Michigan > Statewide > Juvenile
Order For Reimbursement JC 38 - Michigan
| Order For Reimbursement Form. This is a Michigan form and can be used in Juvenile Statewide . |
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Approved, SCAO STATE OF MICHIGAN CASE NO. JUDICIAL CIRCUIT - FAMILY DIVISION ORDER FOR REIMBURSEMENT PETITION NO. COUNTY Court address Court telephone no.1. In the matter of (name(s), alias(es), DOB) 2. Date of hearing: Judge: Bar no.THE COURT FINDS: 3. , of Name(s) and relationship(s) to minor(s) has(have) been found to be financially able to reimburse the Name of minor(s) court for costs incurred. IT IS ORDERED: 4. Costs and expenses are assessed as follows: a. Court appointed attorney in the amount billed by attorney and approved by court; current charges $ . b. Minors care, clothing, medical, dental, optical, and other needs that the court determines necessary, in the amount of: $ per , beginning . Date $ per , beginning . Date c. Court services of: $ per , beginning . Date d. Other: 5. Reimbursement for the above charges shall be as follows: shall reimburse Name(s) the court at the rate of $ per , beginning Date continuing until the balance is paid in full. Payments are payable to Name and address . Please include the case number with payment. 6. Payments shall be applied against assessed charges as follows: Date Judge Do not write below this line - For court use only JC 38 (6/03) ORDER FOR REIMBURSEMENT MCL 712A.17c(8), MCL 712A.18, MCR 3.915(E), MCR 3.916(D)
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