Numerical Index of Approved Circuit Court Family Division Juvenile Forms

Name	Date	Title	Citation	Previous Versions
jc01	12/17	Complaint (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	(3/10) previous approved form can be used until stock is depleted
jc03	9/03	Order Appointing Attorney/Guardian Ad Litem/Lawyer-Guardian Ad Litem	MCL 712A.17c(9), MCL 712A.17d, MCR 3.915, MCR 3.916
jc04a	8/18	Petition (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	(9/16) version existing stock cannot be used after August 31, 2018
jc04b	8/18	Petition (Child Protective Proceedings)	MCL 712A.2, MCR 3.903(A)(19), MCR 3.926(A), MCR 3.961	(12/17) version existing stock cannot be used after August 31, 2018
jc05a	9/10	Order 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)	(9/08) previous approved form which can be used until stock is depleted
jc05b	9/16	Order 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)	(9/15) version can be used until stock is depleted
jc06	11/05	Waiver 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)
jc07	6/03	Appearance of Attorney/Guardian Ad Litem/Lawyer-Guardian Ad Litem	MCR 3.915(C), MCR 3.916
jc08	11/05	Bond for Appearance	MCR 3.604, MCR 3.935(C),(E),(F)
jc10	9/16	Order 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	(10/13) version can be used until 6/30/2017
jc11a	9/16	Order 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	(9/15) version can be used until 6/30/2017
jc11b	9/16	Order 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	(9/15) version can be used until 6/30/2017
jc12a	9/06	Proof of Service/Nonservice	MCR 2.107(D), MCR 3.920(H)
jc12b	9/06	Proof of Service/Nonservice	MCR 2.107(D), MCR 3.920(H)
jc14a	9/16	Order 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	(6/15) version can be used until 6/30/2017
jc14b	9/16	Order 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	(6/15) version can be used until 6/30/2017
jc15	9/15	Motion and Authorization/Denial	MCL 712A.13a(14), MCL 712A.17, MCL 712A.18d, MCL 712A.19(10), MCL 712A.21, MCL 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)	(6/03) previous approved form which can be used until stock is depleted
jc16	6/03	Request and Order for Fingerprinting/Photographing/Lineup	MCL 712A.32, MCR 3.923(C), (D)
jc17	8/17	Order 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 3.973(F)	(9/16) version can be used until stock depleted
jc17a	9/16	Order of Disposition, Child In Home (Child Protective Proceedings)	MCL 712A.18, MCL 712A.18f, MCL 712A.20, MCR 3.973(F)	(9/15) version can be used until 6/30/2017
jc18	6/03	Motion to Waive Jurisdiction and Notice	MCL 712A.4, MCR 3.950
jc19	12/17	Order 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, MCR 3.002, MCR 3.921(C), MCR 3.974(A)(3), MCR 3.975, MCR 3.976(B)(1), MCR 3.979	(9/16) version cannot be used after 6/30/2018
jc20	9/09	Summons: 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)
ccfd20	3/12	Ex Parte Petition Regarding Voluntary Foster Care Agreement	MCL 400.655, MCR 3.616
jc21	9/09	Summons: Order to Appear (Child Protective Proceedings)	MCL 712A.13, MCR 3.911, MCR 3.912, MCR 3.915, MCR 3.920, MCR 3.928
ccfd21	3/12	Order Regarding Voluntary Foster Care Agreement	MCL 400.655, MCR 3.616
jc22	6/03	Blank (does not contain SCAO approval) (for second sheets or general purpose)
jc23	9/14	Waiver of Summons/Notice of Hearing	MCR 3.911, MCR 3.915, MCR 3.920(F)	(11/05) previous approved form can be used until December 31, 2014
jc29	9/11	Order to Transfer Case	MCL 712A.2, MCR 3.926	(9/10) previous approved form which can be used until stock is depleted
jc31	9/06	Authorization for Return of Bond	MCR 3.604, MCR 3.935(F)(4)
jc32	9/16	Publication 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
jc32a	9/16	Publication of Parental-Rights Termination Hearing	MCR 3.920(B)(4)(b), (5)(c)	New Form
jc34	6/03	Financial Statement
jc36	9/06	Request and Order to Terminate Court Jurisdiction	MCL 712A.18(2), MCL 712A.18c(4), MCL 712A.19(1)
