THE PEOPLE OF                                     Defendant’s name and address

  The State of Michigan

                                                     v
  
Codefendant(s) (if known)

 

 

Victim or complainant

Complaining witness

Date: On or about

City/Twp./Village

County in Michigan Defendant TCN

Defendant CTN

Defendant SID

Defendant DOB

Put DOB in Ref. No. row 1 on MC 97

 Put DLN on Ref. No. row 3 on MC 97

Defendant DLN
 

 Oper./Chauf.
 CDL

Vehicle Type

Defendant Sex

Defendant Race

Police agency report no.

Charge

Maximum penalty

 A sample for chemical testing for DNA identification profiling is on file with the Michigan State Police from a previous case.

Witnesses

STATE OF MICHIGAN, COUNTY OF 
The complaining witness says that on the date and at the location described, the defendant, contrary to law,

 .

 

 The complaining witness asks that defendant be apprehended and dealt with according to law.

Warrant authorized on 

Date

 by:

I  declare  under  the  penalties  of  perjury  that  this  complaint  has  been 
examined  by  me  and  that  its  contents  are  true  to  the  best  of  my 
information, knowledge, and belief.

Prosecuting official

 

 

 

 

 

 

 

 

 

 

 

 Security for costs posted

Date

Complaining witness signature

STATE OF MICHIGANJUDICIAL DISTRICTCOMPLAINTMISDEMEANORCASE NO. and JUDGEORICourt addressCourt telephone no.MI-Approved, SCAOForm DC 225w, Rev. 9/22-Ver. 2MCL 764.1, MCL 764.1a, MCR 6.101, MCR 6.102, MCR 6.615Page 1 of 1Distribute form to: CourtProsecutorDefendant THE PEOPLE OF                                     Defendant’s name and address

  The State of Michigan

                                                     v
  
Codefendant(s) (if known)

 

 

Victim or complainant

Complaining witness

Date: On or about

City/Twp./Village

County in Michigan Defendant TCN

Defendant CTN

Defendant SID

Defendant DOB

Defendant DLN
 

 

 Oper./Chauf.
 CDL

Vehicle Type

Defendant Sex

Defendant Race

Police agency report no.

Charge

Maximum penalty

 A sample for chemical testing for DNA identification profiling is on file with the Michigan State Police from a previous case.

Witnesses

STATE OF MICHIGAN, COUNTY OF 
To any peace officer or court officer authorized to make an arrest: The complaining witness has filed a sworn complaint 
in this court stating that on the date and the location described, the defendant, contrary to law,

 

 . 

 

 

 

 the complaint is for an assaultive crime or an offense involving domestic violence, as defined in MCL 764.1a.
 there is reason to believe from the complaint that the person against whom the complaint is made will not appear on

THE COURT FINDS probable cause to believe defendant committed the offense(s) set forth and that the following 
circumstance(s) apply: 
 
 
 
 
THEREFORE, IN THE NAME OF THE PEOPLE OF THE STATE OF MICHIGAN,

 the issuance of a summons poses a risk to public safety. 

 the prosecutor has requested an arrest warrant.

    a summons.

 

 a. I order you to arrest and bring defendant before the 
 
 b. I order you to bring defendant before the 
 
 c.  The defendant may be released when interim cash bail is posted in the amount of $ 
    appearance before the court.

 

 

 District Court.

 District Court immediately. 

 for personal 

By virtue of this warrant, the defendant has been taken into custody as ordered.

Date

 

Peace officer

Judge/Magistrate signature and date

STATE OF MICHIGANJUDICIAL DISTRICTWARRANTMISDEMEANORCASE NO. and JUDGEORICourt addressCourt telephone no.MI-Approved, SCAOForm DC 225w, Rev. 9/22-Ver. 2MCL 764.1, MCL 764.1a, MCL 780.581, MCR 6.102, MCR 6.615Page 1 of 1Distribute form to: CourtProsecutorDefendant