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Order To Apprehend Or Detain Or Place Into Protective Custody Form. This is a Michigan form and can be use in Juvenile Statewide.
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Tags: Order To Apprehend Or Detain Or Place Into Protective Custody, JC 05, Michigan Statewide, Juvenile
......................................................
:
Approved, SCAO
:
STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY
ORDER TO
APPREHEND/DETAIN (DELINQUENCY,
:
Plaintiff(s)
MINOR PERSONAL PROTECTION)
PLACE
-against- INTO PROTECTIVE CUSTODY
Index No.
Calendar No.
CASE NO.
PETITION NO.
JUDICIAL SUBPOENA
:
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 hearing:
Police Report No:
:
Judge:
Defendant(s)
:
......................................................
Bar no.
3. TO: Any peace officer or
4. It appears to the court upon the filing of a petition, together with further proofs as required by the court, that there are reasonable
grounds for removal of the minor(s) from the parent, guardian, or legal custodian by this court in compliance with MCL 712A.2,
MCR 3.933(B),PEOPLE OF THEMCR 3.983 because:
THE MCR 3.963(B), or STATE OF NEW YORK
a. conditions or surroundings of the child(ren) are such as to endanger the health, safety, or welfare of the child(ren) and it
is contrary to the welfare of the child(ren) to remain in the home because
TO
b. minor(s) is(are) eluding or is(are) being illegally detained or concealed from the parent, guardian, or legal custodian.
There is probable cause to believe the minor can be found at
.
GREETINGS:
c. 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:
WE COMMAND YOU, that all business and excuses being laid aside, you and pursuant to attend 18.
d. minor(s) is(are) absent without leave from an institution or facility to which s/he was committed each of you sectionbefore
,
the has violated
at the
Court
e. juvenileHonorable probation.
f. juvenile hasof
located petition charging violation of MCL 712A.2.
County failed to appear for a hearing on aat
g. minor is alleged to have, violated a valid minor personal protection ,order issued under in the712A.2(h) orand at any recessed
in room
on the
day of
, 20
at
o'clock MCL
noon, out-state law.
h. it appears there isdate, to testify and give of retaliation orwitness in this action on the part of the
a substantial likelihood evidence as a continued violation.
or adjourned
IT IS ORDERED:
5. The minor(s) shall be taken into protective custody/apprehended and:
a. brought before this court or temporarily detained/placed at
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
pending preliminary hearing.
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
b. placed at
for medical observation and
treatment untilWitness, Honorable to
medically released
Court in
County,
, one of the Justices of the
day of
, 20
for placement at
pending preliminary hearing.
c. other:
(Attorney must sign above and type name below)
6. To effect this order you are authorized to enter the premises located at:
7. The parent(s), guardian(s), or legal custodian(s) of the minor(s) shall be directed to appear for a preliminary hearing in this matter
Attorney(s) for
to be held on
Date
at
.
Judge
Office and P.O. Address
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.
Enter on LEIN
ORDER
EXPIRES:
JC 05 (6/03)
I
Date
Telephone No.:
Facsimile No.:
Do not write below this line - For court use only
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
MCL 712A.2c, MCL 712A.15, MCR 3.933(B), (C), MCR 3.934(B), MCR 3.944(A),
MCR 3.963(B), (C), MCR 3.983(B), (D)
ORDER TO APPREHEND/DETAIN OR TO PLACE INTO PROTECTIVE CUSTODY
......................................................
:
Index No.
Approved, SCAO
:
STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY
Court address
ORDER TO
APPREHEND/DETAIN (DELINQUENCY,
:
MINOR PERSONAL PROTECTION)
Plaintiff(s)
PLACE INTO PROTECTIVE CUSTODY
-against-
Calendar No.
CASE NO.
PETITION NO.
JUDICIAL SUBPOENA
:
Court telephone no.
:
1. In the matter of
(name(s), alias(es), DOB)
(see reverse side for other identifying information)
2. Date of hearing:
Police Report No:
:
Judge:
Defendant(s)
:
......................................................
Bar no.
