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Family Information For Home Status Offenses Form. This is a Michigan form and can be use in Oakland Local County.
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Tags: Family Information For Home Status Offenses, OCJC, Michigan Local County, Oakland
FILING A PETITION FOR A HOME STATUS OFFENSE IN OAKLAND COUNTY
The family division of the circuit court has jurisdiction in proceedings against juveniles under
17 if the juvenile runs away from home (truancy) or repeatedly disobeys the reasonable and
lawful commands of his or her parents or guardians (incorrigibility). Furthermore, the court
must find that the family has exhausted all non-court options, such as counseling and other
living arrangements, before it may accept a parent’s request for court intervention.
Information for Completing Your Petition
1. You must complete the petition completely and by yourself. Court employees may not
provide legal advice.
2. Your allegations about your child’s behavior must be current. The alleged behaviors must
have occurred within the last three months.
3. You must present a statement from a counseling agency that details your efforts to use
community resources to solve your child’s truancy or incorrigibility issues. This statement is
required even if your child refuses to attend counseling with you. Oakland County Youth
Assistance may be used to satisfy the counseling requirement for a nominal fee. The Youth
Assistance general telephone number is (248) 858-0051.
4. If the court accepts your petition, it may be several weeks until a hearing is held. Your son
or daughter will be at home with you during this time.
5. If the court finds your child is truant or incorrigible and court-accessed services are
necessary, the court will enter orders to rectify the situation. The court orders will be binding
on you as well as your child and may include probation and/or family counseling.
6. You must include your child’s descriptive information on the next page of this packet.
Without descriptive information, the court cannot issue an order for your child’s apprehension
if your child has run away from home.
7. You will be responsible for the costs of the court-ordered services, including;
a. Costs of a diversionary program, if utilized,
b. Costs of a consent calendar probation program, if utilized,
c. Costs of formal calendar programs, if utilized, including;
i. court-appointed attorney fees for your child (an attorney must be appointed if
your case goes to formal court),
ii. monthly costs for probation department services,
iii. per-day costs for your child’s out-of-home or day treatment placement, if utilized.
8. Mail or deliver the enclosed documents, when completed, with the required attachments
to:
Juvenile Intake Department
Ground Floor, East Wing
Courthouse Building
1200 N. Telegraph Road
Pontiac, MI 48341
-1-
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FAMILY INFORMATION FOR HOME STATUS OFFENSES
1.
Juvenile’s Information
Juvenile’s Last Name
First
Middle
Other name Juvenile has used – Last
First
Middle
Date of Birth
Place of Birth
Sex
Race
School/District
Eye Color
Hair Color
Weight
Height
S.S. # (Last 4 digits)
2.
Mother’s Information
Mother’s Last Name
First
Middle
Address
City, State, Zip
3.
Date of Birth
Home Phone
Work Phone
S.S. # (Last 4 digits)
Cell Phone
Father’s Information
Father’s Last Name
First
Address
City, State, Zip
4.
Middle
Date of Birth
Home Phone
Work Phone
S.S. # (Last 4 digits)
Cell Phone
Step Parent’s Information
Step Parent’s Last Name
First
Address
City, State, Zip
5.
Middle
Date of Birth
Home Phone
Work Phone
S.S. # (Last 4 digits)
Cell Phone
Guardian/Legal Custodian’s Information
Guardian/Legal Custodian’s Last Name
First
Address
City, State, Zip
6.
Middle
Date of Birth
Home Phone
Work Phone
S.S. # (Last 4 digits)
Cell Phone
Social Information
Divorced?
No
Date of Divorce
Place of Divorce (County, State)
Yes
Custody to:
Father
Mother
Stepfather
Stepmother
Other:
Mother
Stepfather
Stepmother
Other:
Juvenile living with:
Father
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JIS CODE: PET
STATE OF MICHIGAN
6th JUDICIAL CIRCUIT - FAMILY DIVISION
OAKLAND COUNTY
PETITION (DELINQUENCY PROCEEDINGS)
Supplemental
Court address 1200 N. Telegraph Road, Pontiac, MI 48341
ORI
MI-630013J
1.
CTN
CASE NO.
PETITION NO.
Court telephone no. (248) 858-0112
TCN
SID
DLN
In the matter of name(s), alias(es), DOB
Last name
2.
First name
The above named juvenile
Citations and allegations:
Middle name
comes within the provisions of MCL 712A.2.
operator/chauffeur driver’s license
Date of birth
has violated probation as follows:
commercial driver’s license
no license vehicle type
Allegations contained on Page #2
See attached sheet for further allegations.
Member of or eligible for membership in American Indian Tribe or Band, 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 Oakland
County, and resides in
the care and custody of the Petitioner
.
6. The names and addresses of the parents, guardian, legal custodian, or nearest known relative are as follows:
NAME
Father
ADDRESS
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:
Prosecutor’s signature
Date
8. A preliminary inquiry and/or hearing has been conducted and the filing of this petition
Date
JC 04a (9/07) PETITION (DELINQUENCY PROCEEDINGS)
Judge/Referee
is
is not
authorized.
Bar no.
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
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STATE OF MICHIGAN
6th JUDICIAL CIRCUIT – FAMILY DIVISION
OAKLAND COUNTY
PETITION (DELINQUENCY PROCEEDINGS)
PAGE 2 of 2
CASE NO.
PETITION NO.
Court address 1200 N. Telegraph Road, Pontiac, MI 48341
Court telephone no. (248) 858-0112
1. In the matter of
Juvenile’s Last Name
First
Middle
2. Citations and allegations (cont.):
The child has engaged in the following behaviors in the home WITHIN THE LAST THREE MONTHS:
a.
TRUANCY (MCL 712A.2(a)(3)): The juvenile has deserted his or her home without sufficient cause, as follows:
The child left home without permission and did not return for a period exceeding 24 hours on the following dates:
Date
Date
Date
Date
Date
The child is currently a runaway from home and,
the child’s whereabouts are unknown, OR,
the child’s parent believes the child is located at:
Address
REQUIRED INFORMATION FOR TRUANCY PETITIONS (select one that applies):
The child and the child’s parent(s) or guardian(s) have exhausted or refused family counseling (letter from
counseling agency attached), - OR The parent has arranged an alternative placement (i.e., with a relative, family friend, etc.) for the child and the
child has: (1) lived in that placement unsuccessfully, or, (2) refused to live in that placement. Describe the
alternative placement:
b.
INCORRIGIBILITY (MCL 712A.2(a)(4)): The juvenile is repeatedly disobedient to the reasonable and lawful
commands of his or her parent(s) or guardian(s), as follows:
The child leaves home without permission and does not inform his or her parents of his or her whereabouts.
The child violates his or her curfew.
The child uses foul and abusive language.
The child allows other people into the home against the directives of his or her parents.
The child has damaged the home or destroyed property of other family member(s).
The child has stolen money or property from family members.
The child associates with undesirable people.
The child uses alcohol or other drugs.
The child did not follow the reasonable requests of his or her parents.
The child does not attend school on a regular basis, against the directives of his or her parents.
The child’s behavior, while in school, is incorrigible, against the directives of his or her parents.
Other:
REQUIRED INFORMATION FOR INCORRIGIBILITY PETITIONS:
Community resources have been attempted and have been unsuccessful in the correcting the situation.
accessed services are necessary (letter from counseling agency attached).
The child refused to attend counseling appointments made on the following dates:
Date
Date
Date
Date
Court
Date
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