Trial Court Collections - Forms

In addition to State Court Administrative Office-approved forms, this page includes forms that have been developed and utilized by courts to enhance collection efforts. The chief judge should review and approve any use or customization of non-SCAO-approved forms.

Forms Approved by the State Court Administrative Office

>>See the list

Forms Developed and Used by Local Courts

To download Word files, when available, right click on the link and select "save target as..."

Admonition Given by Collections Officer When Defendant Requests Time to Pay - Word
Admonition Given by Collections Officer When Defendant Requests Time to Pay - PDF

Affidavit and Defendant's Financial Statement - Word
Affidavit and Defendant's Financial Statement - PDF

Installment Payment Agreement - Word
Installment Payment Agreement - PDF

Order Cancelling Wage Assignment - Word
Order Cancelling Wage Assignment - PDF

Order to Remit Inmate Funds - Word
Order to Remit Inmate Funds - PDF

Payment Agreement - PDF

Tribal Payroll Withholding Request - PDF

Tribal Per Capita Voluntary Withholding Order - PDF

Get the latest version of Internet Explorer. Some of the files on this site are PDF files. To view PDF files, you need Acrobat Reader. Download your free copy here.

Questions about this site should be sent to webinfo@courts.mi.gov.
This site was last updated on .