filed a motion requesting that his/her DNA profile and sample

  be destroyed by the arresting agency and Michigan State Police as required by law.

2. A hearing was held on the motion on 

Date

IT IS ORDERED:

 .

3. In accordance with MCL 28.176, the arresting agency and Michigan State Police shall

 not destroy the DNA profile and sample of the defendant/juvenile.

 immediately destroy the DNA profile and sample of the defendant/juvenile and provide certification of that fact to the court.

Judge 

 

 

 

 

Bar no.

 

 

CERTIFICATE OF MAILING

Signature  

 

 

I certify that on this date I served a copy of this order on the parties or their attorneys by first-class mail addressed to their last-known 
addresses as defined by MCR 2.107(C)(3).

 

   

 

Date

Date

 

     

 
THE PEOPLE OF
 

     

 

 

 

  The State of Michigan

  Juvenile 

 

In the matter of 
 

1. 

Name of defendant/juvenile

Approved, SCAOOriginal - Court1st copy - Prosecutor2nd copy - Defendant/JuvenileCourt telephone no.Court addressORIMI-Police Report No.Defendant’s/Juvenile’s name, address, and telephone no.CTN/TCNSIDDOBvSTATE OF MICHIGANJUDICIAL DISTRICTJUDICIAL CIRCUITORDER TO DESTROYDNA PROFILE AND SAMPLECASE NO.mc 444 (3/16) ORDER TO DESTROY DNA PROFILE AND SAmPLEMCL 28.176 3rd copy - Arresting agency4th copy - Michigan State Police CJICJIS CODE: PCS/CCS/DCS/MiCOURT: PSD - TCS: DDNA

Order to Destroy DNA Profile and Sample

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About This Form:

• Sourced from www.courts.michigan.gov/criminal-felony-forms (2023-03)
• Page(s): 1
• Fields(s): 24
• Average fields per page: 24
• Reading Level: Grade 14
• LIST Grouping(s): CR-00-00-00-00, CO-00-00-00-00.

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