........ : Index No. Original - Court 1st copy - Respondent Approved, SCAO : : Calendar No. STATE OF MICHIGAN JUDICIAL CIRCUIT JUDICIAL SUBPOENA COUNTY 2nd copy - Friend of the Court 3rd copy - Sheriff CASE NO. ORDER FOR RELEASE FOR WORK OR TO SEEK WORK : Court address Court telephone no. : Plaintiff v : s) : . . . . . .1. .Date of Hearing: . Defendant Judge: Bar no. THE COURT FINDS: 2. , respondent, has been found in contempt of court for failure to abide by the order of the court. 3. Respondent has been remanded to the custody of the county jail for a period of days. IT IS ORDERED: 4. The respondent be released from the county jail during the following times for the purpose of: seeking work: reporting to work: Days and times xcuses being laid aside, you and each of you attend before , Court period of release the respondent shall obey the following conditions of release. Violation of these conditions may 5. During the cause the sheriff to hold the respondent until the court reviews any alleged violation(s). Violation of any of these conditions may result in revocation of the respondent's release. , at o'clock in the noon, and at any recessed ss in this action on the part of not drink alcoholic beverages or be present in any place where they are sold by the glass. the a. The inmate shall b. The inmate shall not use or have in his/her possession any drugs not prescribed by a physician. c. The sheriff may require the inmate to submit to drug or alcohol screening. nishable as a contempt of court and will make you liable to d. The inmate may not deliver and/or return with messages or material for other inmates while on release. a maximum (Conditions e $50 andapply damages sustained as a penalty of through i all to work release only.) 20 e. The inmate may travel to and from work only by the most direct route. f. If the inmate of fired, laid off of the not work on any day, s/he is to remain in jail. If released from work early, s/he should , one is the Justices or does return immediately to the jail, and report this to the sheriff. g. The sheriff may approve overtime work for the inmate providing a written request from the employer is submitted twentyfour hours in advance. (Attorney must sign above and type name below) of employment by check stub or other means. h. The sheriff may require verification i. The sheriff may collect from the inmate $ county for room and board. for each day worked, while on work release, to reimburse the Attorney(s) conditions: for j. Other 6. The sheriff shall withhold from the inmate $ per and forward it to the friend of the court or the state disbursement unit. Office and P.O. Address employment s/he shall be released from jail if s/he has completed two consecutive weeks of his/her 7. If respondent finds employment. and an income withholding order is effective. Telephone No.: Date Judge Facsimile No.: E-Mailread, or have had read to me, the order for release, and I understand the conditions and agree to abide by them. I have Address: Mobile Tel. No.: Date FOC 8 (6/03) American LegalNet, Inc. www.USCourtForms.com Respondent signature ORDER FOR RELEASE FOR WORK OR TO SEEK WORK MCL 552.633, MCL 552.635, MCL 552.637, MCL 552.639, MCL 552.644, MCL 801.251