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Order To Apprehend And Detain (Delinquency Proceedings Or Minor Personal Protection) Form. This is a Michigan form and can be use in Juvenile Statewide.
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Tags: Order To Apprehend And Detain (Delinquency Proceedings Or Minor Personal Protection), JC 05a, Michigan Statewide, Juvenile
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JIS CODE: OTC
STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY
ORDER TO APPREHEND AND DETAIN
(DELINQUENCY PROCEEDINGS/
MINOR PERSONAL PROTECTION), PAGE 1
CASE NO.
PETITION NO.
Court address
Court telephone no.
1. In the matter of
name(s), alias(es), DOB
(See reverse side for other identifying information.)
2. Date of entry of order:
Judge/Referee:
Bar no.
Upon the presentation of a petition, together with further proofs as required by the court, IT APPEARS:
3. There are reasonable grounds to apprehend the juvenile in compliance with MCL 712A.2, MCR 3.933(B), or MCR 3.983 because
a. the juvenile is eluding the parent, guardian, or legal custodian. There is probable cause to believe the juvenile can be found
at
.
b. the juvenile is charged with committing an offense that would provide authority for issuance of a warrant were the juvenile
an adult. Date of offense:
Offense:
c. the juvenile is absent without leave from an institution or facility to which s/he was committed pursuant to MCL 712A.18.
d. the juvenile has violated probation.
e the juvenile has failed to appear for a hearing on a petition charging violation of MCL 712A.2.
f. the juvenile is alleged to have violated a valid minor personal protection order issued pursuant to MCL 712A.2(h) or out-ofstate law and it appears there is a substantial likelihood of retaliation or continued violation.
Further, the court finds it is contrary to the welfare of the juvenile to remain in the home because:
4.
(Specify.)
a. Reasonable efforts to prevent removal of the juvenile from the home were not made.
b. Reasonable efforts were made to prevent removal of the juvenile from the home. Those efforts include:
(Specify.)
Do not write below this line - For court use only
(SEE SECOND PAGE)
JC 05a (9/10)
ORDER TO APPREHEND AND DETAIN (DELINQUENCY PROCEEDINGS/MINOR PERSONAL PROTECTION),
MCL 712A.2c, MCL 712A.15, MCR 3.933(B), (C), MCR 3.934(B), MCR 3.944(A), MCR 3.983(B), (D)
PAGE 1
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Approved, SCAO
JIS CODE: OTC
STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY
ORDER TO APPREHEND AND DETAIN
(DELINQUENCY PROCEEDINGS/
MINOR PERSONAL PROTECTION), PAGE 2
Court address
CASE NO.
PETITION NO.
Court telephone no.
In the matter of
IT IS ORDERED:
TO ANY PEACE OFFICER OR:
5. The juvenile shall be apprehended and
a. brought before this court or temporarily detained at
pending preliminary hearing.
b. placed at
for medical observation and
treatment until medically released to
for detention at
pending preliminary hearing.
c. other:
6. To effect this order, you are authorized to enter the premises located at
.
7. The parent(s), guardian, or legal custodian of the juvenile shall be directed to appear for a preliminary hearing in this matter to be
held on
Date
at
Time (if known)
at
.
Location
Judge
Date
If you require special accommodations to use the court because of a disability or if you require a foreign language interpreter to help
you fully participate in court proceedings, please contact the court immediately to make arrangements.
Enter on LEIN
ORDER
EXPIRES:
JC 05a (9/10)
Date
ORDER TO APPREHEND AND DETAIN (DELINQUENCY PROCEEDINGS/MINOR PERSONAL PROTECTION),
PAGE 2
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IDENTIFYING INFORMATION
Name
Race
Sex
Height
Weight
Hair color
Eye color
Date of birth
Name
Race
Sex
Height
Weight
Hair color
Eye color
Date of birth
Name
Race
Sex
Height
Weight
Hair color
Eye color
Date of birth
Name
Race
Sex
Height
Weight
Hair color
Eye color
Date of birth
City
State
Zip
Telephone number
Home address
Father's name
Address
City
State
Zip
Telephone number
Mother's name
Address
City
State
Zip
Telephone number
City
State
Juvenile's place of birth
Pickup radius
Statewide
Court ORI
Other:
MI
Reason for apprehending is stated in item 3 on page 1 of the order to apprehend and detain.
OFFICER'S STATEMENT AND RECORD OF NOTIFICATION
1. I certify and return that I have apprehended
Juvenile's name
and have delivered the juvenile to
.
Place of temporary detention
2. I
notified
attempted to notify
the parent(s), guardian, or legal custodian listed below that the juvenile has been taken
into custody and that a preliminary/detention hearing will be held on
Date and time
at
.
Location
METHODS USED
NAME
(reasons for failure to notify must be noted)
DATE
TIME
Father
Mother
Guardian/Legal custodian
Other
I declare that this statement has been examined by me and that its contents are true to the best of my information, knowledge, and
belief.
Date
Signature
Agency name
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