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Mental Commitment Forms

Form Number Form Name
PC-MI-50.1 Special Pickup Information
PC-MI-50.1A Bailiff's Special Instructions
PC-MI-50.2 Affidavit of Mental Illness
PC-MI-50.2A Affidavit of Refusal of Doctor's Evaluation
PC-MI-50.3 Case History of Mental Illness
PC-MI-50.4 Application to Authorize
PC-MI-50.30 Outpatient Civil Commitment Application for Care Conference
PC-DD-50.6 Case History of Developmental Disability
PC-DD-50.6B Affidavit of Intellectual Disability
Outpatient Only Commitment Forms
PC-MI-50.1A Bailiff's Special Instructions
PC-MI-50.2 Affidavit of Mental Illness
PC-MI-50.3 Case History of Mental Illness
Involuntary Treatment For Alcohol and Other Drug Abuse Forms
Involuntary Treatment for Alcohol and Other Drug Abuse Packet
Court Personnel Only Forms
PC-MI-51.4 Proposed Magistrate's Order Approving/Denying Affidavit
PC-MI-51.1 Proposed Magistrate's Order Accepting Jurisdiction
PC-MI-51.2 Proposed Magistrate's Order Amending Placement
PC-MI-53.1G Proposed Magistrate's Order of Detention (Community)
PC-MI-53.1E Proposed Magistrate's Order of Detention (Hospital)
PC-MI-53.1C Proposed Magistrate's Order of Detention (ER/ED)
PC-MI-50.16 Rights of Involuntarily Detained Person (Community and Hospital)
PC-MI-53.1J Proposed Magistrate's Order of Detention (Out of County)
PC-MI-50.16 Rights of Involuntarily Detained Person (Out of County)
PC-MI-53.1B Proposed Magistrate's Order of Dention (FCMC/FCCCP)
PC-MI-50.16 Rights of Involuntarily Detained Person (FCMC/FCCCP)
PC-MI-53.1H Proposed Magistrate's Order of Detention (Community) REISSUED
PC-MI-50.16 Rights of Involuntarily Detained Person (Community and Hospital) REISSUED
PC-MI-50.29A Proposed Entry Setting Hearing, Appointing Counsel and Appointing Court Doctor
PC-MI-50.17A Proposed Notice to Resondent - Full
PC-MI-50.18A Proposed Notice of Hearing - Full
PC-MI-50.17B Proposed Notice to Respondent - Full & Forced Meds
PC-MI-50.18B Proposed Notice of Hearing - Full & Forced Meds
PC-MI-50.17C Proposed Notice to Respondent - Forced Meds
PC-MI-50.18C Proposed Notice of Hearing - Forced Meds
PC-MI-50.17D Proposed Notice to Respondent - Continued Commitment
PC-MI-50.18D Proposed Notice of Hearing - Continued Commitment
PC-MI-50.17E Proposed Notice to Respondent - Continued Commitment and Forced Meds Review
PC-MI-50.18E Proposed Notice of Hearing - Continued Commitment and Forced Meds Review
PC-MI-50.10 Proposed Magistrate's Order of Commitment
PC-MI-50.11 Proposed Entry Authorizing
PC-MI-50.10C Proposed Magistrate's Order of Continued Commitment
ePC-MI-50.15 Proposed Magistrate's Order of Dismissal and Expungement
PC-MI-50.24 Proposed Magistrate's Order of Dismissal
ePC-MI-50.23 Proposed Magistrate's Order of Continuance
PC-MI-50.21B Proposed Journal Entry Appointing Independent Expert
PC-MI-50.18G Proposed Certificate of Service
PC-MI-50.26 Proposed Entry Dismissing Forced Meds
PC-MI-52.0 Proposed Journal Entry Appointing Guardian Ad Litem
PC-MI-50.32 Proposed Order to Convey
PC-MI-50.21A Request for Appointment of Independent Expert
PC-MI-50.27A Proposed Magistrate's Order Transferring Jurisdiction (Out)
PC-MI-50.27B Proposed Magistrate's Order Closing Transferred Case
PC-MI-50.14 Proposed Magistrate's Order Returning Jurisdiction
Decision of Magistrate - Full Commitment
Decision of Magistrate - Forced Meds
PC-MI-53.1A Proposed Magistrate's Order of Detention (Restrictive)
PC-MI-53.1D Proposed Magistrate's Order of Detention (Hospital pending transfer)
PC-MI-53.1F Proposed Magistrate's Order of Detention (Jail-Twin Valley)
PC-MI-50.29B Proposed Entry Setting Hearing, Appointing Counsel and Appointing Court Doctor (Misc)
PC-MI-50.29C Proposed Entry Setting Hearing, Appointing Counsel and Appointing Court Doctor (Multiple)
PC-MI-50.29 Proposed Entry Setting Hearing - Objections
PC-MI-50.17I Proposed Notice to Respondent - Variable
PC-MI-50.18K Proposed Notice of Hearing - Variable
PC-MI-50.18J Proposed Notice of Hearing - Motion to Transfer to More Restrictive
Report of Magistrate - DD
PC-MI-50.20G Certificate of Examination
PC-DD-50.9 Proposed Journal Entry
PC-MI-50.17H Proposed Notice of Summons to Respondent
PC-MI-50.19D Proposed Certificate of Service - Notice and Summons
PC-MI-50.17F Proposed Notice to Resondent - Continued Commitment (OP)
PC-MI-50.18F Proposed Notice of Hearing - Continued Commitment (OP)
PC-MI-51.3 Application Requesting Indigent Status
PC-MI-51.3A Proposed Entry Declaring Indigent Status
PC-MI-50.31 Proposed Outpatient Civil Commitment Entry Setting Care Conference
PC-DD-50.1A Proposed Notice to Respondent
PC-DD-50.1B Proposed Notice of Hearing
PC-DD-50.2 Proposed Entry Setting Hearing and Appointing Counsel