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Here is the text we could read:

In the matter of

First and last name(s), alias(es)

1. Date of hearing:

Judge/Referee:

2. Notice of hearing for the disposition was given as required by law.

3. The juvenile has appeared in court in person with parent(s), guardian, legal custodian, guardian ad litem, and

waived representation by an attorney.

was represented by an attorney.

4. An adjudication was held and the court determined that the juvenile committed the following offense(s) and/or the

following offense(s) has/have been dismissed:

ADJUDICATED BY DISMISSED
Plea* Court Jury

By*

Count

ALLEGATIONS

CHARGE CODE(S)
MCL Citation/PACC Code

*For plea, insert “A” for admission or “NC” for nolo contendere. For dismissal, insert “D” for dismissed by court or “NP” for dismissed by prosecutor/plaintiff.

5. Specific findings of fact and law regarding this proceeding have been made on the record.

6. HIV testing and sex offender registration are completed.

7. A DNA sample is already on file with the Michigan State Police from a previous petition. No assessment is required.

8. The juvenile’s biometric data has been collected in accordance with MCL 28.243.

9. The offense adjudicated is abstractable to the Secretary of State under MCL 257.625(21)(a), MCL 257.732,
MCL 324.80131, MCL 324.81134(20), or MCL 324.82157.

The juvenile’s driver’s license number is

Upon disposition of a juvenile offense as defined pursuant to MCL 28.241a(h), the clerk of the court shall advise the
Michigan State Police Criminal Justice Information Center of the disposition as required by MCL 712A.18(11).

Reference Note: The term “department” refers to the Michigan Department of Health and Human Services.

Approved, SCAO
Form JC 14b, Rev. 12/22
MCL 28.241a, MCL 600.2950h, MCL 600.2950m, MCL 600.4803,
MCL 712A.18, MCL 712A.18k, MCL 712A.20, MCL 764.15b, MCL 769.1f,
MCL 769.16a, MCR 3.936, MCR 3.943
Page 1 of 3

CTN/TCNSIDDOBJIS Code: DSPSTATE OF MICHIGANJUDICIAL CIRCUIT - FAMILY DIVISIONCOUNTYORDER OF DISPOSITION, OUT-OF-HOME(DELINQUENCY PROCEEDINGS)CASE NO.PETITION NO.JUDGEORIMI-Court addressCourt telephone no.Order of Disposition, Out-of-Home (Delinquency Proceedings)
Page 2 of 3

(12/22)

Case No.

10. The licensing sanction is reportable to the Michigan State Police under MCL 257.625(21)(b).

Revoked.

Suspended

days.

Restricted

days.

11. Return of the juvenile to his or her parent would cause a substantial risk of harm to the juvenile or society.

12. The juvenile must be placed in an institution outside Michigan because
a. institutional care is in the best interests of the juvenile,
b. equivalent facilities to meet the juvenile’s needs are not available within Michigan, and
c. the placement will not cause undue hardship.

13. It is contrary to the welfare of the juvenile to remain in the home because:

a. Reasonable efforts to prevent removal of the juvenile from the home were not made.
b. Reasonable efforts were made prior to the placement of the juvenile in foster or other out-of-home care, to

14.

prevent or eliminate the need for removing the juvenile from his/her home. Those efforts include: (Specify.)

a. Reasonable efforts shall be made to preserve and reunify the family to make it possible for the juvenile to safely

b. Reasonable efforts shall not be made to preserve and reunify the family because it would be detrimental to the

15.
return home.

juvenile's health and safety.

circumstances, reasonable efforts are now required. Those reasonable efforts have begun and include: (Specify
reasonable efforts, and if applicable, the reasons for return.)

c. Reasonable efforts to preserve and reunify the family were not previously required, but due to a change in

*Note: Contrary to the welfare findings (item 13) must be made when the juvenile is initially removed, and if returned home, at any
subsequent removal. Reasonable efforts findings (items 14 and 15) must be made within 60 days of the removal of the juvenile from the
home, and if returned home, at any subsequent removal.

Order of Disposition, Out-of-Home (Delinquency Proceedings)
Page 3 of 3

(12/22)

Case No.

IT IS ORDERED:
16. The juvenile is placed in the temporary custody of this court.

