I REQUEST that the court issue a warrant for the arrest of the defendant.

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.

Date

 

                     

 

Probation officer signature

Probation officer name (type or print)

WARRANT

THE COURT FINDS probable cause to believe that defendant violated the conditions of probation.

TO ANY PEACE OFFICER OR COURT OFFICER AUTHORIZED TO MAKE AN ARREST, I order you to arrest:

Full name (type or print)

Date of birth*

Address                                                            City                                           State                           Zip

DLN

Sex*

Eye color

Hair color

Height

Weight

Race*

Scars, tattoos, etc.

*These items must be filled in for the police/sheriff to enter on LEIN; the other items are not required but are helpful.

Bring the defendant before the court immediately or the defendant may be released when a cash or surety bond in the

amount of $ 

 

 is posted for personal appearance before the court at its next session.

                     

 
Approved, SCAO
Form MC 246a, Rev. 9/22
MCL 771.4, MCL 771.4b, MCR 6.445,
People v Glenn-Powers, 296 Mich App 494 (2012)
Page 1 of 2

Judge signature and date

Distribute form to:
Court                                                                                
Probation department
Prosecutor
Law enforcement (if applicable)

Defendant’s name, address, and telephone no.

SID

v

 

CTN

TCN

REQUEST

  Civil        

  Criminal 

Current Charge

THE PEOPLE OF

 The State of Michigan

 

 

  

  

 

   

Use note: For technical probation violations, use MC 246 unless an exception applies.

 I allege that the defendant has committed the following technical probation violation(s):

 I allege that the defendant has committed the following non-technical probation violation(s):

STATE OF MICHIGANJUDICIAL DISTRICTJUDICIAL CIRCUIT REQUEST AND WARRANT FOR PROBATION VIOLATIONCASE NO. and JUDGEORIMI-Court addressCourt telephone no.Police Report No.Request and Warrant for Probation Violation (9/22)
Page 2 of 2

Case No. 
 

By virtue of this warrant, I have taken the person named above into custody as ordered.

Date

 

Peace officer

RETURN