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

LIT Lab Home | About The Explorer | Find & Compare | Explore: Michigan Lists

Here is the text we could read:

In the matter of

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

1. Date of birth 2. Sex

3. Race

4. Member of or eligible for membership in Indian Tribe

5. Height

6. Weight

7. Eye color

8. Hair color

9. School/District

10. Municipality and county of legal residence

11. Brief statement of the allegations and basis for any request for court-ordered apprehension, including the citations and
BASIS FOR REQUEST
date, time, and location of offense

Operator/Chauffeur driver’s license

Commercial driver’s license

No license Vehicle type

12. Codefendant(s):

Name(s):

Alias(es):

DOB:

16. Guardian/Legal custodian’s name

Address

Home phone

Work phone

Home phone

Work phone

Home phone

Work phone

Home phone

Work phone

SOCIAL INFORMATION
13. Parent’s name

14. Parent’s name

15. Stepparent’s name

Address

17. Divorced?

Yes

Date of divorce

Place of divorce:
(county, state)

18. Custody to: (Specify name and include address if not previously listed.)

19. Juvenile living with: (Specify name and relationship.)

Approved, SCAO
Form JC 01, Rev. 3/23
MCL 712A.2, MCL 712A.11, MCL 712A.14, MCL 712A.15, MCR 3.903(A),
MCR 3.933(A), MCR 3.934, MCR 3.983
Page 1 of 2

STATE OF MICHIGANJUDICIAL CIRCUIT - FAMILY DIVISIONCOUNTYCOMPLAINT (REQUEST FOR ACTION,DELINQUENCY PROCEEDINGS)CASE NO.PETITION NO.JUDGECourt address Court telephone no. JIS Code: CMPComplaint (Request for Action, Delinquency Proceedings)
Page 2 of 2

(3/23)

Case No.

REQUEST

20. I REQUEST

a. a petition be authorized.
b. the court review the information and make an appropriate disposition.
c. an order be issued to apprehend the juvenile pending the preliminary hearing pursuant to MCR 3.933(B).

permission to enter the premises at

d. an order be issued to detain the juvenile pending the preliminary hearing pursuant to MCR 3.934(B).

I declare under the penalties of perjury that this complaint has been examined by me and that its contents are true to the
best of my information, knowledge, and belief.
Complainant’s signature

Date

Print or type name

Address/Agency

Telephone no.

CUSTODY Fill out completely
21. Basis for apprehension by police without court order

interest of the juvenile or the interest of the public would not be protected by release
of the juvenile.

the juvenile.

Parent/guardian/legal custodian could not be located or refused to take custody of

The officer had reason to believe that because of the nature of the offense, the

22. Check if applicable

custodian present

Miranda warning given
Offense admitted
Offense denied
Parents/Guardian/Legal

Attorney present
Biometric data collected
Photograph taken
Line-up held

23. Release and recognizance
I acknowledge that the juvenile has been released to my custody, and I promise to bring the juvenile to the court upon
notice.

Date

Signature

Relationship to juvenile

NOTIFICATION TO PARENT, GUARDIAN, OR LEGAL CUSTODIAN
24. I notified or attempted to notify the person(s) listed below about the date, time, and place of the preliminary hearing. The method of contact or

25. Name

attempted contact is described below and includes the date and time of notification for each.

Methods used

Time

Date

notified
attempted

Methods used

Date

Time

26. Name

27. Name

28. Name

ADDITIONAL COMMENTS

JC 01, Complaint (Request for Action, Delinquency Proceedings)

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): 106
Average fields per page: 53
Reading Level: Grade 9
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

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.

