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​Numerical Index of Approved Circuit Court Family Division Juvenile Forms

 

  
  
  
Citation
Previous Versions
jc015/21Complaint (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
(12/18) version - existing stock may be used through December 31, 2021
jc0310/20Order Appointing Attorney/Guardian Ad Litem/Lawyer-Guardian Ad Litem
MCL 712A.17c(9), MCL 712A.17d,
MCR 3.915, MCR 3.916
(9/03) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc04a1/21Petition (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
(9/19) version - existing stock may be used through December 31, 2021
jc04b1/21Petition (Child Protective Proceedings)
MCL 712A.2, MCR 3.903(A)(19), MCR 3.926(A), MCR 3.961
(9/19) version - existing stock can be used through December 31, 2021
jc05a12/18Order 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)
(9/10) version can be used until stock is depleted
jc05b12/18Order 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) 

(9/16) version can be used until 6/30/2019
jc061/21Waiver 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)

(11/05) Version cannot be used.
jc071/21Appearance of Attorney/Guardian Ad Litem/Lawyer-Guardian Ad Litem
MCR 3.915(C), MCR 3.916
(6/03) version - existing stock may be used through December 31, 2021
jc101/21Order 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
(12/19) version can be used until 6/30/2021
jc11a10/20Order 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 3.002, MCR 3.920(c), MCR 3.921(C), MCR 3.965


(12/18) version can be used until June 30, 2021
jc11b10/20Order 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

(12/18) version can be used until June 30, 2021
jc12a1/21Proof of Service/Nonservice
MCR 2.107(D), MCR 3.920(H)
(9/06) version - existing stock may be used through December 31, 2021
jc12b10/20Proof of Service/Nonservice
MCR 2.107(D), MCR 3.920(I)
(9/06) version - existing stock may be used through December 31, 2021
jc14a12/19Order 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


(12/18) version can be used until 6/30/2020
jc14b12/19Order 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


(12/18) version can be used until 6/30/2020
jc15o3/21Order Regarding Qualified Residential Treatment Program Placement
MCL 712A.13a(14), MCL 712A.17, MCL 712A.18d, MCL 712A.19(10), MCL 712A.21, MCL 722.123a(3), MCR 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)
*NEW FORM*
jc1612/19Request and Order for Biometric Data Collection/Photographing/Lineup
MCL 28.241a(b), MCL 712A.32, MCR 3.923(C), (D)
(6/03) version can be used until stock is depleted
jc171/21Order of Disposition (Child Protective Proceedings)
PL 96-272, 41 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 3.921(C), MCR 3.973


(12/18) version can be used until June 30, 2021
jc17a10/20Order of Disposition, Child In-Home (Child Protective Proceedings)
MCL 712A.18, MCL 712A.18f, MCL 712A.20, MCR 3.973(F)


(9/16) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc181/21Motion to Waive Jurisdiction and Notice
MCL 712A.4, MCR 3.950
(6/03) version - existing stock may be used through December 31, 2021
jc194/21Order After 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, MCL 722.123a, MCR 3.002, MCR 3.921(C), MCR 3.974(A)(3), MCR 3.975, MCR 3.976, MCR 3.979
(12/18) version cannot be used
jc2010/20Summons:  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)
(9/09) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
ccfd203/12Ex Parte Petition Regarding Voluntary Foster Care Agreement
MCL 400.655, MCR 3.616
jc2110/20Summons:  Order to Appear (Child Protective Proceedings)
MCL 712A.13, MCR 3.911, MCR 3.912, MCR 3.915, MCR 3.920, MCR 3.928

