Approved, SCAO
Original - Court 1st copy - Prosecuting official
STATE OF MICHIGAN JUDICIAL DISTRICT
CASE NO. NOTICE TO PROSECUTING OFFICIAL (VICTIM'S RIGHTS ACT)
Court telephone no.
ORI
Court address
MIPolice Report No.
The State of Michigan THE PEOPLE OF v
Defendant's name, address, and telephone no.
CTN/TCN
SID
DOB
TO:
Prosecuting official
County
City
Township
Date
Village of for a serious misdemeanor.
1.The named defendant was arraigned on
2. 3.
Assault and battery including domestic violence (MCL 750.81) Assault, infliction of serious injury including aggravated domestic violence (MCL 750.81a) Breaking and entering or illegal entry (MCL 750.115) Child abuse in the fourth degree (MCL 750.135b) Enticing a child for immoral purposes (MCL 750.145a) Discharge of a firearm, intentionally aimed at a person (MCL 750.234) Discharge of an intentionally aimed firearm resulting in injury (MCL 750.235) Indecent exposure (MCL 750.335a) Leaving the scene of a personal injury accident (MCL 257.617a) OWI/OWVI involving an accident resulting in injury to another's property or person (MCL 257.625, .625b, or 324.80176) Selling or furnishing alcoholic liquor to individual under 21 years of age resulting in physical injury or death to any individual (MCL 436.33) Stalking (MCL 750.411h) A violation of a local ordinance substantially corresponding to the offense checked above. A violation charged as a crime or serious misdemeanor (MCL 780.811) but subsequently reduced to or pleaded to as a misdemeanor. A plea of guilty no contest was accepted by the court. Sentencing is set for .
Date
A plea of not guilty was entered by the court. The next scheduled hearing is on
Name of hearing
Date
for .
4. Name(s) of victim(s):
Name Address City, state, zip Telephone no. Name Address City, state, zip Telephone no.
Date
Judge
Bar no.
COURT MUST NOTIFY PROSECUTING OFFICIAL WITHIN 48 HOURS OF ARRAIGNMENT: PROSECUTING OFFICIAL MUST NOTIFY VICTIM(S) OF THIS NOTICE WITHIN 48 HOURS OF RECEIPT. THIS NOTICE SHALL NOT BE A MATTER OF PUBLIC RECORD
DC 255 (6/04)
NOTICE TO PROSECUTING OFFICIAL (VICTIM'S RIGHTS ACT)
MCL 780.811, MCL 780.816