Approved, SCAO
Original - Court 1st copy - Michigan State Police CJIC 2nd copy - Arresting Agency
3rd copy - Prosecutor 4th copy - Defendant
STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT
ORI
CASE NO. ASSIGNMENT TO YOUTHFUL TRAINEE STATUS
Court telephone no.
Court address
MI-
Police Report No. The State of Michigan THE PEOPLE OF v
CTN/TCN SID DOB Defendant's name, address, and telephone no.
Count
CRIME
CHARGE CODE(S) MCL citation/PACC Code
THE COURT FINDS: 1. The defendant is alleged to have committed a criminal offense, other than one listed in MCL 762.11. 2. The alleged criminal offense was committed on or after the defendant's seventeenth birthday, but before his/her twenty-first birthday. 3. The defendant has consented to assignment to youthful trainee status. 4. HIV testing and sex offender registration was completed. 5. The defendant has been fingerprinted according to MCL 28.243. IT IS ORDERED: 6. No judgment of conviction is entered. The defendant is assigned to youthful trainee status and is: (check one option only) a. committed to the department of corrections for custodial supervision and training for a period of in an institutional facility designated by the department for such purposes. b. placed on probation for not more than 3 years under the supervision of a department of corrections probation officer and shall abide by the terms of the attached probation order. c. placed on probation for not more than 2 years under the supervision of a probation officer and shall abide by the terms of the attached probation order. d. committed to the county jail for days beginning . Credit is given for days
Date
previously served. During this period defendant may be released for the purpose and during the times specified below: seeking work working at regular employment attendance at an educational institution Times: e. other: 7. Defendant shall pay:
State Minimum Crime Victim Restitution Court Costs Attorney Fees Fine Other Costs Total
$
$ $ $ $ $ $ $ The due date for payment is . Fine, costs, and fees not paid within 56 days of the due date are subject to a 20% late penalty on the amount owed. Only the fine and some costs may be satisfied by serving time in jail. Defendant shall serve days in jail beginning for failure to pay on time.
Judge/Magistrate Bar no.
Date
Under MCL 762.14 the court clerk, the arresting agency, and the State Police shall maintain this case as a nonpublic record.
MC 242 (5/07)
ASSIGNMENT TO YOUTHFUL TRAINEE STATUS
MCL 762.11 - MCL 762.14