Petition For Discharge From Judicial Admission {PCM 220a} | Pdf Fpdf Docx | Michigan

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Petition For Discharge From Judicial Admission {PCM 220a} | Pdf Fpdf Docx | Michigan

Petition For Discharge From Judicial Admission {PCM 220a}

This is a Michigan form that can be used for Mental Health within Statewide.

Alternate TextLast updated: 5/13/2019

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en-USIn the matter of en-USFirst, middle, and last name 1. þ I, en-US Name (type or print)en-US , state that I am þ þ a resident þ en-US a person acting on behalf of a resident in en-US Name of facilityen-US . 2. þ I object to the conclusion(s) in the periodic review report of en-US Name of resident þ dated en-US en-US and filed with this court. The individual named in that report does not meet the criteria þ for judicially ordered treatment as prescribed by MCL 330.1531(3). 3. þ The interested parties, their addresses, and their representatives are identical to those appearing on the initial petition, þ except as follows: 4. þ en-USI REQUESTen-US that the court set a hearing and order a discharge.en-USI declare under the penalties of perjury that this petition has been examined by me and that its contents are true to the besten-USof my information, knowledge, and belief. en-USDate þ en-USSignature of petitioneren-USUSE NOTE:en-US If this form is being filed in the circuit court family division, please enter the court name and county in the upper left-hand corner of the form. American LegalNet, Inc. www.FormsWorkFlow.com

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