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Form MC 289, Wage Assignment, page 1
Basic · 43/100Form Complexity Index

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What this form asks for

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Form MC 289 is a legal document issued by the State of Michigan judicial system to formalize a wage assignment. It directs an employer to withhold a specific amount from an employee's earnings to pay court-ordered debts, such as restitution, either voluntarily by the employee or as ordered by a judge. This ensures that financial obligations to the court are met consistently. Today, this form can be filled out quickly and accurately using AI-powered services like Instafill.ai, which can also convert non-fillable PDF versions into interactive fillable forms.
Fillable fields58
Pages4
Form Complexity IndexBasic, 43/100

The AI checks your answers before you download

12 checks built for this form, so a wrong date or a missing answer is caught before anyone else sees it.

Case Number Presence and Consistency

This check ensures that the 'CASE NO.' field is populated on both pages of the form and that the value is identical on each page. A valid and consistent case number is critical for correctly filing the document and associating the wage assignment with the proper legal proceeding. If the case number is missing or mismatched, the form could be rejected by the court or applied to the wrong case.

Mutually Exclusive Reason for Order

Validates that either checkbox 1 (voluntary agreement) or checkbox 2 (order under MCL 769.1k) is selected, but not both. The form logic indicates these are mutually exclusive reasons for the wage assignment. Failure to select exactly one option makes the legal basis for the order ambiguous and would require clarification before processing.

Conditional Requirement for Voluntary Agreement

If checkbox 1 ('The defendant is on probation...') is selected, this validation ensures that the 'Date' and 'Signature of defendant' fields are completed. These fields are required to confirm the employee's voluntary consent to the wage assignment. Without the date and signature, the voluntary agreement is not legally valid, and the order cannot be processed on that basis.

Employee Identifier Format

This check verifies that the 'Last four digits of social security no. or employee ID no.' field contains a valid entry. It should typically be exactly four digits for an SSN or conform to a predefined format for an employee ID. This identifier is essential for the employer to accurately identify the correct employee, and an invalid format could lead to errors in applying the withholding.

Date of Birth Chronology

Ensures the 'Date of birth' provided for the employee is a valid date that occurs in the past. A future or invalid date is a clear data entry error and must be corrected for the employee's record to be accurate. This check prevents nonsensical data from being entered and helps confirm the identity of the individual.

Withholding Amount Validity

Validates that the withholding 'amount of $' is a positive numeric value greater than zero. A zero, negative, or non-numeric value is not a valid withholding amount and would make the order unenforceable. This check ensures the order specifies a clear, actionable amount for the employer to withhold.

And 6 more checks
  • Total Balance vs. Periodic Withholding
  • Employer Information Completeness
  • Judge's Signature Date Presence and Validity
  • Mailing Date Chronology
  • Court Telephone Number Format
  • Withholding Frequency Presence

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How to Fill Out MC 289 Online for Free in 2026

What the AI walks you through.

  1. Navigate to Instafill.ai and upload or select the Michigan Wage Assignment Form MC 289.
  2. Use the AI assistant to accurately input court information, including the judicial district, circuit, case number, and judge's name.
  3. Provide the employee's personal information, such as their full name, address, date of birth, and the last four digits of their SSN or employee ID.
  4. Indicate the reason for the assignment, either by checking the voluntary agreement box (which requires the defendant's signature) or the box for an order under MCL 769.1k.
  5. Enter the employer's name and address, the specific amount to be withheld per pay period, and the total balance owed.
  6. Review all entered information for accuracy before the judge signs and dates the order to make it legally binding.
  7. Once signed, use the platform to securely download, print, or share the completed form with all required parties, including the court, employee, and employer.

Common Mistakes in Completing MC 289

The ones the AI is built to catch.

