Numerical Index of Approved Circuit Court Family Division Juvenile Forms

Name	Date	Title	Citation	Previous Versions
jc01	12/18	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	(12/17) version can be used until 6/30/2019
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	9/19	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	(12/18) version can be used until September 18, 2019
jc04b	9/19	Petition (Child Protective Proceedings)	MCL 712A.2, MCR 3.903(A)(19), MCR 3.926(A), MCR 3.961	(12/18) version can be used until September 18, 2019
jc05a	12/18	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)	(9/10) version can be used until stock is depleted
jc05b	12/18	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)	(9/16) version can be used until 6/30/2019
jc06	1/21	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)	(11/05) Version cannot be used.
jc07	6/03	Appearance of Attorney/Guardian Ad Litem/Lawyer-Guardian Ad Litem	MCR 3.915(C), MCR 3.916
jc10	1/21	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	(12/19) version can be used until 6/30/2021
jc11a	10/20	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	(12/18) version can be used until June 30, 2021
jc11b	10/20	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	(12/18) version can be used until June 30, 2021
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	12/19	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	(12/18) version can be used until 6/30/2020
jc14b	12/19	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	(12/18) version can be used until 6/30/2020
jc15o	3/21	Order 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
jc16	12/19	Request 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
jc17	1/21	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 3.921(C), MCR 3.973	(12/18) version can be used until June 30, 2021
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	4/21	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, 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
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
jc29a	12/18	Petition to Transfer Case to Tribal Court and Order	MCR 3.905(C)(1)	New Form
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	12/19	Order for Assignment of Wages	MCL 712A.18b	(6/03) version can be used until 6/30/2020
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	1/21	Advice 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
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	4/21	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 3.921(C), MCR 3.972	(12/18) version existing stock cannot be used
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	12/18	Supplemental Order of Disposition (Delinquency Proceedings)	MCL 712A.18, MCL 712A.18a, MCL 712A.18c, MCL 712A.18d, MCL 712A.19, MCL 712A.20, MCL 712A.24, MCR 3.944, MCR 3.945	(9/16) version can be used until stock is depleted
jc58	6/03	Order Cancelling Wage Assignment	MCL 712A.18b
jc59	12/19	Order of Adjudication (Delinquency Proceedings)	MCL 712A.18, MCR 3.942	(12/18) version can be used until stock is depleted
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	12/19	Application to Set Aside Adjudication(s)	MCL 28.241a(b), MCL 712A.18e, MCR 3.925(F)	(8/18) version can be used until stock is 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	12/18	Judgment of Conviction (Designated Case)	MCL 712A.2d, MCR 3.954, 18 USC 822(g)(9)(c)	(9/08) version can be used until 6/30/2019
jc71	12/18	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	(9/16) version can be used until 6/30/2019
jc72	12/18	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	(6/15) version can be used until 6/30/2019
jc73	12/18	Order 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
jc74	12/18	Order of Probation (Designated Case)	MCL 712A.18, MCL 712A.18(1)(m), MCR 3.955, 18 USC 922(g)(8)(c)	(6/15) version can be used until 6/30/2019
jc75	12/18	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)	(9/16) version can be used until 6/30/2019
jc76	4/21	Order 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
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	3/21	Request for Court Appointed Appellate Counsel	MCR 3.993	(11/05) version existing stock cannot be used
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	3/21	Claim 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
jc85	3/21	Order 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
jc86	12/19	Order After First-Phase Hearing to Waive Jurisdiction (Delinquency Proceedings)	MCR 3.950(D)(1)	(9/16) version can be used until 6/30/2020
jc87	11/05	Order after Second-Phase Hearing to Waive Jurisdiction (Delinquency Proceedings)	MCR 3.950(D)(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
jc99m	1/21	Petition to Revoke Juvenile Guardianship	MCR 3.979(F)	NEW FORM Previous JC 99 split into three forms to accommodate use in e-Filing.
jc99n	1/21	Notice 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.
jc99o	1/21	Order 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.
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
jc103	2/19	Order After Annual Review of Extended Guardianship	MCR 3.979(D)(1)(b)	New Form
jc104	9/10	Order Discharging Juvenile Guardian	MCR 3.979
jc105	12/19	Order on Application to Set Aside Adjudication(s)	MCL 712A.18e, MCR 3.925(F)	(12/18) version can be used until 6/30/2020
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
jc111	8/19	Advice 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_15a	4/21	Motion 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

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