In the matter of 

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

1. Date: 
 

 

  Judge/Referee: 

 

 at the hearing, 

 There is a substantial probability that the juvenile will remain incompetent to proceed for the foreseeable future 

 a. competent to proceed. (Check item 3.)
 b. incompetent to proceed. (Check appropriate option below.)

THE COURT FINDS:
2. Based upon the opinions expressed by a qualified juvenile forensic mental health examiner in a report to the court and 
  any other evidence filed with the court or introduced  
 
 
 
 
 
 
 
 
 
 
 

       
            or within the period of a restoration order. (Check item 4.)
       
            (Check item 4 or 6*.)
       
            charged is
           
           
           

 a traffic offense or an offense other than a serious misdemeanor. (Check item 4.)
 a serious misdemeanor. (Check item 4 or 5.)
 a felony. (Check item 5.) The least restrictive environment for completing restoration is as follows:

 The juvenile may be restored to competency in the foreseeable future. The offense for which the juvenile is 

 There is a substantial probability that the juvenile is unable to be restored due to serious emotional disturbance. 

the juvenile is determined

 after review,  

IT IS ORDERED:

 3.  The proceedings shall continue, and all reports submitted under MCL 712A.18n to MCL 712A.18q shall be sealed.
 4. The charges against the juvenile are dismissed with prejudice and the juvenile is released to

 

   
    under MCL 712A.18n to MCL 712A.18q shall be sealed.
 5. Further proceedings are suspended until such time as the juvenile is restored to competency or until it is determined 
    that the juvenile cannot be restored to competency.
    a. The qualified restoration provider shall provide the following services to restore the juvenile to competency, if 
        possible:

 . All reports submitted 

    b. This order is valid for 60 days from the initial finding of incompetency (the date in item 1) or until one of the following
        occurs, whichever is first: 1) the juvenile has regained competency, 2) the charges are dismissed by the prosecutor, 
        or 3) the juvenile reaches 18 years of age.
    c.  The qualified restoration provider shall submit a report to the court and the qualified juvenile forensic mental health
        examiner that includes the information required under MCL 712A.18p. The report shall be submitted every 30 days 
        or sooner if and at the time either of the following occurs: 1) the qualified restoration provider determines the 
        juvenile is competent to proceed, or 2) there is no substantial probability the juvenile will be competent to proceed 
        within the period of this order.
                     

Approved, SCAO
Form JC 108, Rev. 12/22
MCL 712A.18q, MCL 712A.18r(5), MCL 712A.18s
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STATE OF MICHIGANJUDICIAL CIRCUIT - FAMILY DIVISIONCOUNTYORDER ON COMPETENCY(DELINQUENCY PROCEEDINGS)CASE NO.PETITION NO.JUDGEORIMI-Court addressCourt telephone no.PCS Code: OCMTCS Code: OCMC/OCMD/OCMICTN/TCNSIDOrder on Competency (Delinquency Proceedings) 
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(12/22) 

Case No. 
 

 6. Mental health services shall be provided to the juvenile by 
 

 
 

 
 
 
 

 

 days (not to exceed 60 days). The mental health provider shall submit a report regarding the 
    for 
 
    juvenile to the court and the qualified juvenile forensic mental health examiner no later than 14 days before the 
    expiration of the treatment ordered. *NOTE: The court may order mental health services at its discretion, except as provided under the 
    youth rehabilitation act, MCL 803.301 to 803.309. Treatments may be renewed following review of the mental health provider’s report for another 

    period not to exceed 60 days. Treatment shall not exceed 120 days.

 

                     

Judge signature and date