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Here is the text we could read:

STATE OF MICHIGAN

JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY

MOTION RE TRANSFER/
HEARING/PLACEMENT

EX PARTE

CASE NO.

PETITION NO.

JUDGE

Court address

Court telephone no.

In the matter of

First and last name(s), alias(es)

1. The names and addresses of parents, guardians, or legal custodians are:

Father

Mother

Guardian/Legal custodian

Address

2. I request a

rehearing.

transfer of this case to the formal calendar.
review.
hearing regarding the agency’s notice of intent to return the child home.
review of the initial services plan and/or custody or placement order.
court review of the attached independent assessment and the child’s placement in a qualified residential treatment

adjournment.

program by

Date

Use note: court review and approval must be made within 60 days of the child’s placement in a qualified residential treatment program.

State reasons below as appropriate.

I declare under the penalties of perjury that this motion 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.

Approved, SCAOForm JC 15m, Rev. 12/22MCL 712A.13a(17), MCL 712A.17, MCL 712A.18d, MCL 712A.19(10), MCL 712A.21, MCL 722.123a, MCL 712B.9, MCR 3.923(G), MCR 3.932(C)(9), MCR 3.942(A), MCR 3.945(A), MCR 3.966, MCR 3.972(A), MCR 3.975(H), MCR 3.992Page 1 of 1 .

Use note: a hearing is not required. Use JC 15o instead. If a hearing is set, the hearing must be held and court review and approval must be
made within 60 days of the child’s placement in a qualified residential treatment program.

Review

Rehearing

Adjournment

Hearing on agency’s intent to return child home

is authorized and

hearing is set for

Date and time

Location

Transfer

Review

Rehearing

Adjournment

is denied.

Judge/Referee signature and date

In the matter of

First and last name(s), alias(es)

. A motion was filed on

Date

requesting

rehearing.

transfer of this case to the formal calendar.
review.
hearing regarding the agency’s notice of intent to return the child home.
review of the initial services plan and/or custody or placement order.
review of the child’s placement in a qualified residential treatment program.

adjournment.

Date and time

Date

Location

3. A hearing will be held on

Date and time

Location

regarding the child’s placement in a qualified residential treatment program.

2. Transfer is authorized and hearing on the petition of

is set for

STATE OF MICHIGANJUDICIAL CIRCUIT - FAMILY DIVISIONCOUNTYAUTHORIZATION/DENIAL/NOTICE OF HEARING CASE NO.PETITION NO.JUDGECourt addressCourt telephone no.Approved, SCAOForm JC 15a, Rev. 12/22MCL 712A.13a(17), MCL 712A.17, MCL 712A.18d, MCL 712A.19(10), MCL 712A.21, MCL 722.123a, MCL 712B.9, MCR 3.923(G), MCR 3.932(C)(9), MCR 3.942(A), MCR 3.945(A), MCR 3.966, MCR 3.972(A), MCR 3.975(H), MCR 3.992Page 1 of 1

JC 15m_JC15a, Motion Re Transfer/Hearing/Placement and Authorization/Denial/Notice of Hearing

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.

About This Form:

Sourced from www.courts.michigan.gov/juvenile-proceedings (2023-03)
Page(s): 2
Fields(s): 49
Average fields per page: 24
Reading Level: Grade 11
LIST Grouping(s): Unknown

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

father was Father (0.53 conf)
users1_address_line_one was Address (1.00 conf)
mother was Mother (0.39 conf)
address__1 was Address_2 (0.35 conf)
guardian_legal_custodian was GuardianLegal custodian (0.46 conf)
address__2 was Address_3 (0.35 conf)
case_formal_calendar__1 was transfer of this case to the formal calendar (0.38 conf)
review__1 was review (0.32 conf)
rehearing__1 was rehearing (0.31 conf)
adjournment__1 was adjournment (0.31 conf)
hearing_notice_intent__1 was hearing regarding the agencys notice of intent to return the child home (0.37 conf)
initial_plan_placement__1 was review of the initial services plan andor custody or placement order (0.37 conf)
review_placement_program__1 was court review of the childs placement in a qualified residential treatment program by (0.41 conf)
signature_date__1 was Date (1.00 conf)
signature_date__2 was Date_2 (1.00 conf)
agency_address was AgencyAddress (0.44 conf)
name_type_print was Name type or print (0.45 conf)
users1_address_line_two was City state zip (1.00 conf)
telephone was Telephone no (0.44 conf)
text__1 was Text6 (0.35 conf)
text__2 was Text7 (0.35 conf)
e_x_parte was EX PARTE (0.47 conf)
signature_date__3 was Date_3 (1.00 conf)
case_formal_calendar__2 was transfer of this case to the formal calendar_2 (0.33 conf)
review__2 was review_2 (0.32 conf)
hearing_notice_intent__2 was hearing regarding the agencys notice of intent to return the child home_2 (0.36 conf)
initial_plan_placement__2 was review of the initial services plan andor custody or placement order_2 (0.39 conf)
review_placement_program__2 was review of the childs placement in a qualified residential treatment program (0.39 conf)
rehearing__2 was rehearing_2 (0.37 conf)
adjournment__2 was adjournment_2 (0.37 conf)
signature_date__4 was Date_4 (1.00 conf)
authorized_hearing_petition was 2 Transfer is authorized and hearing on the petition of (0.45 conf)
hearing_held was 3 A hearing will be held on (0.38 conf)
unknown__1 was 4 (0.38 conf)
unknown__2 was 5 (0.38 conf)
date_time__1 was Date and time (0.34 conf)
location__1 was Location (0.40 conf)
signature_date__5 was Date_5 (1.00 conf)
location__2 was Location_2 (0.43 conf)
review__3 was Review (0.32 conf)
rehearing__3 was Rehearing (0.31 conf)
adjournment__3 was Adjournment (0.31 conf)
hearing_intent_return_home was Hearing on agencys intent to return child home (0.44 conf)
date_time__2 was Date and time_2 (0.38 conf)
location__3 was Location_3 (0.43 conf)
transfer was Transfer (0.33 conf)
review__4 was Review_2 (0.32 conf)
rehearing__4 was Rehearing_2 (0.37 conf)
adjournment__4 was Adjournment_2 (0.37 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

JC 15m_JC15a, Motion Re Transfer/Hearing/Placement and Authorization/Denial/Notice of Hearing

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Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02