Approved, SCAO JIS CODE: MTD STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION COUNTY Court address MOTION AND ORDER TO DESTROY FILES CASE NO. PETITION NO. Court telephone no. 1. In the matter of name(s), alias(es), DOB MOTION TO DESTROY FILES 2. I, Name , Relationship to subject , request that the court order the destruction of court files in this matter according to court rule. 3. Destruction of files is requested for the following reasons: 4. I understand that if the court grants this request, it must retain a register of actions and that destruction does not negate, rescind, or set aside the adjudication. I declare that this request has been examined by me and that its contents are true to the best of my information, knowledge, and belief. Signature Name (type or print) Address City, state, and zip Telephone no. Date ORDER ON MOTION TO DESTROY FILES 5. THE COURT FINDS there 6. IT IS ORDERED: is is not good cause to destroy the files. 7. The court shall retain the register of actions, information as to whether the juvenile was represented by or waived counsel on each adjudication, and the latest dispositive order. Date Judge Bar no. NOTE: Some records can be made nonpublic by applying to have an adjudication set aside. An order setting aside an adjudication does not result in destruction of the court record. See form JC 66. See the General Records Retention and Disposal Schedule #16. JC 33 (9/06) Do not write below this line - For court use only MOTION AND ORDER TO DESTROY FILES MCR 3.925(E), General Records Retention and Disposal Schedule #16 American LegalNet, Inc. www.FormsWorkflow.com