(9/09) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
ccfd213/12Order Regarding Voluntary Foster Care Agreement
MCL 400.655, MCR 3.616
jc226/03Blank (does not contain SCAO approval) (for second sheets or general purpose)
jc2310/20Waiver of Summons/Notice of Hearing
MCR 3.911, MCR 3.915, MCR 3.920(F)
(9/14) previous - existing stock may be used through December 31, 2021
jc2910/20Order to Transfer Case
MCL 712A.2, MCR 3.926
(9/11) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc29a1/21Petition to Transfer Case to Tribal Court and Order
MCR 3.905(C)(1)
(12/18) version - existing stock may be used through December 31, 2021
jc319/20Authorization for Return of Bond
MCR 3.604, MCR 3.935(F)(4)
(9/06) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc329/16Publication of Hearing
MCR 3.920(B)(4)(b), (5)(c)
(9/07) version can be used until stock is depleted if the requirements of MCR 3.920(B)(3)(b) are added
jc32a9/16Publication of Parental-Rights Termination Hearing
MCR 3.920(B)(4)(b), (5)(c)
New Form
jc346/03Financial Statement
jc36o1/21Order to Terminate Court Jurisdiction
MCL 712A.18(2), MCL 712A.18o(4), MCL 712A.19(1)
*NEW FORM* (9/6) version of JC 36 - existing stock may be used through June 30, 2021
jc36m1/21Request to Terminate Court Jurisdiction
MCL 712A.18(2), MCL 712A.18c(4), MCL 712A.19(1)
NEW FORM - (9/6) version of JC 36 - existing stock may be used through June 30, 2021
jc379/07Request for Financial Information
jc3810/20Order for Reimbursement
MCL 712A.17c(8), MCL 712A.18, MCR 3.915(E), MCR 3.916(D)
(9/12) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc399/20Order for Assignment of Wages
MCL 712A.18b
(12/19) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc4010/20Order for Contempt of Court
MCL 600.1701, MCL 600.1715, MCL 600.1721, MCL 712A.6a, MCL 712A.26, MCR 3.928, MCR 3.987(F)
(9/09) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc411/21Motion and Order to Close Proceedings to Public
MCL 712A.17(7), MCR 3.925(A)
(11/05) version - existing stock may be used through December 31, 2021
jc421/21Request and Order for Review of Referee Recommendation
MCR 3.991
(6/03) version - existing stock may be used through December 31, 2021
jc441/21Advice of Rights after Order Terminating Parental Rights (Juvenile Code)
MCL 710.27a, MCL 712A.21, MCR 3.977(J), MCR 3.992, MCR 3.993, MCR 7.204(A)(1)(c), MCR 7.205(A)(3)

