This form contains 201 fields organized into 31 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Arrest Details
Arrest Date Date
Enter the date on which the defendant was arrested.
Arrest Time Time
Enter the time at which the defendant was arrested.
Place of Arrest Text
Enter the location where the defendant was arrested (e.g., address, city, and state, if applicable).
Arrest Immediately Order (Option a)
a. Arrest and bring defendant before District Court immediately Checkbox
Check this box if the judge orders the defendant to be arrested and brought before the District Court immediately.
Court to Appear Before (Option a) Text
Enter the name or location of the District Court before which the defendant must be brought immediately under option (a). Fill only if 'a. Arrest and bring defendant before District Court immediately' is 'Yes'.
Depends on: a. Arrest and bring defendant before District Court immediately
Bindover Appearance Date and Time
Defendant bound over to circuit court to appear (date/time) Checkbox
Check this box if the defendant is being bound over to circuit court and you are specifying the required appearance date and time.
Bindover Appearance Date Date
Enter the date the defendant is bound over to circuit court to appear. Fill only if 'Defendant bound over to circuit court to appear (date/time)' is 'Yes'.
Depends on: Defendant bound over to circuit court to appear (date/time)
Bindover Appearance Time Time
Enter the time the defendant is bound over to circuit court to appear. Fill only if 'Defendant bound over to circuit court to appear (date/time)' is 'Yes'.
Depends on: Defendant bound over to circuit court to appear (date/time)
Bindover to Circuit Court Appearance and Charges
Bound over to circuit court criminal division to appear Checkbox
Check this box if the juvenile is being bound over to the circuit court criminal division to appear on the specified date and time.
Circuit Court Appearance Date Date
Enter the date the juvenile is scheduled to appear in the circuit court criminal division. Fill only if 'Bound over to circuit court criminal division to appear' is 'Yes'.
Depends on: Bound over to circuit court criminal division to appear
Circuit Court Appearance Time Time
Enter the time the juvenile is scheduled to appear in the circuit court criminal division. Fill only if 'Bound over to circuit court criminal division to appear' is 'Yes'.
Depends on: Bound over to circuit court criminal division to appear
On the charge(s) in the complaint Checkbox
Check this box if the juvenile will appear in circuit court on the charge(s) listed in the original complaint.
On the amended charge(s) Checkbox
Check this box if the juvenile will appear in circuit court on amended charge(s), and complete the amended charge and MCL/PACC code fields.
Amended Charge(s) Text
Enter the amended charge or charges being pursued (as stated in the amended complaint). Fill only if 'On the amended charge(s)' is 'Yes'.
Depends on: On the amended charge(s)
Amended Charge Statute Citation Text
Enter the statute citation for the amended charge(s) (e.g., the MCL section reference). Fill only if 'On the amended charge(s)' is 'Yes'.
Depends on: On the amended charge(s)
MCL/PACC Code Text
Enter the MCL/PACC code corresponding to the amended charge(s). Fill only if 'On the amended charge(s)' is 'Yes'.
Depends on: On the amended charge(s)
Bindover/Transfer after Preliminary Examination (4/25) 
Case Number Text
Enter the court case number associated with this bindover/transfer after preliminary examination.
Bond Amount, Type, and Posted
Bond Amount Number
Enter the dollar amount of the bond that has been set for the defendant.
Type of Bond Text
Enter the type of bond ordered (e.g., cash/surety/personal recognizance) for the defendant.
Posted Checkbox
Check this box if the bond has been posted (paid/deposited) for this case.
Bond Amount Number
Enter the dollar amount of the bond set by the court.
Type of Bond Text
Enter the type of bond that was set (e.g., cash, surety, personal recognizance).
Posted Checkbox
Check this box if the bond has been posted after being set.
Bring Defendant Before Court Order (Option b)
Order to bring defendant before District Court Checkbox
Check this box if the judge/magistrate orders that the defendant be brought before the specified District Court.
District Court to Appear Before Text
Enter the name or identifier of the District Court before which the defendant must be brought under option (b). Fill only if 'Order to bring defendant before District Court' is 'Yes'.
Depends on: Order to bring defendant before District Court
Case Number
Case Number Text
Enter the court case number associated with this warrant return.
CERTIFICATION AFTER BINDOVER
Circuit Court (County/Location) Text
Enter the county or location name that completes the phrase identifying the circuit court criminal division to which the case file was transmitted. Fill only if 'The defendant is bound over to circuit court' is 'Yes'.