3. TO: Any peace officer or
4. It appears to the court upon the filing of a petition, together with further proofs as required by the court, that there are reasonable
grounds for removal of the minor(s) from the parent, guardian, or legal custodian by this court in compliance with MCL 712A.2,
MCR 3.933(B),PEOPLE OF THEMCR 3.983 because:
THE MCR 3.963(B), or STATE OF NEW YORK
a. conditions or surroundings of the child(ren) are such as to endanger the health, safety, or welfare of the child(ren) and it
is contrary to the welfare of the child(ren) to remain in the home because
TO
b. minor(s) is(are) eluding or is(are) being illegally detained or concealed from the parent, guardian, or legal custodian.
There is probable cause to believe the minor can be found at
.
GREETINGS:
c. 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:
WE COMMAND YOU, that all business and excuses being laid aside, you and pursuant to attend 18.
d. minor(s) is(are) absent without leave from an institution or facility to which s/he was committed each of you sectionbefore
,
e. juvenileHonorable probation.
the has violated
at the
Court
f. juvenile hasof
failed to appear for a hearing on aat
petition charging violation of MCL 712A.2.
located
County
g. minor is alleged to have, violated a valid minor personal protection ,order issued under in the712A.2(h) orand at any recessed
in room
on the
day of
, 20
at
o'clock MCL
noon, out-state law.
h. it appears there isdate, to testify and give of retaliation orwitness in this action on the part of the
a substantial likelihood evidence as a continued violation.
or adjourned
IT IS ORDERED:
MEMORANDUM COPY
5. The minor(s) shall be taken into protective custody/apprehended and:
a. brought before this court or temporarily detained/placed at
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
pending preliminary hearing.
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
b. placed at
for medical observation and
treatment untilWitness, Honorable to
medically released
Court in
County,
, one of the Justices of the
day of
, 20
for placement at
pending preliminary hearing.
c. other:
(Attorney must sign above and type name below)
6. To effect this order you are authorized to enter the premises located at:
7. The parent(s), guardian(s), or legal custodian(s) of the minor(s) shall be directed to appear for a preliminary hearing in this matter
Attorney(s) for
to be held on
Date
at
.
Judge
Office and P.O. Address
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.
Enter on LEIN
ORDER
EXPIRES:
JC 05 (6/03)
I
Date
Telephone No.:
Facsimile No.:
Do not write below this line - For court use only
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
MCL 712A.2c, MCL 712A.15, MCR 3.933(B), (C), MCR 3.934(B), MCR 3.944(A),
MCR 3.963(B), (C), MCR 3.983(B), (D)
ORDER TO APPREHEND/DETAIN OR TO PLACE INTO PROTECTIVE CUSTODY
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Calendar No.
TEMPORARY CUSTODY ORDER - NON CRIMINAL
:
IDENTIFYING INFORMATION JUDICIAL
Plaintiff(s)
Name
SUBPOENA
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
Defendant(s)
:
......................................................
Race
Sex
Height
Weight
Hair color
Eye color
Date of birth
City
State
Zip
Telephone number
City
State
Zip
Telephone number
City
State
Zip
Telephone number
-against-
Name
Home address
Father's name
Address
THE PEOPLE OF THE STATE OF NEW YORK
Mother's name
Address
TO
City
State
Juvenile's place of birth (delinquency only)
Pickup radius
Court ORI
Statewide
Other:
GREETINGS:
MI
Reason for pickup is stated in item 4. in order on other side.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
OFFICER'S CUSTODY STATEMENT AND RECORD OF NOTIFICATION
,
the Honorable
at the
Court
located at
County of that I have taken
1. I certify and return
into custody
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned the minor(s) to
and have delivered date, to testify and give evidence as a witness in this action on the part of the
.
2. I
notified
attempted to notify
the parent(s), guardian(s), or legal custodian(s) listed below that the minor(s) has/have been
Your failure to comply with this subpoena will be held on
taken into custody and that a preliminary/detention hearingis punishable as a contempt of court and will make you liable to
Date and time
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
.
at
Place
Witness, Honorable
Court in
County,
NAME
, one of the Justices of the
day of
METHODS USED
, 20
(reasons for failure to notify must be noted)
DATE
TIME
Father
(Attorney must sign above and type name below)
Mother
Guardian/Legal custodian
Attorney(s) for
Other
I declare that this custody statement has been examined by me and that its contents are true to the best of my information,
Office and P.O. Address
knowledge, and belief.
Date
Signature
Agency
Telephone No.:
Facsimile No.:
name
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
