Approved, SCAO
JIS CODE: ORT
STATE OF MICHIGAN PROBATE COURT COUNTY
CIRCUIT COURT - FAMILY DIVISION
FILE NO. ORDER FOR REPORT ON PETITION FOR JUDICIAL ADMISSION
In the matter of THE COURT FINDS: 1. A petition for judicial admission has been filed and it appears on its face to be sufficient. 2. The individual must be examined and a report filed. 3. The individual will not comply with an order for examination and a peace officer must take him/her into protective custody and transport him/her to the place of examination. IT IS ORDERED: 4. The individual be examined at . 5.
Name
is appointed to arrange for the examination of the individual and to prepare and file a report to the court. 6. A peace officer take the individual into protective custody and transport him/her immediately to the site designated above where the individual may remain up to 48 hours for the required examinations. The transport order is valid through .
Date
Date
Judge
Bar no.
Do not write below this line - For court use only
PCM 215 (9/07)
ORDER FOR REPORT ON PETITION FOR JUDICIAL ADMISSION
MCL 330.1516