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PC 664Mandatory

Petition for Authority to Place Individual with Developmental Disability in a Facility

Michigan · Michigan State Court Administrative Office · Effective September 1, 2012

This form is a request to the court asking for permission to place a person with a developmental disability into a care facility. It asks the court to authorize temporary or short-term stays at specific locations for medical or administrative reasons.

The court describes it as: Court rule / statute: MCL 330.1100b, MCL 330.1509, MCL 330.1510, MCL 330.1623, MCR 5.746

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 someone needs court permission to admit an individual with a developmental disability to a facility.

Usually filed by the person starting the case.

Common questions

Who files this form?
The person filing this form states they are interested in the matter and are making the petition as the guardian of the individual. Great care should be taken to fill out the required information accurately.
What does this form ask the court for?
It asks the court to authorize the petitioner to admit the individual to a facility, either temporarily for up to 30 days, or for shorter periods for exams or admission.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect September 1, 2012.

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