In the matter of 

First and last name of juvenile

                                                     USE NOTE: This form is to be used for ordering biometric data collection only when it is not 
Police report no.
                                                     required by law. If biometric data collection is required by law, use MC 233, Order for Fingerprints,  
 

                                                  when biometric data was not collected at arrest. 

REQUEST

 

1. A  
 complaint 
  a. the juvenile is under investigation for the following act(s):

 petition 

 

  has been filed alleging violation of a criminal law or ordinance.

  b. the basis for believing the juvenile is involved is:

 2. Proper further identifying investigation requires collection of the juvenile’s 
 3. I am the prosecuting attorney for this county and proper further identifying investigation requires the court to order the 
 
    juvenile to appear at 
 
   

 
 
 
4. I request that this court authorize the action specified above.

 presentation in a corporeal lineup.

 identification by a person. 

 biometric data. 

 photograph.

 on 
 

 for

 

 

 

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

Signature                                                                                                    Date

Agency/Address

Name (Type or print)

City, state, zip                                                                    Telephone no.

 

 

ORDER

 complaint 

  alleging violation of a criminal law or ordinance has been filed with the court.

 

 biometric data collection. 

 

 photographing. 

 

 corporeal lineup. 

THE COURT FINDS:
 
5. A 

 petition 

 

 6. It appears further investigation requires 
   

 identification by person.

IT IS ORDERED:

 7. Corporeal lineup of the juvenile or other identification of the juvenile by a person is authorized. The juvenile and 
    parent, guardian, or legal custodian must appear at the place and time stated in item 3 above and is advised as stated 
    on page 2 of this order.
  of the juvenile is authorized. Biometric data and/or photographs 
 8. 
    shall be filed with the court within 14 days of this order, unless the time period is extended by order of the court. The 
    identification shall be placed in the juvenile’s confidential file, capable of being located and destroyed on court order.

 Biometric data collection 

 Photographing 

 

 

 
 

 
 

 

                     

Judge signature and date

Approved, SCAO
Form JC 16, Rev. 12/21
MCL 28.241a(b), MCL 712A.32, MCR 3.923(C), (D), MCR 3.951
Page 1 of 2

STATE OF MICHIGANJUDICIAL CIRCUIT - FAMILY DIVISIONCOUNTYREQUEST AND ORDER FORBIOMETRIC DATA COLLECTION/PHOTOGRAPHING/LINEUPCASE NO.PETITION NO.JUDGECourt address                     Court telephone no.     NOTICE TO JUVENILE AND PARENT/GUARDIAN/LEGAL CUSTODIAN

Advice Regarding Lineup:

You are advised that:

•     the juvenile has the right to consult with an attorney;

•     the juvenile has the right to have an attorney present during the identification procedure;

•     if  the  juvenile  and  the  juvenile’s  parent,  guardian,  or  legal  custodian  cannot  afford  an  attorney,  an  attorney  will  be 
appointed for the juvenile if requested on the record or in writing by the juvenile or the juvenile’s parent, guardian, or 
legal custodian.