(4/18) Previous versions cannot be used
jc4510/20Notice of Hearing
MCL 712A.19(5), MCL 712A.19a,
MCL 712A.19b, MCR 1.110, 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)
(9/16) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc461/21Motion for Alternate Service
MCL 712A.13, MCR 3.920(B)(4)(b)
(9/16) version - existing stock may be used through December 31, 2021
jc4710/20Order for Alternate Service
MCL 712A.13, MCR 3.920(B)(4)(b), (5)
(9/16) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc486/21Notice of Proceedings Concerning An Indian Child
25 USC 1912, MCR 3.920(C)(1)
(5/21) - existing stock may be used through June 30, 2021
jc494/21Order 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 3.921(C), MCR 3.972
(12/18) version existing stock cannot be used
jc521/21Motion and Order for Modification or Cancellation of Minimum State Costs Owed
MCL 712A.18(19)
(11/05) version - existing stock may be used through December 31, 2021
jc535/21Notice to Putative Father
MCR 3.921(D)
(12/17) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc541/21Motion and Order for Modification or Cancellation of Restitution Owed
MCL 780.794
(11/05) version - existing stock may be used through December 31, 2021
jc556/03Diversion Record
MCL 722.821 et seq., MCR 3.932(A)
jc5610/20Notice of Diversion Conference
MCL 722.824, MCL 722.825, MCR 3.932(A)
(9/16) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc574/21Supplemental Order of Disposition (Delinquency Proceedings)
MCL 712A.15, MCL 712A.18, MCL 712A.18a, MCL 712A.18c, MCL 712A.18d, MCL 712A.19, MCL 712A.20, MCL 712A.24, MCL 722.123a, MCR 3.944, MCR 3.945
(12/18) version cannot be used
jc586/03Order Cancelling Wage Assignment
MCL 712A.18b
jc5912/19Order of Adjudication (Delinquency Proceedings)
MCL 712A.18, MCR 3.942
(12/18)  version can be used until stock is depleted
jc609/20Notice of Intent to Intercept State Income Tax
MCL 712A.18(2), MCL 769.1(7)
(6/03) - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc619/20Order to Intercept State Income Tax
MCL 712A.18(2), MCL 769.1(7)
(6/03) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc629/20Order to Cancel State Income Tax Intercept
MCL 712A.18(2), MCL 769.1(7)
(6/03) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc6310/20Order Following Hearing to Terminate Parental Rights (Child Protective Proceedings)
MCL 400.201 et seq., MCL 712A.18, MCL 712A.19a, MCL 712A.19b, MCL 712A.20, 25 USC 1912, MCR 3.977
(9/15) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc659/16Order Removing Alleged Abuser from Child's Home (Child Protective Proceedings)
MCL 712A.13a, MCL 764.15f
(9/15)  version can be used until 6/30/2017
jc664/21Application to Set Aside Adjudication(s)
MCL 28.241a(b), MCL 712A.18e, MCR 3.925(F)
(12/19) version can be used until July 3, 2021
jc6710/20Notice of Hearing (Designated Case)
MCL 712A.2d, MCL 712A.18i, MCR 3.920(C), MCR 3.951, MCR 3.952(B), MCR 3.956
(9/06) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc681/21Order after Designation Hearing
MCL 712A.2d, MCR 3.952
(11/05) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc691/21Order after Preliminary Examination (Designated Case)
MCL 712A.2d, MCR 3.953
(9/10) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc7010/20Judgment of Conviction (Designated Case)
MCL 712A.2d, MCR 3.954, 18 USC 822(g)(9)(c)
(12/18) version -existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc7112/18Judgment 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
(9/16) version can be used until 6/30/2019
jc7212/18Judgment 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
(6/15) version can be used until 6/30/2019
jc7312/18Order Delaying Sentence (Designated Case)
MCL 12.206, MCL 712A.18(1)(m), MCL 712A.18k, MCR 3.936, MCR 3.955(D)
(12/17) version can be used until 6/30/2019
jc741/21Order of Probation (Designated Case)
MCL 712A.18, MCL 712A.18(1)(m), MCR 3.955, 18 USC 922(g)(8)(c)
(12/18) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc7510/20Order After 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)
(12/18) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc764/21Order After Posttermination Review/Permanency Planning Hearing (Child Protective Proceedings)
MCL 712A.19, MCL 712A.19c, MCL 712A.20, MCL 722.123a, MCR 3.978, MCR 3.979

