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PC 110

Petition and Ex Parte Order for Transport and/or Temporary Detention

Michigan · Michigan State Court Administrative Office · Effective August 1, 2025

This form is used to ask the court for an immediate order to take someone into custody and move them to a medical facility for observation or testing. It is based on the belief that an emergency exists and the person might be spreading a health threat.

The court describes it as: Court rule / statute: MCL 333.5207, MCR 3.614

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 local health officer believes there is an emergency and reasonable cause to believe an individual is a carrier and a health threat to others.

Prepared by the court or clerk.

Common questions

Who fills out this form?
A department representative, who is a local health officer, fills out this petition. The court also makes findings on the form.
What does the form ask for?
It asks the court to order the person to be taken into protective custody and transported to an emergency care or treatment facility.
Is a hearing needed?
The form requests that a hearing be held within 72 hours to decide if temporary detention should continue.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect August 1, 2025.

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