Free dc119.pmd - Michigan


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State: Michigan
Category: Court Forms - State
Author: ByrdA
Word Count: 419 Words, 2,399 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://courts.michigan.gov/scao/courtforms/generalcivil/dc119.pdf

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Approved, SCAO

Original - Court 1st copy - Owner of animal

2nd copy - Complainant 3rd copy - Animal Control Authority

STATE OF MICHIGAN JUDICIAL DISTRICT
Court address

ORDER REGARDING DANGEROUS ANIMAL

CASE NO.

(GZ Case Type)

Court telephone no.

IN THE MATTER OF THE COURT FINDS: 1. The animal named above is considered dangerous. Specific findings of fact are on the record. IT IS ORDERED: 2. Pursuant to MCL 287.286a, the dog shall be destroyed at the expense of the owner. the owner of the dog shall confine the dog to the premises of the owner.

, a dangerous animal

The owner shall pay the following, to be collected by the county in accordance with MCL 287.286a(2). $ $ $ $ Damages Costs Other: (specify) Total

3. Pursuant to MCL 287.322, the animal shall be destroyed at the expense of the owner. the animal, being a dog, shall have an identification number tatooed on the upper inner left rear thigh by means of indelible or permanent ink by or under the supervision of a licensed veterinarian, at the expense of the owner. The identification number shall be assigned by the Michigan Department of Agriculture and shall be noted in its records. the animal shall be sterilized. the owner of the dog shall take the following steps to ensure that the animal cannot escape or that nonauthorized individuals cannot enter the premises: the owner shall obtain and maintain liability insurance coverage sufficient to protect the public from any damage or harm caused by the animal. the owner shall: (Specify any other action appropriate to protect the public.)

Date (Check when applicable.)

Judge/Magistrate

Bar no.

NOTICE TO ANIMAL CONTROL

The court found that the animal is dangerous but did not cause serious injury or death to a person. The name of the owner and the address at which the dangerous animal was kept at the time of this finding are: (Specify.)

CERTIFICATE OF MAILING I certify that on this date I served a copy of this order on the owner of the animal and the complainant by first-class mail addressed to their last-known addresses as defined in MCR 2.107(C)(3). I also certify that on this date I served a copy of this order and notice on the animal control authority for the county by first-class mail addressed to his/her last-known address as defined in MCR 2.107(C)(3).
Date DC 119 (3/08) Signature

ORDER REGARDING DANGEROUS ANIMAL

MCL 287.286a, MCL 287.322