search Warrant
mc2326/17Interim Bail Order (Misdemeanor)
MCL 780.581 et seq.
New Form
mc2335/07Order for Fingerprints
MCL 28.243, MCL 764.29,
MCL 769.1, MCL 769.16a(5), MCR 3.936
mc2343/13Order for Counseling and Testing for Disease/Infection
MCL 333.5129, MCL 333.5131
mc2353/09Motion for Destruction of Fingerprints and Arrest Card
MCL 28.243, MCL 780.621, MCL 780.623, MCR 3.936(D)
mc2383/09Judgment after Bond Forfeiture
MCL 765.15, MCL 765.22,
MCL 780.66, MCL 780.67, MCR 6.106(I)
mc2393/06Removal of Entry from LEIN
MCL 764.15b, MCL 765.6b
mc2406/17Pretrial Release Order
MCL 765.6b, MCR 3.935, MCR 6.106, MCR 6.610, 18 USC 922(g)(8)
(7/16) Can be used until 12/31/2017
mc240b3/16Custody Order
MCR 3.935, MCR 6.106
mc24211/16Assignment to Youthful Trainee Status
MCL 762.11 - MCL 762.14
(9/15)  version can be used until 6/30/2017 if the checkbox option in item 7 is stricken
mc2443/10Petition and Order for Amendment of   Order of Probation, Parts 1 and 2
mc2453/15Motion and Order for Discharge from Probation
MCL 769.1j, MCL 769.1k, MCL 771.5, MCL 780.766(13), MCL 780.794(13), MCL 780.826(13), MCL 780.905, MCL 791.225a(6)



(3/14) version can be used until stock is depleted
mc2466/17Motion and Summons Regarding Probation Violation
MCR 6.103(B), (C), MCR 6.445(A)
(7/16) version can be used until stock is depleted
mc2473/08Department of Natural Resources, Complaint, Condemnation and Confiscation
MCL 324.1604, PR9114
mc2483/08Department of Natural Resources, Order to Show Cause, Condemnation and Confiscation
MCL 324.1604, R9141
mc2493/08Department of Natural Resources, Order, Condemnation and Confiscation
MCL 324.1604, R9138
mc2543/09Order for Vehicle Impoundment
MCL 257.624b, MCL 257.724, MCL 257.904(1)
mc2563/16Summons, Criminal
MCR 6.103(B)
(5/07) version can be used until 12/31/2016
mc2586/17Report of Nonpayment of Restitution
MCL 712A.30(18), MCL 769.1a(15), MCL 780.766(18), MCL 780.794(18), MCL 780.826(15)


(6/09) version can be used until stock is depleted
mc2603/08Waiver of Trial by Jury and Election to be Tried without Jury
MCL 712A.2d(7), MCL 763.3,
MCR 6.402(B)
mc2623/14Order of Acquittal/Dismissal or Remand
MCL 769.16a, MCR 6.110(F), (H), MCR 6.419, MCR 7.109(H)(2)
(3/09) version can be used until stock is depleted
mc2633/16Motion/Order of Nolle Prosequi
MCL 28.243, MCL 767.29, MCL 769.16a, MCR 3.936(D)
(3/09) version can be used until 12/31/2016
mc2643/12Order of Disqualification/Reassignment
MCR 2.003, MCR 8.111(C)
mc2676/03Order for Vehicle Immobilization
MCL 257.904d, MCL 257.904e
mc2703/09Order Regarding Extradition
MCL 780.9
mc2713/09Waiver of Extradition
MCL 780.25
mc27212/09Waiver of Disqualification
MCR 2.003(E)
mc2733/13Personal Service on Prisoner and Affidavit
MCR 2.103(C), MCR 2.105, MCR 5.103(B)
mc2743/10Order for Mediation
MCR 2.410(C), MCR 3.216(C)
mc2758/00Notice Regarding Court-Selected Mediator
MCR 2.411(B)
mc2763/08Motion to Remove Case from Mediation
MCR 2.410(E), MCR 3.216(D)
mc2773/08Order on Motion to Remove Case from Mediation
MCR 2.410(E), MCR 3.216(D)
mc2783/08Motion to Modify Order for Mediation
MCR 2.410(E)
mc2798/00Stipulation for Mediation
MCR 2.411(B), MCR 3.216(A)
mc2803/12Mediation Status Report
MCR 2.411(C)(3), MCR 3.216(H)(6)
mc281a3/13Civil Mediator Application
MCR 2.411(E)
mc281b1/13Domestic Relations Mediator Application
MCR 3.216(G)
mc2823/08Domestic Violence Screening for Referral to Mediation
mc2836/17Order for DNA Sample
MCL 712A.18k, MCL 750.520m
(6/15) version can be used until stock is depleted
mc2843/09Binding Arbitration Award
MCR 2.410, MCR 3.602
mc2853/08Judgment Regarding Arbitration Award
MCR 2.601, MCR 2.602, MCR 3.602
mc2866/17Order Requesting Prisoner Participation in Court Proceedings
MCR 2.004
(3/08) Can be used until 12/31/2017
mc2873/09Financial Statement
mc2883/11Order to Remit Prisoner Funds for Fines, Costs, and Assessments
MCL 769.11
mc2896/17Wage Assignment
MCL 769.1k, MCL 771.3(2)(f), MCL 780.766(18), MCL 780.794(18), MCL 780.826(15)
(5/07) Can be used until 12/31/2017
mc2903/11Satisfaction of Financial Obligation
mc2923/08Disclosure of Employment or Contract in Michigan School System
MCL 380.1230d(2),
MCL 380.1535a(7)
mc2943/16Order Delaying Sentence
MCL 769.1k, MCL 769.3, MCL 771.1
(6/15) version can be used until 12/31/16 if checkbox option in item 9 is stricken
mc3003/11Order for Administrative Closing Due to Bankruptcy Stay
mc3013/08Motion and Order Reopening Case after Bankruptcy
mc3023/08Proof of Mailing
MCR 2.107(C)(3), (D)

