Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY

Original - Court
1st copy - Petitioner

ORDER AFTER HEARING ON
VIOLATION OF VALID PERSONAL/
FOREIGN PROTECTION  ORDER

2nd copy - Respondent (if applicable)
3rd copy - Michigan State Police CJIC

CASE NO.

Court  address

Court  telephone  no.

Police Report No.

Petitioner's name

Address and telephone no. where court can reach petitioner

Respondent's name, address, and telephone no.

v

PACC Code MCL 600.2950

PACC Code MCL 600.2950a

PACC Code MCL 600.2950m

CTN/TCN

Date  of  birth  (if  known)

2. The respondent was present at the hearing on violation of a valid personal/ foreign protection order and was advised of the

Date of hearing:

Judge:

1. Order entered after violation hearing pursuant to MCR 3.708(H), held as a result of

a. show-cause hearing pursuant to MCR 3.708(B).
b. arraignment for arrest pursuant to MCL 764.15b and MCR 3.708(C).

THE COURT FINDS:

right to present evidence and to examine and cross-examine witnesses.

3. Specific findings of fact are stated on the record.
4.

a. By proof beyond a reasonable doubt, the respondent was found guilty of criminal contempt.
b. By clear and convincing evidence, the respondent was found guilty of civil contempt.
c. The respondent pled guilty.
d. The respondent is not in contempt.

5. The respondent failed to appear as ordered and a bench warrant should issue for his/her arrest.

IT IS ORDERED:

6. A bench warrant shall issue for the respondent's arrest.
7. The hearing on the violation is adjourned to

Reason:

8. The matter is dismissed.
9. The

bench warrant is discharged.

authorization for bench warrant is set aside.

10. The respondent shall be committed to

days in the county jail.

11. The respondent shall pay a fine of $

to be paid as follows:

12. The respondent shall reimburse

Name of state or local unit of government

for expenses incurred

in relation to the violation as follows:

13. Other conditions:

Date

Judge

TO THE CLERK OF THE COURT:
Unless item 8 is checked, you are required to send this order to the Michigan State Police pursuant to MCL 769.16a, along with
any fingerprint card provided by the law enforcement agency.  If a TCN number has not been issued and no fingerprint card has been
provided, the taking of fingerprints must be ordered.

CC 384   (3/13)   ORDER AFTER HEARING ON VIOLATION OF VALID PERSONAL/FOREIGN PROTECTION ORDER

MCL 28.243(2), MCL 600.2950h-MCL 600.2950m, MCL 764.15b, MCL 769.1f, MCL 769.16a, MCR 3.708(H)

Bar no.

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