Depends on: Defendant bound over to circuit court to appear (date/time)
Charge Selection and MCL/PACC Code
On the charge(s) in the complaint Checkbox
Check this box if the defendant is being bound over to circuit court on the original charge(s) listed in the complaint.
On the amended charge(s) Checkbox
Check this box if the defendant is being bound over to circuit court on amended charge(s) (and complete the amended charge and MCL/PACC code fields).
Amended Charge(s) Text
Enter the amended charge or charges the defendant is being bound over on. Fill only if 'On the amended charge(s)' is 'Yes'.
Depends on: On the amended charge(s)
Charge(s) in Complaint Text
Enter the charge or charges listed in the complaint that the defendant is being bound over on. Fill only if 'On the amended charge(s)' is 'Yes'.
Depends on: On the amended charge(s)
MCL/PACC Code Text
Enter the applicable MCL/PACC code corresponding to the selected charge(s). Fill only if 'On the amended charge(s)' is 'Yes'.
Depends on: On the amended charge(s)
Codefendant(s)
codefendants Text
Codefendant(s) (if known) Text
Enter the name(s) of any codefendant(s) involved in this case, if known.
Complaint Narrative (County and Allegations)
county of Text
complaining witness description Text
County Text
Enter the name of the Michigan county where this complaint/information is filed.
Allegations / Complaint Narrative Text
Provide the narrative description of the defendant’s alleged conduct, including the relevant date and location referenced in the statement.
Court and Case Information
amended CheckBox
Amended Checkbox
Check this box if this felony information document is an amended (revised) version of a previously filed information.
district Text
circuit Text
judge Text
district case number Text
circuit case number Text
court address Text
court telephone number Text
district court O R I Text
circuit court O R I Text
Judicial District Text
Enter the judicial district number or designation for the court handling this case.
Judicial Circuit Text
Enter the judicial circuit number or designation for the court handling this case.
Judge Text
Enter the name of the judge assigned to this case.
District Case Number Text
Enter the district court case number for this matter.
Circuit Case Number Text
Enter the circuit court case number for this matter.
Court Address Text
Enter the full mailing address of the court.
Court Telephone Number Text
Enter the court’s telephone number.
District Court ORI Text
Enter the District Court ORI code following “MI-”.
Circuit Court ORI Text
Enter the Circuit Court ORI code following “MI-”.
Defendant Information
Police Agency Report Number Text
Enter the police agency’s report number for this incident or case.
defendant name and address Text
city township village Text
county in michigan Text
T C N Text
C T N Text
S I D Text
operator or chauffer CheckBox
C D L CheckBox
vehicle type 1 Text
vehicle type 2 Text
sex Text
race Text
Defendant Name and Address Text
Enter the defendant’s full legal name and current mailing address.
City/Township/Village Text
Enter the city, township, or village for the defendant’s address.
County (Michigan) Text
Enter the Michigan county associated with the defendant’s address or case.
Defendant TCN Text
Enter the defendant’s Transaction Control Number (TCN), if available.
Defendant CTN Text
Enter the defendant’s Court Tracking Number (CTN), if available.
Defendant SID Text
Enter the defendant’s State Identification Number (SID), if known.
Oper./Chauf. Checkbox
Check this box if the defendant’s driver’s license type is Operator/Chauffeur.
CDL Checkbox
Check this box if the defendant holds a Commercial Driver’s License (CDL).
Operator/Chauffeur/CDL Text
Enter the defendant’s driver license status or type (operator, chauffeur, and/or CDL) as applicable.
Vehicle Type Text
Enter the type of vehicle involved, if applicable.
Defendant Sex Text
Enter the defendant’s sex.
Defendant Race Text
Enter the defendant’s race.
Defense Counsel Information
Defense Counsel Name Text
Enter the name of the attorney representing the defendant.
Defense Counsel Bar Number Text
Enter the attorney's bar number.
Examination Held Date and Finding
Examination was held Checkbox
Check this box if a preliminary examination was held and you will enter the examination date on the line provided.
Examination Held Date Date
Enter the date on which the preliminary examination was held. Fill only if 'Examination was held' is 'Yes'.
Depends on: Examination was held
Probable cause for life offense and juvenile committed it Checkbox
Check this box if the examination found probable cause that a life offense occurred and probable cause that the juvenile committed the life offense. Fill only if 'Examination was held' is 'Yes'.
