STATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY

MOTION TO SHOW CAUSE
FOR VIOLATING VALID PERSONAL/
FOREIGN PROTECTION ORDER

Court address              

 

 

 

 

  CASE NO. and JUDGE

In the matter of contempt of

 

Court telephone no.

AFFIDAVIT AND MOTION

. I am the protected party in a valid personal/foreign protection order dated 

 and

 

issued by the 

 
 .
  Attached is a copy of that order and either proof of service on or notification to the respondent of that order.

 Court, case number 

 

 

D

2. The respondent has violated the order by doing the following:
  Explain what has happened and include dates, times, and events (attach any supporting documents, such as a complaint filed with the police.)

  1

C

3. I request the court to order the respondent to appear at a specified time to answer a contempt charge or to issue
  a bench warrant for the arrest of the respondent.

4. This affidavit is made on my personal knowledge and, if sworn as a witness, I can testify competently to the facts
 

in this affidavit.

 

           

E

Signature

Subscribed and sworn to before me on 
 
 

                     

Date

                     

My commission expires on 
 
Notary public, State of Michigan, County of 
 

 

 

 

 

 

 

 

 

 

 . 

Deputy clerk/Notary public signature

 . 

Name (type or print)
 

 

 .
 This notarial act was performed using an electronic notarization system or a remote electronic notarization platform.

 Acting in the County of 
 

 . 

Approved, SCAOForm CC 382m, Rev. 1/21MCR 3.708(B)Page 1 of 1Distribute form to: Court Judge/Assignment clerkRespondentPetitionerReturnAPetitioner’s namevRespondent’s name, address, and telephone no.Address and telephone no. where court can reach petitionerBSTATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY

ORDER TO SHOW CAUSE
FOR VIOLATING VALID PERSONAL/
FOREIGN PROTECTION ORDER

Court address              

 

 

 

 

  CASE NO. and JUDGE

In the matter of contempt of

 

Court telephone no.

The court has reviewed the motion to show cause dated 

 and

Date

IT IS ORDERED:

 1. The respondent is ordered to appear before this court on 

 at

Date and time

     

 the court address above

     

 courtroom number 

 

 

 

 
 
 
 
 

 

 

 

     
     
      to show cause why the respondent should not be held in contempt for violating a valid personal/foreign protection 
      order. Failure to appear for this contempt hearing may result in a bench warrant being issued for the respondent’s 
      arrest. The petitioner shall serve this motion and order on the respondent at least 7 days before the hearing date.

 2. A bench warrant shall be issued for the respondent’s arrest to answer a contempt charge for violating a valid personal/
    foreign protection order.

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

Judge signature and date

Approved, SCAOForm CC 382o, Rev. 1/21MCR 3.708(B)Page 1 of 1Distribute form to: Court Judge/Assignment clerkRespondentPetitionerReturnAPetitioner’s namevRespondent’s name, address, and telephone no.Address and telephone no. where court can reach petitionerBMotion and Order to Show Cause for Violating Valid Personal/Foreign Protection Order 

(1/21) 

Case No. 

 

TO PROCESS SERVER:  You must serve the copies of the motion and order to show cause for violating a valid personal/
foreign protection order and file proof of service with the court clerk. If you are unable to complete service, you must return 
this original and all copies to the court clerk.

PROOF OF SERVICE

CERTIFICATE / AFFIDAVIT OF SERVICE / NONSERVICE

 I served 

 

 personally 

 

 by registered or certified mail (copy of return receipt attached)

  a copy of the motion and order to show cause for violating a valid personal/foreign protection order on: 

 I have attempted to serve the motion and order to show cause for violating a valid personal/foreign protection order, 

  and have been unable to complete service on:

Respondent’s name

Date and time of service

Place or address of service

Attachments (if any)

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

Note: If documents are served by someone other than a sheriff, deputy sheriff, or other person listed in MCL 600.1910(b), this return must be notarized.

                     

 
Service fee
$

 

                     
Incorrect address fee
$
 

                     

Miles traveled

Miles traveled

Fee
$

Fee
$

Subscribed and sworn to before me on 
 
 

                     
                     

Date

My commission expires on 
 
Notary public, State of Michigan, County of 

                     

 

 

  
Signature

  
Name (type or print)

  
Title (if applicable)

TOTAL FEE
$

 

 

 

 

 

 

 

 

Deputy clerk/Notary public signature

 . 

Name (type or print)
 

 

 . 

 Acting in the County of 

 

 

 

 

 

 

 

 This notarial act was performed using an electronic notarization system or a remote electronic notarization platform.

ACKNOWLEDGMENT OF SERVICE

I acknowledge that I have received service of the motion and order to show cause for violating a valid personal/foreign 
protection order,

 . 
 

 .

Attachments

Signature

 on 

Date and time

 on behalf of