17.

a. The juvenile is placed with

Name of relative or court-supervised foster care home

b. The juvenile is referred to the department for placement and care under MCL 400.55(h).

c. The juvenile is placed in and shall satisfactorily complete the juvenile boot camp program established by the

department. After satisfactorily completing the program, the juvenile shall be placed in the home of

and shall complete a minimum of 120 to a maximum of 180 days of intensive supervised probation in the
community.

d. The juvenile is committed to the department under MCL 803.301 (Y.R.A.). The director of the department is

appointed special guardian to receive any benefits now due or to become due to the juvenile from the government
of the United States. Pending transfer to the department, temporary placement is as follows:

18. The juvenile is placed on probation. Probation terms are

attached.

specified in a separate order of probation.

19. Financial obligations are ordered as follows:

a. The juvenile shall pay

$25.00 for Crime Victim’s Rights Fund.

State minimum costs

Specify for each count

DNA assessment (not required if item 7 is checked).

Fine (as provided by law).

b. Restitution as follows: (See MCL 780.794. Specify payor.)

c. Reimbursement as follows: (For example, cost of care. Specify payor.)

d. Other: (For example, attorney fees, fines, or other. Specify payor.)

e. Fines, costs, and fees not paid within 56 days of the due date are subject to a 20% late penalty on the amount owed.
The due date for payment is

20. Other: (Include reimbursement as required by MCL 712A.18[2] or as permitted by MCL 769.1f.)

21. The review hearing is

Date and time

Recommended by:

Referee signature and date

Judge signature and date

JC 14b, Order of Disposition, Out-of-Home (Delinquency Proceedings)

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/juvenile-proceedings (2023-03)
Page(s): 3
Fields(s): 109
Average fields per page: 36
Reading Level: Grade 9
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.

Here are the fields we could identify.

