Skip to content
LitigationForms
JC 22

Blank (does not contain SCAO approval) (for second sheets or general purpose)

Michigan · Michigan State Court Administrative Office · Effective June 1, 2003

This form is a general purpose sheet used in the Michigan Judicial Circuit - Family Division. It provides space for case information like the county, case number, and petition number.

Open the official PDFfrom Michigan State Court Administrative Office

Where this fits in a case

General & info

Information / general use — not tied to one step of a case

This form is used in the Family Division of the Judicial Circuit Court.

Either party may file.

Common questions

What is this form for?
This form is a general purpose sheet for the Family Division of the Judicial Circuit Court.
Does this form start a case?
The form is for general use and provides space for case numbers, but the text does not say it starts a case.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect June 1, 2003.

Related forms

  • JC 55

    Diversion Record

    This form is a record used by the court to track a minor's case when the court is considering diversion. It asks the court to review several factors, such as the offense, the minor's background, and the best interests of the child.

    Fillable PDF
  • JC 78

    Waiver and Consent to Enter Teen Court (Diversion)

    This form is a Waiver and Consent used when a young person agrees to participate in a Teen Court program as an alternative to a formal court case. By signing, the juvenile and their parent or guardian confirm they understand the program is voluntary and agree to follow all its rules.

    Fillable PDF
  • JC 92

    Acceptance of Appointment (Juvenile Guardian)

    This form is used to officially state that a person accepts the role of a juvenile guardian. By signing it, the person agrees to the appointment and to follow the court's rules.

    MandatoryFillable PDF
  • JC 94

    Annual Report of Juvenile Guardian on Condition of Child

    This form is an annual report that a juvenile guardian must fill out for the court. It asks for updates on the child's living situation, physical and mental health, school attendance, activities, and time spent with parents.

    MandatoryFillable PDF
  • CCFD 01

    Petition for Placement Order of Surrendered Newborn Child

    This form is a request to the court asking for permission to place a newborn child with a prospective adoptive parent. It asks the court to allow the child-placing agency and the prospective adoptive parents to provide care for the baby.

    Fillable PDF
  • CCFD 02

    Order Placing Surrendered Newborn with Prospective Adoptive Parents

    This form is an order from the court that gives permission to place a newborn baby, who was surrendered, with people who plan to adopt the child. It states that the court believes placing the child with these parents is necessary.

    Fillable PDF
  • CCFD 03

    Petition of Parent for Custody of Surrendered Newborn Child

    This form is used when a parent wants to ask the court for custody of a newborn child that was surrendered. It asks the court to give the parent custody and may ask for blood or tissue typing if the law requires it.

    Fillable PDF
  • CCFD 04

    Order for Blood or Tissue Typing or DNA Profile (Safe Delivery of Newborn Act)

    This form is an order from the court that directs a blood or tissue typing or DNA profile test to be done. It is used when a petition for custody of a newborn child has been filed, and testing is needed to see if the person claiming to be the parent is the biological parent.

    Fillable PDF