1. A petition for judicial admission for treatment has been filed and it appears on its face to be sufficient.

2. The individual must be examined and a report filed.

 3. The individual will not comply with an order for examination and a peace officer must take him/her into protective custody
    and transport him/her to the place of examination.

 

In the matter of 

First, middle, and last name

THE COURT FINDS:

IT IS ORDERED:

4. The individual be examined at 

 

 

 

5. 

Name

 is appointed to arrange for the examination of

 

the individual and to prepare and file a report to the court.

 6. A peace officer take the individual into protective custody and transport him/her immediately to the site designated above

 
 
 

    where the individual may remain up to 48 hours for the required examinations. The transport order is valid through
 
   

 .

Date

Date

 

Judge                                                                                                     Bar no.

Do not write below this line - For court use onlyPCM 215 (2/19) ORDER FOR REPORT ON PETITION FOR JUDICIAL ADMISSIONMCL 330.1516Approved, SCAO JIS CODE: ORTSTATE OF MICHIGANPROBATE COURTCOUNTY  OFORDER FOR REPORT ONPETITION FOR JUDICIAL ADMISSIONFILE NO.

PCM 215, Order for Report on Petition for Judicial Admission

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/MH-Forms (2023-03)
• Page(s): 1
• Fields(s): 12
• Average fields per page: 12
• Reading Level: Grade 11
• LIST Grouping(s): CO-00-00-00-00, CO-07-00-00-00.

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.

---

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.