Petition (Delinquency Proceedings)
Petition (Delinquency Proceedings) Form. This is a Michigan form and can be use in Juvenile Statewide.
Tags: Petition (Delinquency Proceedings), JC 04a, Michigan Statewide, Juvenile
Approved, SCAO JIS CODE: PET STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION COUNTY PETITION (DELINQUENCY PROCEEDINGS) Supplemental CASE NO. PETITION NO. Court address Court telephone no. CTN ORI MI- TCN SID DLN A sample for chemical testing for DNA identification profiling is on file with the Michigan State Police from a previous petition. 1. In the matter of name(s), alias(es), DOB 2. The above named juvenile Citations and allegations: comes within the provisions of MCL 712A.2. operator/chauffeur driver's license See attached sheet for further allegations. has violated probation as follows: commercial driver's license no license vehicle type Member of or eligible for membership in an Indian tribe, as stated 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 juvenile is a legal resident(s) of County, and resides in the care and custody of . 6. The names and addresses of the parents, guardian, legal custodian, or nearest known relative are as follows: ADDRESS NAME Father HOME PHONE WORK PHONE 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 take jurisdiction over the juvenile. Further, I request the court to 1) issue an order to apprehend and/or detain the juvenile. 2) find the juvenile in contempt of court for violating a minor personal protection order. 3) find the juvenile has violated probation and notify the juvenile to appear for the hearing. order the juvenile apprehended and brought to court for a detention hearing. 4) 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. Petitioner's signature Date Print or type name Agency/Address City, state, and zip Telephone no. Petition approved for submission: Date Prosecutor's signature 8. A preliminary inquiry and/or hearing has been conducted and the filing of this petition Date JC 04a (6/15) is is not authorized. Bar no. Judge/Referee PETITION (DELINQUENCY PROCEEDINGS) MCL 600.2950h-600.2950m, MCL 712A.2, MCL 712A.2d, MCL 764.15b, MCR 3.903(A)(19), MCR 3.926(A), MCR 3.931, MCR 3.944, MCR 3.951 American LegalNet, Inc. www.FormsWorkFlow.com