Approved, SCAO
Original - Court 1st copy - Defendant/Juvenile 2nd copy - Defendant/Juvenile attorney 3rd copy - Prosecutor
STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY PROBATE
ORI
CASE NO. WAIVER OF TRIAL BY JURY AND ELECTION TO BE TRIED WITHOUT JURY
Court telephone no.
Court address
MI-
The State of Michigan THE PEOPLE OF v
Defendant's/Juvenile's name, address, and telephone no.
CTN
SID
DOB
Juvenile I,
In the matter of , defendant/juvenile in this case, voluntarily waive and relinquish my
Name (type or print)
right to a trial by jury and elect to be tried by a judge of the court in which the case may be pending. I fully understand that under the laws of this state I have a constitutional right to a trial by jury.
Date
Signature
Defendant's/Juvenile's attorney signature Name (type or print)
Bar no.
Prosecutor's consent:
Signature Name (type or print) Bar no.
THE COURT FINDS: 1. The defendant/juvenile has been arraigned and properly advised of the right to a jury trial. 2. The defendant/juvenile has had an opportunity to consult with counsel. 3. Waiver occurred in open court as required by law.
Approved:
Date Judge
Bar no.
MCL 712A.2d(7), MCL 763.3, MCR 6.402(B) MC 260 (3/08)
WAIVER OF TRIAL BY JURY AND ELECTION TO BE TRIED WITHOUT JURY