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

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Here is the text we could read:

Plaintiff’s/Petitioner’s name

Defendant’s/Respondent’s name

v

This form is nonpublic because it contains personal identifying information (PII) that is protected from public inspection 
under MCR 1.109(D)(9)(a). Use this form to provide PII only for a person who is a NOT a defendant, respondent, or 
decedent. If the person is a defendant, respondent, or decedent use form MC 97.

• When PII (such as date of birth) must be filed with the court on a public document, DO NOT include it on that public 
  document. Instead, you must provide it on this form. 
 
• Provide only the protected PII required for your particular case. For example, if you are filing a public document that 
  requires you to provide a date of birth to the court, complete only that field on this form. 

 

ame of form/document that this MC 97a is being filed with: 
 

Printed name of individual completing form and date 

Instructions:  Provide the name of the person that the PII applies to, followed by the specific PII that is required. For Other, specify the type 
of PII in addition to the PII itself ‑ for example, Social Security No. XXXX. Use the below reference number (Ref. No.) in the public document in 
place of the protected PII. For example, insert “Ref. No. XX” in place of the DOB in the public document.

Ref. 
No.

In the matter of 
 

   

     

Instructions:  
 
  
 
 

  N

Name

Name

Name

Name

Name

Name

Name

Name

Name

10

11

12

13

14

15

16

17

18

DOB

DOB

DOB

DOB

DOB

DOB

DOB

DOB

DOB

Other

Other

Other

Other

Other

Other

Other

Other

Other

Approved, SCAOForm MC 97a, Rev. 9/20MCR 1.109Page 1 of 1STATE OF MICHIGANJUDICIAL DISTRICTJUDICIAL CIRCUITCOUNTY PROBATEADDENDUM TOPROTECTED PERSONAL IDENTIFYING INFORMATIONCASE NO. and JUDGECourt addressCourt telephone no.JIS Code: API

MC 97a, Addendum to Protected Personal Identifying Information

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/general-use (2023-03)
Page(s): 1
Fields(s): 39
Average fields per page: 39
Reading Level: Grade 10
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.

district was District (0.42 conf)
circuit was Circuit (0.33 conf)
probate was Probate (0.47 conf)
cas_e was CASE NO (0.47 conf)
judge was Judge (0.39 conf)
court_address was Court address (0.42 conf)
court_telephone was Court telephone no (0.51 conf)
plaintiffs_petitioners_name was PlaintiffsPetitioners name (0.43 conf)
defendants_respondents_name was DefendantsRespondents name (0.29 conf)
matter was In the matter of (0.33 conf)
name_formdocument_c_filed__1 was Name of formdocument that this MC 97a is being filed with 1 (0.34 conf)
name_formdocument_c_filed__2 was Name of formdocument that this MC 97a is being filed with 2 (0.34 conf)
users1_name was Name (1.00 conf)
users1_birthdate was DOB (1.00 conf)
other was Other (0.43 conf)
name__1 was Name_2 (0.30 conf)
b__1 was DOB_2 (0.30 conf)
other_2 was Other_2 (0.44 conf)
name__2 was Name_3 (0.30 conf)
b__2 was DOB_3 (0.30 conf)
other_3 was Other_3 (0.44 conf)
name__3 was Name_4 (0.30 conf)
b__3 was DOB_4 (0.30 conf)
other_4 was Other_4 (0.44 conf)
name__4 was Name_5 (0.30 conf)
b__4 was DOB_5 (0.30 conf)
other_5 was Other_5 (0.44 conf)
name__5 was Name_6 (0.30 conf)
b__5 was DOB_6 (0.30 conf)
other_6 was Other_6 (0.44 conf)
name__6 was Name_7 (0.30 conf)
b__6 was DOB_7 (0.30 conf)
other_7 was Other_7 (0.44 conf)
name__7 was Name_8 (0.30 conf)
b__7 was DOB_8 (0.30 conf)
other_8 was Other_8 (0.44 conf)
name__8 was Name_9 (0.30 conf)
b__8 was DOB_9 (0.30 conf)
other_9 was Other_9 (0.44 conf)

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

MC 97a, Addendum to Protected Personal Identifying Information

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