a.

b.

c.

d.

Date

STATE OF MICHIGAN

JUDICIAL DISTRICT
JUDICIAL CIRCUIT

APPLICATION TO SET ASIDE 
MISDEMEANOR MARIHUANA
CONVICTION(S)

Court address

CASE NO. and JUDGE

 This application includes multiple case      

      numbers as listed in item 1.

Court telephone no.

ORI
MI-

Police Report No.

THE PEOPLE OF

 The State of Michigan

Use  note:    If  you  are  asking  to  have  an  eligible  conviction  set  aside 
under  MCL  780.621(3)  because  the  offense  committed  was  a  direct 
result  of  you  being  a  victim  of  human  trafficking,  you  must  use  form 
MC 227b.

If  you  are  asking  to  have  a  non-marihuana  related  misdemeanor 
conviction set aside under MCL 780.621, you must use form MC 227.

Defendant’s name, address, and telephone no.

v

CTN/TCN

SID

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

1. I request that the court issue an order to set aside the following misdemeanor marihuana conviction(s)* as provided 
  by law.  Use additional sheet(s) if more space is necessary.

CRIME

CHARGE CODE(S)
MCL citation/PACC Code

DATE OF 
CONVICTION

CASE NUMBER

2. A certified copy of each conviction is attached. 

Applicant signature

CERTIFICATE OF MAILING

I served a copy of this application and certified record of conviction(s) on the prosecuting official by first-class mail addressed 
to their last-known address as defined by MCR 2.107(C)(3). I declare under the penalties of perjury that this certificate of 
mailing has been examined by me and that its contents are true to the best of my information, knowledge, and belief.

 

 

Date

Signature  

 

 

 
*Use note:  Misdemeanor marihuana convictions are defined in MCL 780.621e(7)

Approved, SCAO
Form MC 227a, Rev. 3/21
MCL 780.621b, MCL 780.621e, MCL 780.621f, 
MCL 780.622, MCL 780.623
Page 1 of 1

Distribute form to: 
Court 
Defendant
Prosecuting official
Return

Instructions for Filing and Serving an Application to Set Aside Misdemeanor Marihuana Conviction(s) 
(Form MC 227a)

For additional instructions and an online interview that will help you create forms, go to michiganlegalhelp.org.

1. Determine whether you are eligible to apply to have your misdemeanor marihuana conviction set aside pursuant to  
  MCL 780.621e. Eligible convictions include violation of the following:

 
 
 
 

• MCL 333.7403(2)(d) (possession)
• MCL 333.7404(2)(d) (use)
• MCL 333.7453 (selling marihuana paraphernalia)
• Violation of a local ordinance substantially corresponding to one of the above

2. You must file the application in the court where the conviction occurred.  You must use a separate application for each 
  court.

3. If you are asking to have an eligible conviction set aside under MCL 780.621(3) because the offense committed was 
  a direct result of you being a victim of human trafficking, you must use form MC 227b. If you are asking to have a 
  non-marihuana related misdemeanor conviction set aside under MCL 780.621, you must use form MC 227.

4. Find out the exact date of each conviction and each charge from the court. Get a certified copy of each conviction from 
the clerk of the court in which you were convicted and attach it to your application. There may be a fee to obtain these 
 
  certified copies.

. Sign and date the application.

  5

6. Make three copies of all attachments and this application. Take all copies to the court clerk for the court where you 
  were convicted.  There should be no filing fee for filing the application.  

7. Mail a copy of the application packet to the correct prosecuting official where the conviction occurred (county, city, 
  or township) by first-class mail. See www.michiganprosecutor.org/about-us-menu/prosecutor-directory for the 
  addresses of county prosecutors.

8. On both remaining copies of the application, fill in the Certificate of Mailing. After you fill out and sign the 
  Certificate of Mailing, mail or take one of the remaining application packets with the completed Certificate of Mailing 
 

to the court. Keep the other copy of the application packet for your records. 

9. If an answer is filed by the prosecuting official, the court will set a hearing date and send you notice. If the prosecuting 
  agency files a response in opposition to your application, the court must set the matter for a hearing within 30 days 
  and mail a copy of a notice of the hearing to you. You should appear in court on the date and time set by the 
  court.

 
If no answer is filed by the prosecuting agency within 60 days of the date of service of the application, the court will 
  enter an order and mail a copy to you, the arresting agency, the prosecuting agency, and the Michigan State Police.