jc37	9/07	Request for Financial Information
jc38	9/12	Order for Reimbursement	MCL 712A.17c(8), MCL 712A.18, MCR 3.915(E), MCR 3.916(D)	(6/03) previous approved form which can be used until stock is depleted
jc39	6/03	Order for Assignment of Wages	MCL 712A.18b
jc40	9/09	Order 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)
jc41	11/05	Motion and Order to Close Proceedings to Public	MCL 712A.17(7), MCR 3.925(A)
jc42	6/03	Request and Order for Review of Referee Recommendation	MCR 3.991
jc44	4/18	Advice of Rights after Order Terminating Parental Rights (Juvenile Code)	MCL 712A.21, MCL 710.27a, MCR 3.977(I), MCR 3.992, MCR 7.204(A)(1)(c)	(2/18) version cannot be used after 4/30/2018
jc45	9/16	Notice 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)	(9/07) version can be used until 6/30/2017
jc46	9/16	Motion for Alternate Service	MCL 712A.13, MCR 3.920(B)(4)(b)	(6/03) version can be used until stock is depleted
jc47	9/16	Order for Alternate Service	MCL 712A.13, MCR 3.920(B)(4)(b), (5)	(9/15) version can be used until stock is depleted
jc48	7/11	Notice of Proceedings Concerning An Indian Child	25 USC 1912, MCR 3.920(C)(1)
jc49	12/17	Order 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 3.206(A)(4), MCR 3.921(C), MCR 3.972	(9/16) version cannot be used after 6/30/2018
jc52	11/05	Motion and Order for Modification or Cancellation of Minimum State Costs Owed	MCL 712A.18(19)
jc53	12/17	Notice to Putative Father	MCR 3.921(D)	(11/05) version approved form can be used until stock is depleted
jc54	11/05	Motion and Order for Modification or Cancellation of Restitution Owed	MCL 780.794
jc55	6/03	Diversion Record	MCL 722.821 et seq., MCR 3.932(A)
jc56	9/16	Notice of Diversion Conference	MCL 722.824, MCL 722.825, MCR 3.932(A)	(6/03) version can be used until stock is depleted
jc57	9/16	Supplemental Order of Disposition (Delinquency Proceedings)	MCL 712A.18, MCL 712A.18c, MCL 712A.18d, MCL 712A.19, MCL 712A.20, MCL 712A.24, MCR 3.945	(9/10) version can be used until 6/30/2017
jc58	6/03	Order Cancelling Wage Assignment	MCL 712A.18b
jc59	9/16	Order of Adjudication (Delinquency Proceedings)	MCL 712A.18, MCR 3.942	(9/09) version can be used until 6/30/2017
jc60	6/03	Notice of Intent to Intercept State Income Tax	MCL 712A.18(2), MCL 769.1(7)
jc61	6/03	Order to Intercept State Income Tax	MCL 712A.18(2), MCL 769.1(7)
jc62	6/03	Order to Cancel State Income Tax Intercept	MCL 712A.18(2), MCL 769.1(7)
jc63	9/15	Order Following Hearing to Terminate Parental Rights (Child Protective Proceedings)	25 USC 1912, MCL 400.201 et seq., MCL 712A.18, MCL 712A.19a, MCL 712A.19b, MCL 712A.20, MCR 3.977	(11/13) previous approved form which can be used until stock is depleted
jc65	9/16	Order 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
jc66	8/18	Application to Set Aside Adjudication(s)	MCL 712A.18e, MCR 3.925(F)	(9/16) version existing stock can be used until depleted
jc67	9/06	Notice of Hearing (Designated Case)	MCL 712A.2d, MCL 712A.18i, MCR 3.920(C), MCR 3.951, MCR 3.952(B), MCR 3.956
jc68	11/05	Order after Designation Hearing	MCL 712A.2d, MCR 3.952
jc69	9/10	Order after Preliminary Examination (Designated Case)	MCL 712A.2d, MCR 3.953
jc70	9/08	Judgment of Conviction (Designated Case)	MCL 712A.2d, MCR 3.954, USC 822(g)(9)(c)
jc71	9/16	Judgment 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	(6/15) version can be used until 6/30/2017
jc72	6/15	Judgment 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	(11/05) previous approved form which can be used until 12/31/15 with hand correction only.
jc73	12/17	Order Delaying Sentence (Designated Case)	MCL 12.206, MCL 712A.18(1)(m), MCL 712A.18k, MCR 3.936, MCR 3.955(D)	(6/15) previous approved form cannot be used after 6/30/2018
jc74	6/15	Order of Probation (Designated Case)	MCL 712A.18, MCL 712A.18(1)(m), MCR 3.955, 18 USC 922(g)(8)(c)	(12/10) previous approved form which can be used until 12/31/15 with hand correction only.
