Form MC 01, Summons Instructions

Please provide any additional attachments that were received along with the summons and complaint.

Please enter the name of the entity or individual on whose behalf the service is being acknowledged.

Please enter the full name of the person acknowledging service.

Please list any attachments that were received with the summons and complaint.

Please provide the date of acknowledgment for the received service.

Enter the official case number assigned to this legal proceeding.

Check this box if the civil action is a business case, or if all or part of the action includes a business or commercial dispute under MCL 600.8035.

Check this box if MDHHS and/or a contracted health plan may have a right to recover expenses in this case, and you certify that notice and a copy of the complaint will be provided in accordance with MCL 400.106(4).

Check this box if there is no other pending or resolved civil action arising out of the same transaction or occurrence as alleged in the complaint.

Check this box if a civil action between these parties or other parties, arising out of the transaction or occurrence alleged in the complaint, has been previously filed.

Enter the specific judicial district name where the court is located.

Enter the specific judicial circuit name where the court is located.

Enter the name of the county where the court is located.

Provide the complete physical address of the court.

Enter the telephone number for the court.

Provide the defendant's full name, current address, and telephone number in this field.

Check this box if there are no pending or resolved cases within the jurisdiction of the family division of the circuit court involving the family or family members who are the subject of the complaint.

Check this box if there is one or more pending or resolved cases within the jurisdiction of the family division of the circuit court involving the family or family members who are the subject of the complaint, and you have filed a confidential case inventory (MC 21).

Check this box if it is unknown whether there are pending or resolved cases within the jurisdiction of the family division of the circuit court involving the family or family members who are the subject of the complaint.

Please enter the monetary amount charged for the incorrect address fee.

Please enter the number of miles traveled due to the incorrect address.

Please enter the fee amount associated with the miles traveled due to the incorrect address.

Provide the full name, complete mailing address, and telephone number of the plaintiff.

Provide the plaintiff's attorney's bar number, full address, and telephone number.

Check this box if the previous action is still pending. Fill only if 'Previously Filed Civil Action' is 'Yes'.

Check this box if the previous action is no longer pending. Fill only if 'Previously Filed Civil Action' is 'Yes'.

Check this box if a civil action between these parties or other parties arising out of the same transaction or occurrence as alleged in the complaint was previously filed in this court. Fill only if 'Previously Filed Civil Action' is 'Yes'.

Check this box if a civil action between these parties or other parties arising out of the same transaction or occurrence as alleged in the complaint was previously filed in another court. Fill only if 'Previously Filed Civil Action' is 'Yes'.

Provide the name of the court where the previous civil action was filed. Fill only if 'Previously Filed Civil Action' is 'Yes'.

Enter the case number assigned to the previously filed civil action. Fill only if 'Previously Filed Civil Action' is 'Yes'.

Enter the name of the judge to whom the previously filed civil action was assigned. Fill only if 'Previously Filed Civil Action' is 'Yes'.

Check this box if the person serving the documents is a sheriff, deputy sheriff, bailiff, appointed court officer, or an attorney for one of the parties.

Check this box if the person serving the documents is a legally competent adult who is not a party to the case or an officer of a corporate party.

Please provide the signature of the server.

Please provide the typed or printed full name of the server.

Please enter the full name of the person or entity that was served. Fill only if 'Service Completed', 'Unable to Complete Service' is 'Yes', any.

Please enter the date and time when the service was completed. Fill only if 'Service Completed' is 'Yes'.

Please enter the full physical address or place where the service was performed. Fill only if 'Service Completed', 'Unable to Complete Service' is 'Yes', any.

Please list any attachments that were included with the summons and complaint during service. Fill only if 'Service Completed', 'Unable to Complete Service' is 'Yes', any.

Enter the amount charged for the service fee.

Enter the total number of miles traveled for the service.

Enter the fee charged for the miles traveled.

Check this box if service of the summons and complaint has been successfully completed.

Check this box if service was completed by personally delivering the documents to the addressee. Fill only if 'Service Completed' is 'Yes'.

Check this box if service was completed by registered or certified mail with return receipt requested and delivery restricted to the addressee, and a copy of the return receipt is attached. Fill only if 'Service Completed' is 'Yes'.

Check this box if you have attempted to serve the summons and complaint but were unable to complete service.

Enter the date the summons was issued.

Enter the date by which the summons must be served to be valid.

Enter the name of the court clerk responsible for this summons.

Enter the total sum of all applicable fees.