Michigan > Statewide > Juvenile
Petition JC 04 - Michigan
| Petition 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 PETITION PETITION NO. COUNTY Supplemental Court address Court telephone no. Police agency report no. CTN TCN SID ORI MI- 1. In the matter of (name(s), alias(es), date(s) of birth) DLN 2. The above named minor(s) come(s) within the provisions of MCL 712A.2. juvenile has violated probation as follows: Citations and allegations: See attached sheet for further allegations. Member of or eligible for membership in American Indian Tribe or Band, state above. 3. An action within the jurisdiction of the family division of circuit court involving the family or family members of the minor has been previously filed in Court, Case Number , was assigned to Judge , and remains is no longer pending. 4. I designate this case as a case in which the juvenile is to be tried in the same manner as an adult. 5. The above named minor(s) is/(are) resident(s) of County, and reside(s) in the care and custody of . 6. The names and addresses of the parents, guardians, legal custodians, or nearest known relative are as follows: NAME ADDRESS HOME PHONE WORK PHONE Father Putative Mother Guardian/Legal custodian/Nearest known relative 7. I request the court to: (check either box a or b) a. review the information and make an appropriate decision. b. authorize this petition and 1) issue an order detaining the juvenile. removing the child the abuser from the home. 2) terminate mothers parental rights. fathers parental rights. 3) find the minor in contempt of court for violating a minor personal protection order. 4) find the juvenile has violated probation andnotify juvenile to appear for hearing. order juvenile apprehended and brought to court for a detention hearing. 5) designate this case as a case in which the juvenile is to be tried in the same manner as an adult. I declare that the statements in this petition are true to the best of my information, knowledge, and belief. Petitioners signature Date Agency/Address Print or type name City, state, and zip Telephone no. 8. A preliminary inquiry and/or hearing has been conducted and the filing of this petitionis is not authorized. Date Judge/Referee Bar no. Do not write below this line - For court use only MCL 600.2950h-600.2950m, MCL 712A.2, MCL 712A.2d, MCL 712A.2h, MCL 764.15b,JC 04 (6/03) PETITION MCR 3.903(A)(19), MCR 3.931, MCR 3.961, MCR 3.983
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