stat_e_n_l_county was STATE OF MICHIGAN JUDICIAL CIRCUIT FAMILY DIVISION COUNTY (0.64 conf)
first_last_names_aliases was First and last names aliases (0.40 conf)
date_birth was 1 Date of birth (0.35 conf)
sex was 2 Sex (0.39 conf)
race was 3 Race (0.35 conf)
member_eligible_membership was 4 Member of or eligible for membership in Indian Tribe (0.42 conf)
height was 5 Height (0.34 conf)
weight was 6 Weight (0.34 conf)
eye_color was 7 Eye color (0.33 conf)
hair_color was 8 Hair color (0.33 conf)
school_district was 9 SchoolDistrict (0.38 conf)
municipality_legal_residence was 10 Municipality and county of legal residence (0.41 conf)
operator_drivers_license was OperatorChauffeur drivers license (0.44 conf)
commercial_drivers_license was Commercial drivers license (0.48 conf)
license was No license (0.48 conf)
names_row__1 was NamesRow1 (0.39 conf)
aliases_row__1 was AliasesRow1 (0.44 conf)
dob_row__1 was DOBRow1 (0.39 conf)
names_row__2 was NamesRow2 (0.39 conf)
aliases_row__2 was AliasesRow2 (0.44 conf)
dob_row__2 was DOBRow2 (0.39 conf)
names_row__3 was NamesRow3 (0.39 conf)
aliases_row__3 was AliasesRow3 (0.44 conf)
dob_row__3 was DOBRow3 (0.39 conf)
parents_name__1 was 13 Parents name (0.40 conf)
users1_address_line_one was Address (1.00 conf)
home_phone__1 was Home phone (0.48 conf)
work_phone__1 was Work phone (0.36 conf)
parents_name__2 was 14 Parents name (0.40 conf)
address__1 was Address_2 (0.35 conf)
home_phone__2 was Home phone_2 (0.43 conf)
work_phone__2 was Work phone_2 (0.39 conf)
stepparents_name was 15 Stepparents name (0.32 conf)
address__2 was Address_3 (0.35 conf)
home_phone__3 was Home phone_3 (0.43 conf)
work_phone__3 was Work phone_3 (0.39 conf)
guardian_legal_name was 16 GuardianLegal custodians name (0.47 conf)
address__3 was Address_4 (0.35 conf)
home_phone__4 was Home phone_4 (0.43 conf)
work_phone__4 was Work phone_4 (0.39 conf)
date_divorce was Date of divorce (0.44 conf)
place_divorce_county_state was Place of divorce county state (0.41 conf)
specify_name_relationship was 19 Juvenile living with Specify name and relationship (0.38 conf)
approved_scao was Approved SCAO (0.36 conf)
county was County (0.39 conf)
petition was Petition No (0.49 conf)
judge was Judge (0.39 conf)
court_telephone was Court telephone no (0.51 conf)
court_address was Court address (0.42 conf)
text__1 was Text6 (0.35 conf)
text__2 was Text7 (0.35 conf)
text__3 was Text8 (0.35 conf)
text__4 was Text9 (0.35 conf)
text__5 was Text10 (0.35 conf)
text__6 was Text11 (0.35 conf)
no was No (0.45 conf)
yes was Yes (0.45 conf)
review_information_appropriate was b the court review the information and make an appropriate disposition (0.38 conf)
issued_apprehend_pending_pursuant was c an order be issued to apprehend the juvenile pending the preliminary hearing pursuant to MCR 3933B (0.43 conf)
issued_pending_hearing_pursuant was d an order be issued to detain the juvenile pending the preliminary hearing pursuant to MCR 3934B (0.38 conf)
permission_enter_premises was permission to enter the premises at (0.44 conf)
undefined was undefined (0.38 conf)
complainants_signature was Complainants signature (0.39 conf)
signature_date__1 was Date (1.00 conf)
print_type_name was Print or type name (0.45 conf)
address_agency was AddressAgency (0.44 conf)
telephone was Telephone no (0.44 conf)
officer_reason_believe was The officer had reason to believe that because of the nature of the offense the (0.38 conf)
custodian_could_take was Parentguardianlegal custodian could not be located or refused to take custody of (0.45 conf)
miranda_warning_given was Miranda warning given (0.41 conf)
offense_admitted was Offense admitted (0.35 conf)
offense_denied was Offense denied (0.35 conf)
parents_guardian_legal was ParentsGuardianLegal (0.47 conf)
attorney_present was Attorney present (0.44 conf)
biometric_data_collected was Biometric data collected (0.31 conf)
photograph_taken was Photograph taken (0.40 conf)
lineup_held was Lineup held (0.32 conf)
signature_date__2 was Date_2 (1.00 conf)
relationship_juvenile was Relationship to juvenile (0.42 conf)
notified__1 was notified (0.38 conf)
attempted__1 was attempted (0.41 conf)
name__1 was 25 Name (0.30 conf)
methods_used__1 was Methods used (0.43 conf)
name__2 was 26 Name (0.30 conf)
notified__2 was notified_2 (0.38 conf)
attempted__2 was attempted_2 (0.36 conf)
methods_used__2 was Methods used_2 (0.34 conf)
name__3 was 27 Name (0.30 conf)
notified__3 was notified_3 (0.38 conf)
attempted__3 was attempted_3 (0.36 conf)
methods_used__3 was Methods used_3 (0.34 conf)
name__4 was 28 Name (0.30 conf)
notified__4 was notified_4 (0.38 conf)
attempted__4 was attempted_4 (0.36 conf)
methods_used__4 was Methods used_4 (0.34 conf)
text__7 was Text12 (0.35 conf)
text__8 was Text13 (0.35 conf)
petition_authorized was a a petition be authorized (0.46 conf)
date_time__1 was Date Time (0.43 conf)
date_time__2 was Date Time2 (0.42 conf)
date_time__3 was Date Time3 (0.42 conf)
date_time__4 was Date Time4 (0.42 conf)
time__1 was Time1 (0.35 conf)
time__2 was Time2 (0.35 conf)
time__3 was Time3 (0.35 conf)
time__4 was Time4 (0.35 conf)

Create an Interactive Version of this Form:

The Weaver creates a draft guided interview from a template form, like the one provided here. To learn more, read "Weaving" your form into a draft interview.

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

JC 01, Complaint (Request for Action, Delinquency Proceedings)

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

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