CONTINUOUS CONSTRUCTION POSTCARD
Computer or typewriter generated
Size:  6 x 4

Approved, SCAO

STATE OF MICHIGAN

JUDICIAL DISTRICT

14-DAY NOTICE
Civil Infraction

Original - Court       Copy - Defendant
Court Telephone No.

 State 
                     

The 
 
   v   Defendant (name and address printed on other side)

 Village  of: 
 

 Twp. 

 City 

        

 Statute 

 

 Ordinance 

If you fail to pay the amount due within 14 days of the date of this notice,*
1.  the Secretary of State may suspend your driving privileges for some driving offenses.
2.  a bench warrant may be issued for your arrest.
3.  the cost to compel appearance may be added to the amount of your judgment.

Fines,  costs,  and  other  financial  obligations  imposed  by  the  court  must  be  paid  at  the  time 
of  assessment,  except  when  the  court  allows  otherwise,  for  good  cause  shown.  If  you  are 
not  able  to  pay  due  to  financial  hardship,  contact  the  court  immediately  to  request  a 
payment alternative.

CIA 03a 

(8/21)  14-DAY NOTICE, Civil Infraction

MCL 257.321a(1), MCR 1.110

Clear Zone

Postage 
Clearance
Zone

OCR read Area for Delivery Address

BACK COPY

XXRD DISTRICT COURT
1234 E. Main St. NE
Everywhere, MI XXXXX

NOTICE OF FAILURE TO COMPLY 
WITH JUDGMENT

Case Number

Infraction Date

Civil Infraction

Vehicle Plate No.

Date of Notice
*

Default/Judgment Date

AMOUNT DUE: $

BARCODE AND POSTAL MARKING AREA

FRONT COPY
Do not print in areas designated for USPS use.