Free pcm203.pmd - Michigan


File Size: 24.8 kB
Pages: 1
Date: February 13, 2008
File Format: PDF
State: Michigan
Category: Court Forms - State
Author: GentilozziT
Word Count: 166 Words, 1,077 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://courts.michigan.gov/scao/courtforms/mentalhealth/pcm203.pdf

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Approved, SCAO

JIS CODE: OBJ

STATE OF MICHIGAN PROBATE COURT COUNTY
CIRCUIT COURT - FAMILY DIVISION

OBJECTION TO ADMINISTRATIVE ADMISSION (INDIVIDUAL WITH DEVELOPMENTAL DISABILITY)

FILE NO.

In the matter of 1. I object to the administrative admission of
Name

, an individual with a developmental disability and request the

court to schedule a hearing on this objection. This objection is made within 30 days after the admission of the resident. after the first objection or six months after a prior objection.

Date

Signature

2. The person filing this objection is the resident. I am age 13 or older.
Name Address Telephone no. Relationship or reason interested in resident City State Zip

3. The resident was administratively admitted to on
Date Address

Name of center Name City State Zip

upon the application of

,

,
Telephone no.

who is the resident's

parent.

guardian.

person in loco parentis.

Do not write below this line - For court use only

MCL 330.1511 PCM 203 (9/07)

OBJECTION TO ADMINISTRATIVE ADMISSION (INDIVIDUAL WITH DEVELOPMENTAL DISABILITY)