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Order To Apprehend Or Detain Or Place Into Protective Custody JC 05 - Michigan
| Order To Apprehend Or Detain Or Place Into Protective Custody Form. This is a Michigan form and can be used in Juvenile Statewide . |
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Approved, SCAO STATE OF MICHIGAN ORDER TO CASE NO. JUDICIAL CIRCUIT - FAMILY DIVISION APPREHEND/DETAIN (DELINQUENCY, PETITION NO. COUNTY MINOR PERSONAL PROTECTION) PLACE INTO PROTECTIVE CUSTODY Court address Court telephone no.1. In the matter of Police Report No: (name(s), alias(es), DOB) (see reverse side for other identifying information) 2. Date of hearing: Judge: Bar no.3. TO: Any peace officer or 4. It appears to the court upon the filing of a petition, together with further proofs as required by the court, that there are reasonable grounds for removal of the minor(s) from the parent, guardian, or legal custodian by this court in compliance with MCL 712A.2, MCR 3.933(B), MCR 3.963(B), or MCR 3.983 because: a. conditions or surroundings of the child(ren) are such as to endanger the health, safety, or welfare of the child(ren) and it is contrary to the welfare of the child(ren) to remain in the home because b. minor(s) is(are) eluding or is(are) being illegally detained or concealed from the parent, guardian, or legal custodian. There is probable cause to believe the minor can be found at . c. juvenile is charged with committing an offense that would provide authority for issuance of a warrant were the juvenile an adult. Date of offense: Offense: d. minor(s) is(are) absent without leave from an institution or facility to which s/he was committed pursuant to section 18. e. juvenile has violated probation. f. juvenile has failed to appear for a hearing on a petition charging violation of MCL 712A.2. g. minor is alleged to have violated a valid minor personal protection order issued under MCL 712A.2(h) or out-state law. h. it appears there is a substantial likelihood of retaliation or continued violation. IT IS ORDERED: 5. The minor(s) shall be taken into protective custody/apprehended and: a. brought before this court or temporarily detained/placed at pending preliminary hearing. b. placed at for medical observation and treatment until medically released to for placement at pending preliminary hearing. c. other: 6. To effect this order you are authorized to enter the premises located at: 7. The parent(s), guardian(s), or legal custodian(s) of the minor(s) shall be directed to appear for a preliminary hearing in this matter to be held on at .Date Judge If you require special accommodations to use the court because of a disability or if you require a foreign language interpreter to help you to fully participate in court proceedings, please contact the court immediately to make arrangements. Enter on LEIN Do not write below this line - For court use only ORDER Date EXPIRES: MCL 712A.2c, MCL 712A.15, MCR 3.933(B), (C), MCR 3.934(B), MCR 3.944(A),JC 05 (6/03) ORDER TO APPREHEND/DETAIN OR TO PLACE INTO PROTECTIVE CUSTODY MCR 3.963(B), (C), MCR 3.983(B), (D)<<<<<<<<<********>>>>>>>>>>>>> 2 Approved, SCAO STATE OF MICHIGAN ORDER TO CASE NO. JUDICIAL CIRCUIT - FAMILY DIVISION APPREHEND/DETAIN (DELINQUENCY, PETITION NO. COUNTY MINOR PERSONAL PROTECTION) PLACE INTO PROTECTIVE CUSTODY Court address Court telephone no.1. In the matter of Police Report No: (name(s), alias(es), DOB) (see reverse side for other identifying information) 2. Date of hearing: Judge: Bar no.3. TO: Any peace officer or 4. It appears to the court upon the filing of a petition, together with further proofs as required by the court, that there are reasonable grounds for removal of the minor(s) from the parent, guardian, or legal custodian by this court in compliance with MCL 712A.2, MCR 3.933(B), MCR 3.963(B), or MCR 3.983 because: a. conditions or surroundings of the child(ren) are such as to endanger the health, safety, or welfare of the child(ren) and it is contrary to the welfare of the child(ren) to remain in the home because b. minor(s) is(are) eluding or is(are) being illegally detained or concealed from the parent, guardian, or legal custodian. There is probable cause to believe the minor can be found at . c. juvenile is charged with committing an offense that would provide authority for issuance of a warrant were the juvenile an adult. Date of offense: Offense: d. minor(s) is(are) absent without leave from an institution or facility to which s/he was committed pursuant to section 18. e. juvenile has violated probation. f. juvenile has failed to appear for a hearing on a petition charging violation of MCL 712A.2. g. minor is alleged to have violated a valid minor personal protection order issued under MCL 712A.2(h) or out-state law. h. it appears there is a substantial likelihood of retaliation or continued violation. IT IS ORDERED: MEMORANDUM COPY 5. The minor(s) shall be taken into protective custody/apprehended and: a. brought before this court or temporarily detained/placed at pending preliminary hearing. b. placed at for medical observation and treatment until medically released to for placement at pending preliminary hearing. c. other: 6. To effect this order you are authorized to enter the premises located at: 7. The parent(s), guardian(s), or legal custodian(s) of the minor(s) shall be directed to appear for a preliminary hearing in this matter to be held on at .Date Judge If you require special accommodations to use the court because of a disability or if you require a foreign language interpreter to help you to fully participate in court proceedings, please contact the court immediately to make arrangements. Enter on LEIN Do not write below this line - For court use only ORDER Date EXPIRES: MCL 712A.2c, MCL 712A.15, MCR 3.933(B), (C), MCR 3.934(B), MCR 3.944(A),JC 05 (6/03) ORDER TO APPREHEND/DETAIN OR TO PLACE INTO PROTECTIVE CUSTODY MCR 3.963(B), (C), MCR 3.983(B), (D)<<<<<<<<<********>>>>>>>>>>>>> 3 TEMPORARY CUSTODY ORDER - NON CRIMINAL IDENTIFYING INFORMATION Name Race Sex Height Weight Hair color Eye color Date of birth Name Race Sex Height Weight Hair color Eye color Date of birth Name Race Sex Height Weight Hair color Eye color Date of birth Name Race Sex Height Weight Hair color Eye color Date of birth Home address City State Zip Telephone number Fathers name Address City State Zip Telephone number Mothers name Address City State Zip Telephone number City State Juveniles place of birth (delinquency only) Pickup radius Court ORI Statewide Other: MI Reason for pickup is stated in item 4. in order on other side. OFFICERS CUSTODY STATEMENT AND RECORD OF NOTIFICATION 1. I certify and return that I have taken into custody and have delivered the minor(s) to .2. I notified attempted to notify the
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