Personal Service on Prisoner and Affidavit
Michigan · Michigan State Court Administrative Office · Effective March 1, 2013
This form is used to ask a prison official to deliver court papers to a person who is in jail or prison. It includes sections for the official to complete an affidavit if the prisoner does not sign for the papers, or for the prisoner to sign an acknowledgment if they receive them.
The court describes it as: Court rule / statute: MCR 2.103(C), MCR 2.105, MCR 5.103(B)
Where this fits in a case
General & infoInformation / general use — not tied to one step of a case
This form is used when a party needs to officially serve court documents to a defendant who is currently incarcerated.
Either party may file.
Common questions
- What is this form for?
- This form is used to request that a prison official serve court papers to a prisoner. It includes sections for proving service was completed. Great care must be taken when filling out the affidavit or acknowledgment sections. The form is titled Personal Service on Prisoner and Affidavit.
- Who fills out the affidavit part?
- The affidavit section is for use when the prisoner does not sign for the papers. The person completing the affidavit must state they personally served the papers.
- Does the prisoner sign something?
- Yes, if the prisoner receives the papers, they can sign an Acknowledgment of Service. If they do not sign, the official must complete the affidavit.
Revision history
No changes recorded since we started tracking this form on October 9, 2026. The current version took effect March 1, 2013.
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