Removal Of Entry From Lein
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Removal Of Entry From Lein Form. This is a Michigan form and can be use in Mental Health Statewide.
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Tags: Removal Of Entry From Lein, MC 239, Michigan Statewide, Mental Health
Original - Court
1st copy - for LEIN entry
Approved, SCAO
STATE OF MICHIGAN
CASE NO.
JUDICIAL DISTRICT
JUDICIAL CIRCUIT
COUNTY PROBATE
REMOVAL OF ENTRY FROM LEIN
Court address
ORI
MI-
Effective date of order
TO:
2nd copy - Return to court
3rd copy - Tickler file
OSM CODE: RMV
Court telephone no.
Expiration date of order
Agency file no.
Defendant/Juvenile/Respondent name, address, and telephone no.
Law enforcement agency and address
Date of birth
IT IS ORDERED:
1. The conditions requiring LEIN entry in this case or matter no longer exist.
2. The record of this entry shall be removed immediately from Law Enforcement Information Network (LEIN) files.
Judge/District court magistrate
Date
Bar no.
To the law enforcement agency:
Immediately after receiving this form, remove entry in this case or matter from Law Enforcement Information Network (LEIN) files,
complete the certification, and return the 2nd copy to the court.
CERTIFICATION OF REMOVAL
I certify that the LEIN entry in this case or matter has been removed from LEIN files.
Signature of law enforcement representative
Date
MC 239 (3/06)
REMOVAL OF ENTRY FROM LEIN
MCL 764.15b, MCL 765.6b
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