THE PEOPLE OF

 The State of Michigan

 
 

Defendant’s name, address, and telephone no.

v

CTN/TCN

SID

Count

CRIME

CHARGE CODE(S)
MCL citation/PACC Code

Upon the showing in this case that the defendant may be incompetent to stand trial, IT IS ORDERED:

1. The defendant shall undergo an examination, relating to the issue of competency to stand trial, by:
 
 

  the Center for Forensic Psychiatry.
  other:

  A written report meeting the statutory requirements shall be submitted to this court within 60 days from the date of this   
  order with copies submitted to the prosecuting official and defense attorney, whose names and addresses are:

Prosecuting official’s name, address, bar no., and telephone no.

Defendant attorney’s name, address, bar no., and telephone no.

. If the defendant is on bond, s/he shall appear for examination at the places and times established by the examining  

 
facility.  If the defendant, after being notified, fails to appear for examination, the court may order detention at a   
  diagnostic facility for examination without hearing. This detention shall end upon completion of the examination.

 
 

  2

STATE OF MICHIGANJUDICIAL DISTRICTJUDICIAL CIRCUITCOUNTY ORDER FOR COMPETENCY EXAMINATIONCASE NO. and JUDGEORIMI-Court addressCourt telephone no.Approved, SCAOForm MC 204, Rev. 1/21MCL 330.2026, MCL 330.2028, MCR 6.125(C)Page 1 of 2Distribute form to:CourtFacilitySheriffProsecuting officialDefense attorneyOrder for Competency Examination 
Page 2 of 2

(1/21) 

Case No. 
 

3. If the defendant is under detention, the facility may perform the examination in jail or may notify the sheriff to transport   
 
the defendant to the facility for examination, and the sheriff shall return the defendant to the jail upon completion of the  
  examination.

4. Defense counsel shall be available for consultation with facility personnel.

5. The prosecuting official shall immediately provide police investigation reports and criminal history to the facility.

6. Other:

Judge signature and date