Approved, SCAO JIS CODE: PCS-RSO TCS-RORI STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION COUNTY Court address EX PARTE RENEWAL OF RESTORATION ORDER (DELINQUENCY PROCEEDINGS) CASE NO. PETITION NO. Court telephone no. 1. In the matter of name(s), alias(es), DOB THE COURT FINDS: 2. A restoration order was entered on Date and expires in not less than 14 days. 3. The qualified restoration provider has recommended that the restoration order be renewed for another 60 days. 4. There is a substantial probability that the juvenile will be competent to proceed within the period of the renewed order. IT IS ORDERED: 5. The restoration order is renewed for another 60 days starting Date and is valid for not more than 120 days from the initial finding of incompetency or until one of the following occurs, whichever is first: 1) the juvenile has regained competency, 2) the charges are dismissed by the prosecutor, or 3) the juvenile reaches 18 years of age. 6. The qualified restoration provider shall submit a report to the court and the qualified juvenile forensic mental health examiner that includes the information required under MCL 712A.18p. The report shall be submitted every 30 days or sooner if and at the time either of the following occurs: 1) the qualified restoration provider determines the juvenile is competent to proceed, or 2) there is no substantial probability the juvenile will be competent to proceed within the period of this order. Date Judge Do not write below this line - For court use only JC 109 (10/13) EX PARTE RENEWAL OF RESTORATION ORDER (DELINQUENCY PROCEEDINGS) MCL 712A.18s(3) American LegalNet, Inc. www.FormsWorkFlow.com