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Index of SCAO-Approved Forms for Use in Collections

This set of forms is for use in court collections.

 

  
  
  
Citation
Previous Versions
Blank (does not contain SCAO approval)mc045/84
Financial Statementmc2873/09
Financial Statementjc346/03
Motion and Order for Modification or Cancellation of Minimum State Costs Owedjc521/21
MCL 712A.18(19)
(11/05) version - existing stock may be used through December 31, 2021
Motion and Order for Modification or Cancellation of Restitution Owedjc541/21
MCL 780.794
(11/05) version - existing stock may be used through December 31, 2021
Motion and/or Order to Show Causemc2305/13
MCL 2.107(B), MCR 2.108(D), MCR 3.606(A), MCR 5.108
Notice of Intent to Intercept State Income Taxjc609/20
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.
Order Canceling Assignment of Wagesmc3911/21
MCL 769.1k, MCL 771.3(2)(f)
(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 Assignment of Wagesjc399/20
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.
Order for Reimbursementjc3810/20
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.
Order to Cancel State Income Tax Interceptjc629/20
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.
Order to Intercept State Income Taxjc619/20
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.
Order to Remit Prisoner Funds for Fines, Costs, and Assessmentsmc2885/21
MCL 769.1l
(6/18) version cannot be used
Request and Writ for Garnishment (Income Tax Refund/Credit)mc5210/19
MCL 600.4061, MCL 600.4061a
(4/18) If you are e-Filing in the 37th District Court (Warren), Ottawa County Probate Court, or 22nd Circuit Court (Washtenaw County), this form must be used.  Otherwise, existing stock can be used until depleted.
Request for Financial Informationjc379/07
Satisfaction of Financial Obligationmc2905/21
(6/18) version cannot be used
Wage Assignmentmc2899/20
MCL 769.1k, MCL 771.3(2)(f), MCL 780.766(18), MCL 780.794(18), MCL 780.826(15)
(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.