Depends on: Examination was held
No probable cause for life offense; probable cause for other crime Checkbox
Check this box if the examination found no probable cause that a life offense occurred or the juvenile committed it, but found probable cause that another offense (that would be a crime if committed by an adult) occurred and that the juvenile committed that offense. Fill only if 'Examination was held' is 'Yes'.
Depends on: Examination was held
Examination Status (Waived or Held) and Date
Examination was waived Checkbox
Check this box if the defendant waived the preliminary examination (and enter the waiver date on the line provided).
Examination Waived Date Date
Enter the date on which the preliminary examination was waived. Fill only if 'Examination was waived' is 'Yes'.
Depends on: Examination was waived
Examination was held Checkbox
Check this box if the preliminary examination was held (and enter the examination date on the line provided).
Examination Held Date Date
Enter the date on which the preliminary examination was held. Fill only if 'Examination was held' is 'Yes'.
Depends on: Examination was held
Examination Waived Date
Examination was waived Checkbox
Check this box if the preliminary examination was waived, and then enter the date it was waived on the line provided.
Examination Waived Date Date
Enter the date on which the preliminary examination was waived. Fill only if 'Examination was waived' is 'Yes'.
Depends on: Examination was waived
Examination Waiver Signatures
Defendant Attorney Name Text
Enter the name of the defendant’s attorney consenting to the examination waiver.
Defendant Attorney Bar Number Text
Enter the bar number of the defendant’s attorney.
Defendant Name Text
Enter the defendant’s name to acknowledge and sign the examination waiver.
Prosecuting Attorney Name Text
Enter the name of the prosecuting attorney consenting to the waiver.
Prosecuting Attorney Bar Number Text
Enter the bar number of the prosecuting attorney.
Form Date and District Judge
Form Date Date
Enter the date this bindover/transfer form is completed or signed.
District Judge Name Text
Enter the name of the district judge for this case.
General
district Text
circuit Text
judge Text
district case number Text
circuit case number Text
court address Text
court telephone number Text
district court O R I Text
circuit court O R I Text
defendant name and address Text
victim or complainant Text
complaining witness Text
codefendants Text
date on or about Text
city township village Text
county in Michigan Text
T C N Text
C T N Text
S I D Text
operator or chauffer CheckBox
C D L CheckBox
vehicle type 1 Text
vehicle type 2 Text
sex Text
race Text
maximum penalty Text
chemical testing CheckBox
Witnesses Text
Enter the names (and any identifying details) of witnesses for this case.
County Text
Enter the Michigan county in which this case is filed.
Allegations / Statement Text
Enter the narrative statement describing what the defendant is alleged to have done, including key facts such as date, location, and conduct.
Judicial District Text
Enter the judicial district number for the court.
Judicial Circuit Text
Enter the judicial circuit number for the court.
Judge Text
Enter the name of the judge assigned to the case.
District Case Number Text
Enter the district court case number.
Circuit Case Number Text
Enter the circuit court case number.
Court Address Text
Enter the mailing address of the court.
Court Telephone Number Text
Enter the court’s telephone number.
District Court ORI Text
Enter the District Court ORI (beginning with “MI-”).
Circuit Court ORI Text
Enter the Circuit Court ORI (beginning with “MI-”).
Defendant Name and Address Text
Enter the defendant’s full legal name and current address.
Victim / Complainant Text
Enter the name of the victim or complainant.
Complaining Witness Text
Enter the name of the complaining witness.
Codefendant(s) Text
Enter the name(s) of any codefendant(s), if known.
Date (On or About) Date
Enter the date on or about which the alleged offense occurred.
City/Township/Village Text
Enter the city, township, or village associated with the defendant’s address or location of the matter.
County in Michigan Text
Enter the Michigan county associated with the defendant’s address or location of the matter.
Defendant TCN Text
Enter the defendant’s Tracking Control Number (TCN), if available.
Defendant CTN Text
Enter the defendant’s CTN, if available.
Defendant SID Text
Enter the defendant’s State Identification Number (SID), if available.
Oper./Chauf. Checkbox
Check this box if the defendant has an Operator/Chauffeur driver license.
CDL Checkbox
Check this box if the defendant has a Commercial Driver License (CDL).
Operator/Chauffeur CDL Text
Enter the defendant’s operator/chauffeur or CDL information, if applicable.
Vehicle Type Text
Enter the vehicle type involved, if applicable.
Defendant Sex Text
Enter the defendant’s sex.
