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CC 455

Sworn Written Petition After Immediate Emergency Ex Parte Extreme Risk Protection Order

Michigan · Michigan State Court Administrative Office · Effective February 1, 2024

This form is a sworn written petition used by a law enforcement officer to ask the court for an immediate, emergency, and temporary order to protect someone from extreme risk. It asks for details about the person involved, the reasons for the request, and information about firearms.

The court describes it as: Court rule / statute: MCL 691.1807, MCR 3.718

Open the official PDFfrom Michigan State Court Administrative Office

Where this fits in a case

Start a case

Stage: Start a case

This form is used when a law enforcement officer needs to ask the court for an immediate emergency order before a full hearing. It must be filed within one business day of the officer first asking for the order verbally.

Prepared by the court or clerk.

Common questions

Who must fill out this form?
The form must be completed and filed by a law enforcement officer. The officer is the one who speaks to the court and makes the request.
What must happen if this form is not filed on time?
If this form is not filed by the deadline, the immediate emergency order could end, any seized firearms might be returned, and the case could be dismissed.
Does this form require other paperwork?
The petitioner must also complete and file form CC 450, Confidential Information, with this petition.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect February 1, 2024.

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