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​Numerical Index of Approved Circuit Court Family Division Juvenile Forms

 

  
  
  
Citation
Previous Versions
jc0112/18Complaint (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
jc039/03Order Appointing Attorney/Guardian Ad Litem/Lawyer-Guardian Ad Litem
MCL 712A.17c(9), MCL 712A.17d,
MCR 3.915, MCR 3.916
jc04a9/19Petition (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
jc04b9/19Petition (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
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.
jc076/03Appearance of Attorney/Guardian Ad Litem/Lawyer-Guardian Ad Litem
MCR 3.915(C), MCR 3.916
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
jc12a9/06Proof of Service/Nonservice
MCR 2.107(D), MCR 3.920(H)
jc12b9/06Proof of Service/Nonservice
MCR 2.107(D), MCR 3.920(H)
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
jc17a9/16Order 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
jc186/03Motion to Waive Jurisdiction and Notice
MCL 712A.4, MCR 3.950
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
jc209/09Summons:  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)
ccfd203/12Ex Parte Petition Regarding Voluntary Foster Care Agreement
MCL 400.655, MCR 3.616
jc219/09Summons:  Order to Appear (Child Protective Proceedings)
MCL 712A.13, MCR 3.911, MCR 3.912, MCR 3.915, MCR 3.920, MCR 3.928

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)
jc239/14Waiver 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
jc299/11Order to Transfer Case
MCL 712A.2, MCR 3.926
(9/10) previous approved form which can be used until stock is depleted
jc29a12/18Petition to Transfer Case to Tribal Court and Order
MCR 3.905(C)(1)
New Form
jc319/06Authorization for Return of Bond
MCR 3.604, MCR 3.935(F)(4)
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
jc369/06Request and Order to Terminate Court Jurisdiction
MCL 712A.18(2), MCL 712A.18c(4),
MCL 712A.19(1)
jc379/07Request for Financial Information
jc389/12Order 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
jc3912/19Order for Assignment of Wages
MCL 712A.18b
(6/03) version can be used until 6/30/2020
jc409/09Order 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)
jc4111/05Motion and Order to Close Proceedings to Public
MCL 712A.17(7), MCR 3.925(A)
jc426/03Request and Order for Review of Referee Recommendation
MCR 3.991
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
jc459/16Notice 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
jc469/16Motion for Alternate Service
MCL 712A.13, MCR 3.920(B)(4)(b)
(6/03) version can be used until stock is depleted
jc479/16Order for Alternate Service
MCL 712A.13, MCR 3.920(B)(4)(b), (5)
(9/15) version can be used until stock is depleted
jc487/11Notice of Proceedings Concerning An Indian Child
25 USC 1912, MCR 3.920(C)(1)
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
jc5211/05Motion and Order for Modification or Cancellation of Minimum State Costs Owed
MCL 712A.18(19)
jc5312/17Notice to Putative Father
MCR 3.921(D)
(11/05) version approved form can be used until stock is depleted
jc5411/05Motion and Order for Modification or Cancellation of Restitution Owed
MCL 780.794
jc556/03Diversion Record
MCL 722.821 et seq., MCR 3.932(A)
jc569/16Notice of Diversion Conference
MCL 722.824, MCL 722.825, MCR 3.932(A)
(6/03) version can be used until stock is depleted
jc5712/18Supplemental 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
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
jc606/03Notice of Intent to Intercept State Income Tax
MCL 712A.18(2), MCL 769.1(7)
jc616/03Order to Intercept State Income Tax
MCL 712A.18(2), MCL 769.1(7)
jc626/03Order to Cancel State Income Tax Intercept
MCL 712A.18(2), MCL 769.1(7)
jc639/15Order 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
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
jc6612/19Application 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
jc679/06Notice of Hearing (Designated Case)
MCL 712A.2d, MCL 712A.18i, MCR 3.920(C), MCR 3.951, MCR 3.952(B), MCR 3.956
jc6811/05Order after Designation Hearing
MCL 712A.2d, MCR 3.952
jc699/10Order after Preliminary Examination (Designated Case)
MCL 712A.2d, MCR 3.953
jc7012/18Judgment 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
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
jc7412/18Order 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
jc7512/18Order 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
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)
jc806/03Notice of Hearing on Probation Violation
MCR 3.920(C), MCR 3.944(C)
jc813/21Request for Court Appointed Appellate Counsel
MCR 3.993
(11/05) version existing stock cannot be used
jc829/11Affidavit 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
jc8312/17Affidavit of Efforts to Locate Absent Parent
Absent Parent Protocol
(8/05) version approved form can be used until stock is depleted
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
jc8612/19Order After First-Phase Hearing to Waive Jurisdiction (Delinquency Proceedings)
MCR 3.950(D)(1)
(9/16) version can be used until 6/30/2020
jc8711/05Order after Second-Phase Hearing to Waive Jurisdiction (Delinquency Proceedings)
MCR 3.950(D)(2)
jc899/16Order Transferring Petition to Consent Calendar (Delinquency Proceedings)
MCL 712A.2f
Previous versions cannot be used
jc909/16Order Correcting Identifying Information (Child Protective Proceedings)
(9/08)  version can be used until stock is depleted.
jc919/15Order 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
jc926/09Acceptance of Appointment (Juvenile Guardian)
MCL 700.5215, MCR 3.979(B), (E)
jc939/10Letters of Juvenile Guardianship
MCR 3.979(B)(2)
(6/09) previous approved form which can be used until stock is depleted
jc946/09Annual Report of Juvenile Guardian on Condition of Child
MCL 700.5215(f), MCR 3.979(E)(1)
jc959/15Order 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
jc969/10Report after Investigation of Juvenile Guardianship
MCR 3.979(D)(2)
(6/09) previous approved form which can be used until stock is depleted
jc979/15Order 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
jc989/15Petition 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
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.
jc1009/15Order 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
jc1019/15Order Regarding Revocation of Juvenile Guardianship
MCR 3.979(F)
(6/09) previous approved form which can be used until stock is depleted
jc1029/09Request and Order for Court-Appointed Attorney
MCR 3.915
jc1032/19Order After Annual Review of Extended Guardianship
MCR 3.979(D)(1)(b)
New Form
jc1049/10Order Discharging Juvenile Guardian
MCR 3.979
jc10512/19Order on Application to Set Aside Adjudication(s)
MCL 712A.18e, MCR 3.925(F)
(12/18) version can be used until 6/30/2020
jc1069/16Findings Following Putative Father Hearing
MCR 3.921(D)
(9/11) version can be used until 6/30/2017
jc10710/13Order for Competency Evaluation (Delinquency Proceedings)
MCL 712A.18n, MCL 712A.18o, MCL 712A.18p
New Form
jc10810/13Order After Hearing on Competency (Delinquency Proceedings)
MCL 712A.18q, MCL 712A.18r(5), MCL 712A.18s(1)
New Form
jc10910/13Ex Parte Renewal of Restoration Order (Delinquency Proceedings)
MCL 712A.18s(3)
New Form
jc11010/13Order Following Report on Restoration (Delinquency Proceedings)
MCL 712A.18s(4)
New Form
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