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​Index of SCAO-Approved Forms for Use in Misdemeanor Criminal Matters


This set of forms is for use in misdemeanor criminal matters. The forms must be filed in the district court. See also indexes for general, general criminal, criminal disposition, motor vehicle offense, and probation forms which are used in misdemeanor criminal matters as appropriate.

  
  
  
Citation
Previous Versions
Advice of Rights and Plea Information (also available in Arabic, Chinese, Hmong, Korean, Russian, and Spanish)
  
6/18
MCL 750.504, MCL 770.3, MCR 1.110, MCR 6.610, 18 USC 922(g)(9)
(3/12) version can be used until 12/31/2018
Affidavit for Search Warrant
  
6/04
Affidavit for Search Warrant, Affidavit and Search Warrant  (two-page form)
  
3/10
Application for Human Trafficking Victim to Set Aside Conviction(s)
  
3/21
MCL 780.621, MCL 780.621b, MCL 780.621d, MCL 780.622, MCL 780.623, MCL 780.772a, MCL 780.827a
*NEW FORM*
Application to Set Aside Conviction(s)
  
3/21
MCL 780.621, MCL 780.621b, MCL 780.621d, MCL 780.622, MCL 780.772a, MCL 780.827a
(6/18) version can not be used
Application to Set Aside Misdemeanor Marihuana Conviction(s)
  
3/21
MCL 780.621b, MCL 780.621e, MCL 680.621f, MCL 780.622, MCL 780.623
*NEW FORM*
Assignment to Youthful Trainee Status
  
6/18
MCL 762.11 - MCL 762.14
(11/16)  version can be used until 12/31/2018
Certification to Department of State (Interlock Program)
  
5/21
MCL 257.304, MCL 600.1084
(6/18) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
Commitment Order, Not Guilty by Reason of Insanity
  
6/19
MCL 330.2050, MCR 6.304
(5/07) version can be used until 6/30/2019
Complaint / Summons, Misdemeanor
  
5/21
MCL 764.1, MCL 780.581, MCR 6.101
(4/21) version existing stock may be used through June 30, 2021
Complaint / Warrant, Misdemeanor
  
5/21
MCL 780.581, MCR 6.102(F)
*NEW FORM* (12/19) version of DC 225 - existing stock may be used through June 30, 2021.
Custody Order
  
3/16
MCR 3.935, MCR 6.106
Demand/Waiver for Transcript of Preliminary Examination
  
3/08
MCL 600.8635, MCL 712A.2d(7), MCR 6.113(D)
Disclosure of Employment or Contract in Michigan School System
  
3/08
MCL 380.1230d(2),
MCL 380.1535a(7)
Finding and Order on Competency
  
11/19
MCL 330.1750, MCL 330.2030, 42 USC 290dd-2
(6/19) version can be used until 6/30/2020
Interim Bail Order (Misdemeanor)
  
6/17
MCL 780.581 et seq.
New Form
Judgment after Bond Forfeiture
  
8/20
MCL 765.15, MCL 765.22,
MCL 780.66, MCL 780.67, MCR 6.106(I)
(3/09) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
Judgment of Sentence/Commitment to Jail
  
6/18
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
(1/18) version can be used until 12/31/2018
Motion for Destruction of Biometric Data and Arrest Record
  
1/21
MCL 28.243, MCL 780.621, MCL 780.623, MCR 3.936(D)
(6/19) version - existing stock may be used through December 31, 2021
Motion to Destroy DNA Profile and Sample
  
1/21
MCL 28.176
(7/16) version - existing stock may be used through December 31, 2021
Motion to Set Aside Forfeiture and Discharge of Bond and Notice of Hearing
  
1/21
MCL 765.15, MCL 765.22, MCL 765.28, MCL 780.67, MCR 6.106(I)
(6/18) version - existing stock may be used through December 31, 2021
Motion/Order of Nolle Prosequi
  
6/19
MCL 28.243, MCL 764.26a, MCL 767.29, MCL 769.16a, MCR 3.936(D)
(3/16) version can be used until 12/31/2019
Notice to Prosecuting Official (Victim’s Rights Act)
  
1/21
MCL 780.811, MCL 780.816
(3/16) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
Notice to Surety of Defendant's Failure to Appear
  
2/18
MCL 765.28
(1/17) version can be used until stock is depleted
Order and Receipt for Driver's License Held as Security
  
6/17
MCL 257.311a
(3/08) version can be used until stock is depleted
Order Delaying Sentence
  