stat_e_n_l_county was STATE OF MICHIGAN JUDICIAL CIRCUIT FAMILY DIVISION COUNTY (0.64 conf)
matter was In the matter of (0.33 conf)
ctntcn was CTNTCN (0.35 conf)
sid was SID (0.35 conf)
users1_birthdate was DOB (1.00 conf)
date_hearing was 1 Date of hearing (0.37 conf)
judge_referee was JudgeReferee (0.46 conf)
represented_attorney was was represented by an attorney (0.41 conf)
waived_representation_attorney was waived representation by an attorney (0.45 conf)
count_row__1 was CountRow1 (0.35 conf)
dismisse_row__1 was DISMISSED ByRow1 (0.35 conf)
allegations_row__1 was ALLEGATIONSRow1 (0.46 conf)
e_code_mc_l_citation_pac_c__1 was CHARGE CODES MCL CitationPACC CodeRow1 (0.39 conf)
count_row__2 was CountRow2 (0.35 conf)
court_row__1 was CourtRow2 (0.45 conf)
dismisse_row__2 was DISMISSED ByRow2 (0.35 conf)
allegations_row__2 was ALLEGATIONSRow2 (0.46 conf)
e_code_mc_l_citation_pac_c__2 was CHARGE CODES MCL CitationPACC CodeRow2 (0.39 conf)
count_row__3 was CountRow3 (0.35 conf)
court_row__2 was CourtRow3 (0.45 conf)
dismisse_row__3 was DISMISSED ByRow3 (0.35 conf)
allegations_row__3 was ALLEGATIONSRow3 (0.46 conf)
e_code_mc_l_citation_pac_c__3 was CHARGE CODES MCL CitationPACC CodeRow3 (0.39 conf)
count_row__4 was CountRow4 (0.35 conf)
court_row__3 was CourtRow4 (0.45 conf)
dismisse_row__4 was DISMISSED ByRow4 (0.35 conf)
allegations_row__4 was ALLEGATIONSRow4 (0.46 conf)
e_code_mc_l_citation_pac_c__4 was CHARGE CODES MCL CitationPACC CodeRow4 (0.39 conf)
count_row__5 was CountRow5 (0.35 conf)
court_row__4 was CourtRow5 (0.45 conf)
dismisse_row__5 was DISMISSED ByRow5 (0.35 conf)
allegations_row__5 was ALLEGATIONSRow5 (0.46 conf)
e_code_mc_l_citation_pac_c__5 was CHARGE CODES MCL CitationPACC CodeRow5 (0.39 conf)
count_row__6 was CountRow6 (0.35 conf)
court_row__5 was CourtRow6 (0.45 conf)
dismisse_row__6 was DISMISSED ByRow6 (0.35 conf)
allegations_row__6 was ALLEGATIONSRow6 (0.46 conf)
e_code_mc_l_citation_pac_c__6 was CHARGE CODES MCL CitationPACC CodeRow6 (0.39 conf)
testing_offender_registration_completed was 6 HIV testing and sex offender registration are completed (0.39 conf)
already_previous_required was 7 A DNA sample is already on file with the Michigan State Police from a previous petition No assessment is required (0.41 conf)
data_accordance_mc was 8 The juveniles biometric data has been collected in accordance with MCL 28243 (0.37 conf)
state_mc_l was 9 The offense adjudicated is abstractable to the Secretary of State under MCL 25762521a MCL 257732 (0.45 conf)
drivers_license_number was The juveniles drivers license number is (0.39 conf)
county was County (0.39 conf)
petition was Petition No (0.49 conf)
judge was Judge (0.39 conf)
court_telephone was Court telephone no (0.51 conf)
mi was ORI MI (0.45 conf)
court_address was Court address (0.42 conf)
court_row__6 was CourtRow1 (0.45 conf)
plea__1 was Plea101 (0.35 conf)
plea__2 was Plea102 (0.35 conf)
plea__3 was Plea103 (0.35 conf)
plea__4 was Plea104 (0.35 conf)
plea__5 was Plea105 (0.35 conf)
plea__6 was Plea106 (0.35 conf)
jury__1 was Jury101 (0.35 conf)
jury__2 was Jury102 (0.35 conf)
jury__3 was Jury103 (0.35 conf)
jury__4 was Jury104 (0.35 conf)
jury__5 was Jury105 (0.35 conf)
jury__6 was Jury106 (0.35 conf)
text__1 was Text7 (0.35 conf)
michigan_state_police_mc was 10 The licensing sanction is reportable to the Michigan State Police under MCL 25762521b (0.48 conf)
days__1 was days (0.38 conf)
revoked was Revoked (0.47 conf)
suspended was Suspended (0.33 conf)
restricted was Restricted (0.38 conf)
days__2 was days_2 (0.38 conf)
must_institution_outside was 12 The juvenile must be placed in an institution outside Michigan because (0.36 conf)
contrary_welfare_remain was 13 It is contrary to the welfare of the juvenile to remain in the home because (0.35 conf)
unknown__1 was 14 (0.38 conf)
unknown__2 was 15 (0.38 conf)
reasonable_prevent_made was a Reasonable efforts to prevent removal of the juvenile from the home were not made (0.37 conf)
reasonable_efforts_made was b Reasonable efforts were made prior to the placement of the juvenile in foster or other outofhome care to (0.30 conf)
reasonable_efforts_possible was a Reasonable efforts shall be made to preserve and reunify the family to make it possible for the juvenile to safely (0.40 conf)
made_would_detrimental was b Reasonable efforts shall not be made to preserve and reunify the family because it would be detrimental to the (0.34 conf)
previously_due_change was c Reasonable efforts to preserve and reunify the family were not previously required but due to a change in (0.30 conf)
text__2 was Text8 (0.35 conf)
text__3 was Text9 (0.35 conf)
text__4 was Text10 (0.35 conf)
name_relative_care was Name of relative or courtsupervised foster care home (0.38 conf)
juvenile_placed was a The juvenile is placed with (0.35 conf)
b_department_placement_care_mc was b The juvenile is referred to the department for placement and care under MCL 40055h (0.39 conf)
placed_complete_program was c The juvenile is placed in and shall satisfactorily complete the juvenile boot camp program established by the (0.36 conf)
juvenile_committed_department_mc_l_yr_director was d The juvenile is committed to the department under MCL 803301 YRA The director of the department is (0.37 conf)
shall_minimum_probation was and shall complete a minimum of 120 to a maximum of 180 days of intensive supervised probation in the (0.42 conf)
placed_probation_terms was 18 The juvenile is placed on probation Probation terms are (0.39 conf)
attached was attached (0.43 conf)
specified_order_probation was specified in a separate order of probation (0.36 conf)
crime_victims_rights_fund was 2500 for Crime Victims Rights Fund (0.47 conf)
state_minimum_costs was State minimum costs (0.52 conf)
specify_count was Specify for each count (0.35 conf)
assessment_required_item_checked was DNA assessment not required if item 7 is checked (0.35 conf)
undefined__1 was undefined (0.38 conf)
undefined__2 was undefined_2 (0.39 conf)
fine_provided_law was Fine as provided by law (0.51 conf)
restitution_follows_see_specify_payor was b Restitution as follows See MCL 780794 Specify payor (0.46 conf)
reimbursement_follows_example_payor was c Reimbursement as follows For example cost of care Specify payor (0.35 conf)
fees_fines_specify_payor was d Other For example attorney fees fines or other Specify payor (0.39 conf)
due_date_payment was The due date for payment is (0.36 conf)
include_reimbursement_required_permitted was 20 Other Include reimbursement as required by MCL 712A182 or as permitted by MCL 7691f (0.52 conf)
review_hearing was 21 The review hearing is (0.32 conf)
date_time was Date and time (0.34 conf)
text__5 was Text11 (0.35 conf)
text__6 was Text12 (0.35 conf)
text__7 was Text13 (0.35 conf)
text__8 was Text14 (0.35 conf)
text__9 was Text15 (0.35 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

