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PCM 211Mandatory

Notice of Hospitalization and Certificate of Service

Michigan · Michigan State Court Administrative Office · Effective September 1, 2016

This form is a notice used in probate court to tell the court that a person has been hospitalized. It also includes a section to prove that certain documents were given to the person, their guardian, and their attorney.

The court describes it as: Court rule / statute: MCL 330.1430, MCL 330.1431, MCL 330.1448, MCL 330.1449

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 when a person has been hospitalized and documents related to that hospitalization need to be officially filed with the probate court.

Either party may file.

Common questions

What is this form for?
This form is a Notice of Hospitalization and Certificate of Service filed in the Probate Court. It notifies the court about a person's hospitalization and proves that certain documents were given to the person and others.
Who fills out this form?
The form requires signatures and dates, suggesting it is completed by someone involved in the hospitalization process.
Does this form involve a fee?
The provided text does not mention any filing fees for this form.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect September 1, 2016.

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