Defendant Race Text
Enter the defendant’s race.
Police Agency Report Number Text
Enter the police agency report number for this case.
Charge Text
Enter the charge(s) being filed in this information.
Maximum Penalty Text
Enter the maximum penalty associated with the charge(s).
chemical testing CheckBox
DNA sample on file (previous case) Checkbox
Check this box if a sample for chemical testing for DNA identification profiling is already on file with the Michigan State Police from a previous case.
Law Enforcement / Charge Details
charge Text
police agency report number Text
charge Text
maximum penalty Text
Police Agency Report Number Text
Enter the police agency’s report number associated with this case.
Charge Text
Enter the criminal charge being filed in this case.
Maximum Penalty Text
Enter the maximum penalty that applies to the listed charge.
DNA sample on file (Michigan State Police) Checkbox
Check this box if a sample for chemical testing for DNA identification profiling is already on file with the Michigan State Police from a previous case.
Prosecuting Attorney Signature and Date
Prosecuting Attorney Date Date
Enter the date the prosecuting attorney signs this information.
Prosecuting Attorney Signature Text
Provide the prosecuting attorney’s signature or typed name as the signer on the “By:” line.
Reporter/Recorder Certification
Reporter/Recorder Name Text
Enter the name of the reporter or recorder certifying this form.
Reporter/Recorder Certification Number Text
Enter the reporter/recorder certification number associated with the person certifying this form.
Return Officer Certification
Return Date Date
Enter the date the peace officer completed and signed the warrant return.
Peace Officer Name Text
Enter the full name of the peace officer certifying and completing the warrant return.
THE COURT FINDS
Complaint is for assaultive crime or domestic violence offense Checkbox
Check this box if the complaint is for an assaultive crime or an offense involving domestic violence as defined in MCL 764.1a.
Reason to believe person will not appear on summons Checkbox
Check this box if there is reason to believe from the complaint that the person against whom the complaint is made will not appear on a summons.
Issuance of summons poses a risk to public safety Checkbox
Check this box if issuing a summons would pose a risk to public safety.
Prosecutor has requested an arrest warrant Checkbox
Check this box if the prosecutor has requested an arrest warrant.
Transfer to Family Division Timing
Case transferred to family division Checkbox
Check this box when the case is being transferred to the family division of the circuit court for further proceedings.
Transfer immediately Checkbox
Check this box if the transfer to the family division takes effect immediately. Fill only if 'Case transferred to family division' is 'Yes'.
Depends on: Case transferred to family division
Transfer on specified date/time Checkbox
Check this box if the transfer to the family division will occur on the entered date and time. Fill only if 'Case transferred to family division' is 'Yes'.
Depends on: Case transferred to family division
Transfer to Family Division Date Date
Enter the date on which the case is transferred to the family division of the circuit court for further proceedings. Fill only if 'Transfer on specified date/time' is 'Yes'.
Depends on: Transfer on specified date/time
Transfer to Family Division Time Time
Enter the time at which the case is transferred to the family division of the circuit court for further proceedings. Fill only if 'Transfer on specified date/time' is 'Yes'.
Depends on: Transfer on specified date/time
Victim/Complainant and Incident Date
victim or complainant Text
complaining witness Text
date on or about Text
Victim or Complainant Text
Enter the name of the victim or complainant in this case.
Complaining Witness Text
Enter the name of the complaining witness for this case.
Incident Date (On or About) Date
Enter the date the incident occurred (on or about).
WARRANT FELONY
Defendant Date of Birth Date
Enter the defendant’s date of birth.
Defendant Driver License Number Text
Enter the defendant’s driver’s license number (DLN).
Warrant/Complaint Authorization and Witness Certification
Complaining witness requests defendant be apprehended Checkbox
Check this box if the complaining witness is asking that the defendant be apprehended and dealt with according to law.
Warrant Authorized Date Date
Enter the date on which the warrant was authorized.
Prosecuting Official Name Text
Enter the name of the prosecuting official authorizing the warrant or complaint.
Security for costs posted Checkbox
Check this box if security for costs has been posted in connection with this complaint/warrant request.
Complaining Witness Signature Text
Provide the complaining witness’s signature certifying the complaint is true to the best of their information, knowledge, and belief.
Witness Certification Date Date
Enter the date the complaining witness signed the certification.
Witnesses
witnesses Text
Witnesses Text
Enter the names and any identifying details (such as addresses or contact information) for all witnesses related to this case.