sid

Suggested Screen 1:

date_hearing
due_date_payment
review_hearing

Suggested Screen 2:

judge_referee
judge

Suggested Screen 3:

ctntcn
users1_birthdate
count_row__1
dismisse_row__1
allegations_row__1
count_row__2
court_row__1
dismisse_row__2
allegations_row__2
count_row__3
court_row__2
dismisse_row__3
allegations_row__3
count_row__4
court_row__3
dismisse_row__4
allegations_row__4
count_row__5
court_row__4
dismisse_row__5
allegations_row__5
count_row__6
court_row__5
dismisse_row__6
allegations_row__6
court_row__6
days__1
days__2
unknown__1
unknown__2
undefined__1
undefined__2

Suggested Screen 4:

stat_e_n_l_county
e_code_mc_l_citation_pac_c__1
e_code_mc_l_citation_pac_c__2
e_code_mc_l_citation_pac_c__3
e_code_mc_l_citation_pac_c__4
e_code_mc_l_citation_pac_c__5
e_code_mc_l_citation_pac_c__6
state_mc_l
michigan_state_police_mc
b_department_placement_care_mc
juvenile_committed_department_mc_l_yr_director

Suggested Screen 5:

county

Suggested Screen 6:

mi

Suggested Screen 7:

represented_attorney
petition
court_telephone
court_address

Suggested Screen 8:

plea__1
plea__2
plea__3
plea__4
plea__5
plea__6

Suggested Screen 9:

jury__1
jury__2
jury__3
jury__4
jury__5
jury__6

Suggested Screen 10:

suspended

Suggested Screen 11:

restricted

Suggested Screen 12:

matter
data_accordance_mc
contrary_welfare_remain
reasonable_prevent_made
reasonable_efforts_made
reasonable_efforts_possible
made_would_detrimental
name_relative_care
specify_count

Suggested Screen 13:

text__1
text__2
text__3
text__4
text__5
text__6
text__7
text__8
text__9

Suggested Screen 14:

juvenile_placed

Suggested Screen 15:

drivers_license_number
revoked
shall_minimum_probation
placed_probation_terms

Suggested Screen 16:

attached

Suggested Screen 17:

testing_offender_registration_completed
already_previous_required
previously_due_change
placed_complete_program
specified_order_probation
state_minimum_costs
assessment_required_item_checked
fine_provided_law

Suggested Screen 18:

waived_representation_attorney
must_institution_outside
crime_victims_rights_fund
restitution_follows_see_specify_payor
reimbursement_follows_example_payor
fees_fines_specify_payor
include_reimbursement_required_permitted
date_time

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

JC 14b, Order of Disposition, Out-of-Home (Delinquency Proceedings)

About This Form:

Identified Data Fields:

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