6/18
MCL 769.1k, MCL 771.1
(3/16) version can be used until 12/31/18
Order for Competency Examination
  
1/21
MCL 330.2026, MCL 330.2028, MCR 6.125(C)
(3/16) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
Order for Contribution
  
12/18
MCL 780.991, MCL 780.993(17), MCR 6.005(C)
NEW FORM
Order for Counseling and Testing for Disease/Infection
  
6/19
MCL 333.5129, MCL 333.5131
(3/13) version can be used until depleted
Order for DNA Sample
  
6/17
MCL 712A.18k, MCL 750.520m
(6/15) version can be used until stock is depleted
Order for Evaluation Relative to Criminal Responsibility
  
10/20
MCL 768.20a
(3/09) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
Order for Fingerprints
  
5/07
MCL 28.243, MCL 764.29,
MCL 769.1, MCL 769.16a(5), MCR 3.936
Order of Acquittal/Dismissal or Remand
  
6/19
MCL 28.243, MCL 769.16a, MCL 764.26a, MCR 6.110(F), (H), MCR 6.419, MCR 7.109(H)(2)
(3/14) version can be used until 12/31/2019
Order of Discharge from Treatment Court Program
  
1/21
MCL 600.1060, et seq., MCL 600.1090 et seq., MCL 600.1200 et seq.
(5/15) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
Order on Application by Human Trafficking Victim to Set Aside Conviction(s)
  
3/21
MCL 780.621, MCL 780.621b, MCL 780.621d, MCL 780.622, MCL 780.623
*NEW FORM*
Order on Application to Set Aside Conviction(s)
  
3/21
MCL 780.621, MCL 780.621b, MCL 780.621c, MCL 780.621d, MCL 780.622, MCL 780.623
(12/19) version can not be used
Order on Application to Set Aside Misdemeanor Marihuana Conviction(s)
  
3/21
MCL 780.621b, MCL 780.621e, MCL 780.621f, MCL 780.622, MCL 780.623
*NEW FORM*
Order on Motion to Set Aside Forfeiture and Discharge of Bond
  
1/21
MCL 765.15, MCL 765.22, MCL 765.28, MCL 780.66,
MCL 780.67, MCR 6.106(I)
(3/12) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
Order Regarding Destruction of Biometric Data and Arrest Record
  
6/19
MCL 28.243, MCL 780.621, MCL 780.623, MCR 3.936(D)
(3/10) version can be used until 12/31/2019
Order Regarding Extradition
  
3/09
MCL 780.9
Order Revoking Release and Forfeiting Bond, Notice of Intent to Enter Judgment
  
8/20
MCL 765.15, MCL 780.66,
MCL 780.67, MCR 3.935(F)(5), MCR 6.106(l)
(6/17) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
Order to Destroy DNA Profile and Sample
  
3/16
MCL 28.176
Order to Remit Prisoner Funds for Fines, Costs, and Assessments
  
5/21
MCL 769.1l
(6/18) version cannot be used
Order Transferring Supervision to Treatment Court Program
  
1/21
MCL 600.1060, et seq., MCL 600.1090 et seq., MCL 600.1200 et seq.
(5/15) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
Plea By Mail
  
7/11
MCR 6.610
Pretrial Release Order
  
6/19
MCL 765.6b, MCR 3.935, MCR 6.106, MCR 6.610, 18 USC 922(g)(8)
(6/18) Can be used until stock is depleted
Request for Court-Appointed Attorney and Order
  
7/20
MCR 6.005(B),  MCR 6.610(D), (G)
Previous versions cannot be used.
Satisfaction of Financial Obligation
  
5/21
(6/18) version cannot be used
Summons Regarding Bond Violation
  
1/21
MCR 6.106(H)(2)(b)
(6/17) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
Summons, Criminal
  
5/21
MCL 764.3, MCR 6.103(B)
(4/21) version - existing stock may be used through December 31, 2021
Waiver of Extradition
  
3/09
MCL 780.25
Waiver of Privilege Against Disclosure (Alcohol/Substance Abuse Treatment)
  
11/83
Waiver of Trial by Jury and Election to be Tried without Jury
  
1/21
MCL 712A.2d(7), MCL 763.3,
MCR 6.402(B)
(3/08) version - existing stock may be used through December 31, 2021
Warrant, Misdemeanor, Traffic/Nontraffic
  
3/16
MCL 780.581, MCR 6.102(F), MCR 6.615
(5/07) version can be used until 12/31/2016