STATE OF MICHIGAN
JUDICIAL DISTRICT
JUDICIAL CIRCUIT
COUNTY PROBATE
MOTION, AFFIDAVIT, AND BENCH
WARRANT
CASE NO. and JUDGE
ORI
MI-
Court address Court telephone no.
Police Report No.
Approved, SCAO
Form MC 229, Rev. 9/22
MCL 600.1711(2), MCL 764.3(4), MCL 764.9e, MCR 3.606, MCR 6.103(A),
MCR 6.106(I), MCR 6.615(B)
Page 1 of 2
Distribute form to:
Police
Court
Plaintiff
The People of the State of Michigan
v
Defendant/Respondent name, address, and telephone no.
Civil Criminal
Current Charge
CTN SID
TCN
In the matter of
MOTION AND AFFIDAVIT
I request that a bench warrant be issued and
Name of defendant/respondent
be arrested and held in contempt for failure to appear.
held in contempt for the following reasons: (Specify in the space below)
This affidavit is made on my personal knowledge and, if sworn as a witness, I can testify competently to the facts in this
affidavit.
Signature
Subscribed and sworn to before me on
Date
.
Deputy clerk/Notary public signature
My commission expires on
.
Name (type or print)
Notary public, State of Michigan, County of
. Acting in the County of
.
This notarial act was performed using an electronic notarization system or a remote electronic notarization platform.
A motion and affidavit is not required when the
bench warrant is issued on the judge’s own motion.
Motion, Affidavit, and Bench Warrant (9/22)
Page 2 of 2
Case No.
TO ANY PEACE OFFICER OR COURT OFFICER AUTHORIZED TO MAKE ARREST, I order you to arrest:
Full name (type or print) Date of birth*
Address City State Zip DLN
Sex* Eye color Hair color Height Weight Race* Scars, tattoos, etc.
*These items must be filled in for the police/sheriff to enter on LEIN; the other items are not required but are helpful.
Bring the respondent before the court immediately, or respondent may be released when a cash or surety bond in the
amount of $
is posted for personal appearance before the court at its next session.
Judge signature and date
I have, on
Date
, taken defendant/respondent into custody as ordered by this warrant.
Date
Peace officer
BENCH WARRANT
RETURN