Approved, SCAO STATE OF MICHIGAN CASE NO. JUDICIAL CIRCUIT - FAMILY DIVISION MOTION TO WAIVE JURISDICTION PETITION NO. COUNTY AND NOTICE Court address Court telephone no.1. In the matter of (name(s), alias(es), DOB) MOTION 2. The above named juvenile was born on and was at least 14 years old at the time of committing the alleged felony. Date 3. The juvenile is accused of the following felony, which I believe s/he did commit: 4. The interests of the juvenile and/or the public will best be served by granting a waiver of jurisdiction to the court of general criminal jurisdiction of this county. 5. A petition alleging the juvenile committed the above offenseis attached. was authorized for filing Date . I REQUEST: 6. A date be set for hearing on this motion and the juvenile and his/her parents/ guardians/legal custodians be notified as provided by statute and court rule that the juvenile is to be prosecuted as though an adult. 7. The court determine if there is probable cause to believe that a felony has been committed and that there is probable cause to believe that the juvenile has committed the offense as charged, and then determine whether the interests of the juvenile and the public would best be served by granting a waiver of jurisdiction. 8. The court waive jurisdiction in this case to the court of general criminal jurisdiction in order that the juvenile may be prosecuted as though an adult. I declare that this motion has been examined by me and that its contents are true to the best of my information, knowledge, and belief. Date Prosecuting attorneys signature Bar no. NOTICE TO: YOU ARE NOTIFIED: a hearing on the above motion will be held on at m. Date Time at .YOU ARE FURTHER NOTIFIED: the juvenile has a right to be represented by counsel as follows: a. The juvenile has the right to be represented by an attorney. b. If you desire to employ an attorney, you should do so immediately in order that the attorney may be ready on the hearing date. c. If you are financially unable to employ an attorney and you desire the services of an attorney, you must notify the court immediately on receipt of this notice. If you desire a court appointed attorney, the court must determine before the hearing whether you are financially unable to employ an attorney or to reimburse the county in whole or in part for the cost of those services. If you require special accommodations to use the court because of a disability or if you require a foreign language interpreter to help you to fully participate in court proceedings, please contact the court immediately to make arrangements. Do not write below this line - For court use only JC 18 (6/03) MOTION TO WAIVE JURISDICTION AND NOTICE MCL 712A.4, MCR 3.950