Approved, SCAO JIS CODE: PCS-OCE TCS-OCOM STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION COUNTY Court address ORI MI- ORDER FOR COMPETENCY EVALUATION (DELINQUENCY PROCEEDINGS) CASE NO. PETITION NO. Court telephone no. CTN/TCN SID DOB 1. In the matter of name(s), alias(es), DOB 2. At a preliminary hearing pretrial upon the court's own motion, at the request of the juvenile, IT IS ORDERED: trial and prosecuting attorney, juvenile's attorney, 3. The juvenile shall undergo an evaluation to determine the juvenile's competence to proceed as follows: (State where the evaluation is to be conducted as specified in MCL 712A.18o.) 4. Further proceedings in this matter are suspended until a determination is made on the juvenile's competency by a qualified juvenile forensic mental health examiner. 5. The prosecuting attorney shall provide the juvenile's attorney with all information related to the juvenile's competency. 6. Within 10 days of the date of this order, the prosecuting attorney shall submit to the examiner any information considered relevant to the competency evaluation, including, but not limited to, the name and address of the prosecuting attorney, information about the alleged offense, and any information about the juvenile's background in the prosecuting attorney's possession. 7. Within 10 days of the date of this order, the juvenile's attorney shall submit to the examiner any information considered relevant to the competency evaluation, including, but not limited to, the name and address of the juvenile's attorney and information about the alleged offense. Except as prohibited by law, the juvenile's attorney shall also provide any available records of the juvenile or other information relevant to the evaluation including, but not limited to, any of the following: psychiatric, school, medical, and child protective services records. 8. Not later than 30 days after receiving this order, the examiner shall file with the court a written report under MCL 712A.18p(5) and (6) and that provides the court with an opinion as to whether the juvenile is competent to proceed. Date Judge Bar no. NOTE: If a competency evaluation is ordered at the preliminary hearing, form JC 10, or an order following the preliminary hearing, must be prepared. Do not write below this line - For court use only MCL 712A.18n, MCL 712A.18o, MCL 712A.18p JC 107 (10/13) ORDER FOR COMPETENCY EVALUATION (DELINQUENCY PROCEEDINGS) American LegalNet, Inc. www.FormsWorkFlow.com