Free Request and Order for Review of Referee Recommendation - Michigan


File Size: 13.7 kB
Pages: 1
Date: February 12, 2008
File Format: PDF
State: Michigan
Category: Juvenile - Court Forms
Word Count: 164 Words, 1,013 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://courts.michigan.gov/scao/courtforms/juvenile/jc42.pdf

Download Request and Order for Review of Referee Recommendation ( 13.7 kB)


Preview Request and Order for Review of Referee Recommendation
Approved, SCAO

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

COUNTY
Court address

REQUEST AND ORDER FOR REVIEW OF REFEREE RECOMMENDATION

CASE NO. PETITION NO.

Court telephone no.

1. In the matter of
(name(s), alias(es), DOB)

REQUEST 2. I request that a judge review the referee recommendations in this matter entered on
Date

.

3. Grounds for review are as follows:

Signature Name (type or print)

Date

Address City, state, and zip Telephone no.

NOTE: This request must be filed with the court within 7 days after the conclusion of the inquiry or hearing or within 7 days after the issuance of the referee's written recommendation (as stated in item 2 above), whichever is later.

ORDER 4. IT IS ORDERED that the referee's recommendations referred to above are stayed pending decision on this review. modified as follows: affirmed. denied.

Date

Judge

Bar no.

Do not write below this line - For court use only

JC 42 (6/03)

REQUEST AND ORDER FOR REVIEW OF REFEREE RECOMMENDATION

MCR 3.991