(12/18) version cannot be used
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)
jc8010/20Notice of Hearing on Probation Violation
MCR 3.920(C), MCR 3.944(C)
(6/03) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to court rules.
jc813/21Request for Court Appointed Appellate Counsel
MCR 3.993
(11/05) version existing stock cannot be used
jc821/21Affidavit of Service Performed by Lawyer-Guardian Ad Litem
MCL 712A.17d, MCR 3.915
(9/11) version - existing stock may be used through December 31, 2021
jc831/21Affidavit of Efforts to Locate Absent Parent
Absent Parent Protocol
(12/17) version - existing stock may be used through December 31, 2021
jc843/21Claim of Appeal and Order Appointing Appellate Counsel
25 USC 1912, MCR 3.993, MCR 7.204, MCR 7.210(B)(3)
(12/18) version existing stock cannot be used
jc853/21Order Denying Appointment of Appellate Counsel
MCR 3.977, MCR 3.993, MCR 7.204, MCR 7.205
(2/18) version existing stock cannot be used
jc861/21Order After First-Phase Hearing to Waive Jurisdiction (Delinquency Proceedings)
MCR 3.950(D)(1)
(12/19) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc871/21Order after Second-Phase Hearing to Waive Jurisdiction (Delinquency Proceedings)
MCR 3.950(D)(2)
(11/05) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc8910/20Order Transferring Petition to Consent Calendar (Delinquency Proceedings)
MCL 712A.2f
(9/16) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc905/21Order Correcting Identifying Information (Child Protective Proceedings)
(9/16) version - existing stock can be used through December 31, 2021
jc919/20Order Appointing Juvenile Guardian
MCL 712A.19a, MCL 712A.19c, MCR 3.979
(9/15) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc925/21Acceptance of Appointment (Juvenile Guardian)
MCL 700.5215, MCR 3.979(B), MCR 3.979(E)
(6/09) version - existing stock may be used through December 31, 2021
jc939/20Letters of Juvenile Guardianship
MCR 3.979(B)(2)
(9/10) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc941/21Annual Report of Juvenile Guardian on Condition of Child
MCL 700.5215(f), MCR 3.979(E)(1)
(6/09) version - existing stock may be used through December 31, 2021
jc9510/20Order Appointing Person to Investigate Juvenile Guardianship
MCR 3.979(D)(1) and (2), MCR 3.979(F)(3)
(9/15) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc961/21Report after Investigation of Juvenile Guardianship
MCR 3.979(D)(2)
(9/10) version - existing stock may be used through December 31, 2021
jc971/21Order Following Investigation and Report on Juvenile Guardianship
MCR 3.979(D)(3)
(9/15) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc98m1/21Petition to Terminate Appointment of Juvenile Guardian
MCR 3.979(F)
*NEW FORM* - (9/15) version of JC 98 - existing stock may be used through June 30, 2021
jc98n1/21Notice of Hearing on Petition to Terminate Appointment of Juvenile Guardian
MCR 3,979(F)
*NEW FORM* - (9/15) version of JC 98 - existing stock may be used through June 30, 2021
jc98o1/21Order For Investigation RE Petition to Terminate Appointment of Juvenile Guardian
MCR 3.979(F)
*NEW FORM* (9/15) version of JC 98 - existing stock may be used through June 30, 2021
jc99m1/21Petition to Revoke Juvenile Guardianship
MCR 3.979(F)
*NEW FORM* Previous JC 99 split into three forms to accommodate use in e-Filing.
jc99n1/21Notice of Hearing on Petition to Revoke Juvenile Guardianship
MCR 3.979(F)
*NEW FORM* Previous JC 99 split into three forms to accommodate use in e-Filing.
jc99o1/21Order for Investigation Re Petition to Revoke Juvenile Guardianship
MCR 3.979(F)
*NEW FORM* Previous JC 99 split into three forms to accommodate use in e-Filing.
jc10010/20Order Following Hearing on Petition to Terminate Appointment of Juvenile Guardian
MCR 3.979(F)
(9/15) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc10110/20Order Regarding Revocation of Juvenile Guardianship
MCR 3.979(F)
(9/15) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc1021/21Request and Order for Court-Appointed Attorney
MCR 3.915
(9/09) version - existing stock may be used through December 31, 2021
jc1032/19Order After Annual Review of Extended Guardianship
MCR 3.979(D)(1)(b)
New Form
jc1049/10Order Discharging Juvenile Guardian
MCR 3.979
jc1054/21Order on Application to Set Aside Adjudication(s)
MCL 712A.18e, MCR 3.925(F)
(12/19) version can be used until July 3, 2021
jc1061/21Findings Following Putative Father Hearing
MCR 3.921(D)
(9/16) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc1071/21Order for Competency Evaluation (Delinquency Proceedings)
MCL 712A.18n, MCL 712A.18o, MCL 712A.18p
(10/13) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc1081/21Order After Hearing on Competency (Delinquency Proceedings)
MCL 712A.18q, MCL 712A.18r(5), MCL 712A.18s(1)
(10/13) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc1091/21Ex Parte Renewal of Restoration Order (Delinquency Proceedings)
MCL 712A.18s(3)
(10/13) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc1101/21Order Following Report on Restoration (Delinquency Proceedings)
MCL 712A.18s(4)
(10/13) version - existing stock may be used through September 30, 2021, as long as PII is protected or redacted according to the court rules.
jc1118/19Advice of Rights Regarding Appeal (Child Protective Proceedings)
MCL 712A.21, MCR 3.965, MCR 3.967, MCR 3.971, MCR 3.972, MCR 3.973, MCR 3.974, MCR 3.992, MCR 3.993
New Form
jc15m_15a4/21Motion Re Transfer/Hearing/Placement and Authorization/Denial/Notice of Hearing
MCL 712A.13a(14), MCL 712A.17, MCL 712A.18d, MCL 712A.19(10), MCL 712A.21, MCL 722.123a, MCR 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)
(9/15) JC 15 version cannot be used