jc75	9/16	Order 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)	(9/15) version can be used until 6/30/2017
jc76	9/16	Order After Posttermination Review/Permanency Planning Hearing (Child Protective Proceedings)	MCL 712A.19, MCL 712A.19c, MCL 712A.20, MCR 3.978, MCR 3.979	(9/15) version can be used until 6/30/2017
jc77	9/07	Waiver and Consent to Enter Teen Court (Plea under Advisement)
jc78	9/07	Waiver and Consent to Enter Teen Court (Diversion)
jc79	6/03	Publication of Hearing, Notice to Putative Father	MCR 3.921(C)
jc80	6/03	Notice of Hearing on Probation Violation	MCR 3.920(C), MCR 3.944(C)
jc81	11/05	Request and Order for Court Appointed Appellate Counsel	MCR 3.915(B)
jc82	9/11	Affidavit of Service Performed by Lawyer-Guardian Ad Litem	MCL 712A.17d, MCR 3.915	(9/07) previous approved form which can be used until stock is depleted
jc83	12/17	Affidavit of Efforts to Locate Absent Parent	Absent Parent Protocol	(8/05) version approved form can be used until stock is depleted
jc84	2/18	Claim of Appeal and Order Appointing Appellate Counsel	MCR 3.977(J)(2), (3), MCR 3.993(A)(2), MCR 7.204, MCR 7.210(B)(3)	(9/14) version cannot be used after 2/28/2018
jc85	2/18	Order Denying Appointment of Appellate Counsel	MCR 3.977(l), MCR 3.993(A)(2), MCR 7.205	(9/07) version cannot be used after 2/28/2018
jc86	9/16	Order After First-Phase Hearing to Waive Jurisdiction (Delinquency Proceedings)	MCR 3.950(D)(1)	(11/05) version can be used until stock is depleted
jc87	11/05	Order after Second-Phase Hearing to Waive Jurisdiction (Delinquency Proceedings)	MCR 3.950(D)(2)
jc88	11/05	Order Appointing Next Friend (Personal Protection Proceedings)	MCR 3.703(F)(2)
jc89	9/16	Order Transferring Petition to Consent Calendar (Delinquency Proceedings)	MCL 712A.2f	Previous versions cannot be used
jc90	9/16	Order Correcting Identifying Information (Child Protective Proceedings)		(9/08) version can be used until stock is depleted.
jc91	9/15	Order Appointing Juvenile Guardian	MCL 712A.19a, MCL 712A.19c, MCR 3.979	(6/09) previous approved form which can be used until until stock is depleted
jc92	6/09	Acceptance of Appointment (Juvenile Guardian)	MCL 700.5215, MCR 3.979(B), (E)
jc93	9/10	Letters of Juvenile Guardianship	MCR 3.979(B)(2)	(6/09) previous approved form which can be used until stock is depleted
jc94	6/09	Annual Report of Juvenile Guardian on Condition of Child	MCL 700.5215(f), MCR 3.979(E)(1)
jc95	9/15	Order Appointing Person to Investigate Juvenile Guardianship	MCR 3.979(D)(1) and (2), MCR 3.979(F)(3)	(6/09) previous approved form which can be used until stock is depleted
jc96	9/10	Report after Investigation of Juvenile Guardianship	MCR 3.979(D)(2)	(6/09) previous approved form which can be used until stock is depleted
jc97	9/15	Order Following Investigation and Report on Juvenile Guardianship	MCR 3.979(D)(3)	(9/11) previous approved form which can be used until stock is depleted
jc98	9/15	Petition to Terminate Appointment of Juvenile Guardian, Notice of Hearing, and Order for Investigation	MCR 3.979(F)	(9/12) previous approved form which can be used until stock is depleted
jc99	9/15	Petition to Revoke Juvenile Guardianship, Notice of Hearing, and Order for Investigation	MCR 3.979(F)	(6/09) previous approved form which can be used until stock is depleted
jc100	9/15	Order Following Hearing on Petition to Terminate Appointment of Juvenile Guardian	MCR 3.979(F)	(9/10) previous approved form which can be used until stock is depleted
jc101	9/15	Order Regarding Revocation of Juvenile Guardianship	MCR 3.979(F)	(6/09) previous approved form which can be used until stock is depleted
jc102	9/09	Request and Order for Court-Appointed Attorney	MCR 3.915
jc104	9/10	Order Discharging Juvenile Guardian	MCR 3.979
jc105	10/15	Order on Application to Set Aside Adjudication(s)	MCL 712A.18e, MCR 3.925(F)	(1/13) previous approved form which cannot be used after 12/31/2015
jc106	9/16	Findings Following Putative Father Hearing	MCR 3.921(D)	(9/11) version can be used until 6/30/2017
jc107	10/13	Order for Competency Evaluation (Delinquency Proceedings)	MCL 712A.18n, MCL 712A.18o, MCL 712A.18p	New Form
jc108	10/13	Order After Hearing on Competency (Delinquency Proceedings)	MCL 712A.18q, MCL 712A.18r(5), MCL 712A.18s(1)	New Form
jc109	10/13	Ex Parte Renewal of Restoration Order (Delinquency Proceedings)	MCL 712A.18s(3)	New Form
jc110	10/13	Order Following Report on Restoration (Delinquency Proceedings)	MCL 712A.18s(4)	New Form

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