Approved, SCAO

Original - Court       1st copy - Defendant      2nd copy - Complainant

STATE OF MICHIGAN

JUDICIAL DISTRICT

NOTICE TO APPEAR
Civil Infraction

CASE NO.

Twp.

City

Village

of:

Statute

Ordinance

Court  address

Civil infraction:
The

State

v

Defendant

Personal service

1. The defendant must appear at the above address with his/her

witnesses  on  the  date  and  time  indicated.

Court  telephone  no.

Infraction date:

Hearing scheduled for:
Date:
At:

Time:

the court address above, courtroom
Explanation
Informal  hearing

Formal hearing

2. Failure to appear may result in a default judgment against the

defendant  and  action  against  his/her  driving  privileges.

3. This case may not be adjourned, except by the court.

4. If you require special accommodations to use the court

because of a disability or if you require a foreign language
interpreter to help you fully participate in court proceedings,
please  contact  the  court  immediately  to  make  arrangements.

Complainant(s)

CIA 01   (3/08)   NOTICE TO APPEAR, Civil Infraction

CERTIFICATE OF MAILING

I certify that on this date I served a copy of this notice on the parties by first-class mail addressed to their
last-known  addresses  as  defined  in  MCR  2.107(C)(3).

Date

Magistrate/Deputy court clerk



Notice to Appear, Civil Infraction

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Michigan state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

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About This Form:

• Sourced from www.courts.michigan.gov/civil-infraction (2023-03)
• Page(s): 1
• Fields(s): 15
• Average fields per page: 15
• Reading Level: Grade 10
• LIST Grouping(s): CO-00-00-00-00, CO-07-00-00-00.

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