mc3033/11Motion and Verification for Alternate Service
MCR 2.105
mc3049/09Order Regarding Alternate Service
MCR 2.103, MCR 2.105
mc3053/16Order for Security for Costs
MCR 2.109
(3/85) version can be used until stock is depleted
mc3063/15Substitution of Attorney
MCR 2.117
(6/97) version can be used until stock is depleted
mc3079/09Order for Service by Publication/Posting and Notice of Action
MCR 2.106, MCR 5.101(C)
mc3086/17Summons Regarding Bond Violation
MCR 6.106(H)(2)(b)
New Form
mc3099/01Order for Adjournment
MCR 2.503
mc3156/17Authorization for Release of Medical Information
45 CFR 164.508, MCL 333.5131(5)(d), MCR 2.314,
MCR 2.506(l)(1)(b)
(3/06) version can be used until stock is depleted
mc3168/07Order for Change of Venue
MCR 2.222, MCR 2.223,
MCR 2.225, MCR 2.226
mc321a6/17Juror Qualification Questionnaire
MCL 600.1307a,  MCL 600.1313
(3/12) version can be used until stock is depleted
mc321b9/17Juror Personal History Questionnaire
MCR 2.510
mc3256/05Request for Hearing on a Motion
mc3263/10Notice of Hearing and Motion
mc3276/17Order
(3/15) version can be used until stock is depleted
mc3903/16Ex Parte Motion and Order to Renew Civil Judgment
MCL 600.2903, MCL 600.5809
(3/11) version can be used until stock is depleted
mc3913/09Order Canceling Assignment of Wages
MCL 769.1k, MCL 771.3(2)(f)
mc3923/10Order Regarding Destruction of Fingerprints and Arrest Card
MCL 28.243, MCL 780.621,
MCL 780.623, MCR 3.936(D)
mc3933/15Certification to Department of State (Interlock Program)
MCL 257.304, MCL 600.1084
(12/10) version can be used until 6/30/15
mc3945/15Order Transferring Supervision to Treatment Court Program
MCL 600.1060, et seq., MCL 600.1090 et seq., MCL 600.1200 et seq., SCAO Administrative Memorandum 2015-01
(1/13) version can be used until stock is depleted
mc394a5/15Order of Discharge from Treatment Court Program
MCL 600.1060, et seq., MCL 600.1090 et seq., MCL 600.1200 et seq., SCAO Administrative Memorandum 2015-01
(1/13) version can be used until stock is depleted
mc3993/12Motion 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)
mc399a3/12Order 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)
mc406a3/16Petition to Discontinue Sex Offender Registration
MCL 28.728c
(9/11) version can be used until 12/31/2016
mc406b9/11Order on Petition to Discontinue Sex Offender Registration
MCL 28.728c
mc4163/08Uniform Child Custody Jurisdiction Enforcement Act Affidavit
MCL 722.1206, MCL 722.1209
mc4333/14Order Following Probation Violation Hearing
MCL 771.4, MCL 771.4a, MCR 6.445
mc43912/15Notice of Order Appointing Receiver (Receivership Estate)
MCR 2.622(D)(2)
mc44012/15Acceptance of Receivership Appointment (Receivership Estate)
MCR 2.622(D)(1)
mc44112/15Notice of Receiver's Application for Fees or Expenses (Receivership Estate)
MCR 2.622(F)
mc44212/15Final Report and Accounting (Receivership Estate)
MCR 2.622(D)(7)
mc4437/16Motion to Destroy DNA Profile and Sample
MCL 28.176
(3/16) version can be used until stock is depleted
mc4443/16Order to Destroy DNA Profile and Sample
MCL 28.176
mc4456/17Motion for Appointment of Receiver
MCR 2.622
New Form
mc5016/17Reporter/Recorder Certificate of Ordering Transcript on Appeal
MCR 7.109(B)(3)(a), MCR 7.210(B)(3)(a)
(3/13) version can be used until stock is depleted
mc5025/12Notice of Filing of Transcript and Affidavit of Mailing
MCR 7.109(B)(3)(e), MCR 7.210(B)(3)(e)
mc5033/13Motion to Change Time for Filing Transcript on Appeal
MCR 7.109(B)(3)(b)(ii), MCR 7.210(B)(3)