Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY

Original - Court
1st copy - Prosecuting official

ORDER AFTER HEARING ON SHOW CAUSE
FOR VIOLATING VALID PERSONAL/
FOREIGN PROTECTION  ORDER

2nd copy - Petitioner
3rd copy - Respondent (if applicable)
4th copy - Michigan State Police CJIC

CASE NO.

Court  address

Court  telephone  no.

Police Report No.

Petitioner's name

Address and telephone no. where court can reach petitioner

Respondent's name, address, and telephone no.

v

CTN/TCN

Date of birth (if known)

PACC Code MCL 600.2950

PACC Code MCL 600.2950a

PACC Code MCL 600.2950m

Date of hearing:

Judge:

1. Order entered after show-cause hearing requested by petitioner pursuant to MCR 3.708(B).
THE COURT FINDS:

2. The respondent was present at the show-cause hearing on violation of a valid personal/foreign protection order and was

advised of his/her rights.

3. The respondent pled guilty to the violations in the motion to show cause (complete item 10 and, if appropriate, items 11 and 12).

4. Specific findings of fact are stated on the record.

5. The respondent failed to appear as ordered and a bench warrant should issue for his/her arrest.

IT IS ORDERED:

6. A bench warrant shall issue for the respondent's arrest.
show cause
7. The hearing on the

bench warrant

is adjourned to

8. The order to show cause is dismissed.

9. A hearing on the violation is scheduled for

Date

Reason:

at

Location

10. The respondent shall be committed to

days in the county jail.

11. The respondent shall pay a fine of $

to be paid as follows:

at

Time

in accordance with MCR 3.708(F).

12. The respondent shall reimburse

Name of state or local unit of government

for expenses incurred

in relation to the violation as follows:

13. Other:

Date

Judge

TO THE CLERK OF THE COURT:
When item 3 is checked, you are required to send this order to the Michigan State Police pursuant to MCL 769.16a, along with any
fingerprint card provided by the law enforcement agency.  If a TCN number has not been issued and no fingerprint card has been
provided, the taking of fingerprints must be ordered.

CC 382a   (3/12)   ORDER AFTER HEARING ON SHOW CAUSE FOR VIOLATING VALID PERSONAL/FOREIGN PROTECTION
MCL 769.1f, MCL 769.16a, MCR 3.708(D), (F)

ORDER

Bar no.

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