Incorrect or Incomplete Case Number
Users often enter the wrong case number, transpose digits, or leave it blank. This typically happens when they don't have the official court documents on hand. An incorrect case number is a critical error that prevents the court from filing the document, leading to processing rejection, significant delays in the wage assignment, and potential non-compliance with the court's order.
Providing Full Social Security Number
The form specifically requests only the 'Last four digits of social security no.', but people frequently write their full SSN out of habit. This exposes sensitive personal information unnecessarily, increasing the risk of identity theft if the document is mishandled. Forms submitted with a full SSN may be rejected by the clerk's office to protect the individual's privacy.
Using an Incorrect Employer Name or Address
An employee might list their company's common brand name (e.g., 'Starbucks') instead of its legal business name, or provide a local store address instead of the corporate payroll processing address. This causes the legal order to be sent to the wrong entity or department, rendering it ineffective. To avoid this, one must obtain the precise legal name and the correct address for the HR or payroll department that handles wage garnishments.
Ambiguous Withholding Amount or Frequency
The form requires a specific amount and pay period (e.g., '$150 per week'). Common mistakes include leaving the 'per' field blank or using vague terms. This ambiguity makes it impossible for the employer to calculate the withholding correctly, leading to non-compliance, incorrect payments, and the need for a corrected court order to be issued.
Failure to Select the Basis for the Order
The form requires the user to check either Box 1 (voluntary agreement) or Box 2 (direct order), but not both. Users often get confused and either check both boxes or leave them both blank. This creates legal ambiguity about the authority for the wage assignment, causing the form to be rejected by the court or the employer.
Missing Defendant Signature on Voluntary Agreement
If the wage assignment is voluntary (Box 1 is checked), the defendant must sign and date the agreement section. It is common for a defendant to agree and check the box but forget to provide the required signature. Without a signature, the voluntary agreement is invalid, and the wage assignment cannot be processed on that basis, halting the entire procedure.
Omitting the Total Balance Due
Field 6 requires entering the 'Most recent balance' which acts as a cap on the total amount to be withheld. People often leave this blank because they don't have the exact figure available. This mistake can cause the wage assignment to continue indefinitely, leading to overpayment and requiring complicated refunds, whereas an incorrect balance can lead to underpayment and further legal issues.
Inconsistent Information Between Form Copies
This form is printed in two parts ('PART 1' for the employer, 'PART 2' for the court/employee), which must be identical. People sometimes make a correction on one copy but forget to update the other, especially with physical forms. This creates conflicting versions of the order, causing confusion and potential legal disputes over which terms are valid. Using a tool that populates data across all copies simultaneously prevents this.
Illegible Handwriting
Using messy or unclear handwriting on a legal document is a frequent problem. A poorly written name, address, or case number can be easily misinterpreted by the court clerk or employer's payroll staff. This leads to data entry errors that can cause the order to be misdirected, misfiled, or applied to the wrong person, completely derailing the process. To prevent this, print clearly or use a fillable PDF; tools like Instafill.ai can convert non-fillable PDFs into easy-to-type-in versions.
Forgetting to Complete the Certificate of Mailing
The Certificate of Mailing on page 2 is crucial for proving the order was legally served, but it is often overlooked and left unsigned or undated. Without this completed certificate, there is no official proof of service. This can give the employer or employee a valid reason to claim they never received the notice, invalidating the enforcement action and requiring the process to start over.
Using a Nickname Instead of a Full Legal Name
The form may be filled out using a common nickname for the employee (e.g., 'Mike' instead of 'Michael James'). An employer's payroll system, especially in a large company, may not be able to match a nickname to an official employee record. This can result in the order being returned as 'employee not found,' delaying the withholding process until a corrected form with the full legal name is submitted.

Frequently Asked Questions About MC 289

 

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How does the AI fill out MC 289?
You answer a few questions in plain words, or upload a document you already have. The AI reads what you give it and puts each answer into the right field of MC 289, on every page, in seconds. It checks the answers against the form's own rules, and you review and change anything before you download, print or sign.
What happens to my information?
It is encrypted in transit and at rest, and it is never used to train AI.
How complex is MC 289 to fill out?
MC 289 has a Form Complexity Index of 43 out of 100, in the basic tier: 58 fillable fields across 4 pages. Instafill.ai's AI fills it in under a minute, with every field there for you to review before you download.
What is the purpose of the Wage Assignment form (MC 289)?
This form is a court order that directs an employer to withhold a specific amount from an employee's wages to pay financial obligations, like restitution, owed to a Michigan court.
Who is this form for?
This form is used by the court for a defendant (employee) who has either missed restitution payments while on probation or has voluntarily agreed to have their wages assigned to pay court debts. It involves the court, the employee, and their employer.
Why would a wage assignment be issued against me?
A wage assignment is typically issued if you are on probation and have missed two or more scheduled restitution payments, or if you have signed the voluntary agreement on the form to pay your court financial obligations.
As an employee, can I be fired because of this wage assignment?
No. The form explicitly states that your employer cannot use this assignment as a basis for discharge or any other disciplinary action against you.
What information is required to complete this form?
The form requires the case number, court details, the employee's name, address, date of birth, and last four digits of their SSN or employee ID. It also requires the employer's name and address.
How is the amount to be withheld determined?
The court determines the specific dollar amount to be withheld from your earnings per pay period. This amount is specified in section 3 of the order.
How long will my wages be withheld?
The withholding will continue until the total balance listed in section 6 has been paid in full, or until the court issues a further order to stop the assignment.
I'm an employer. What are my responsibilities when I receive this form?
You are legally required to withhold the specified amount from the employee's earnings, starting one week after you receive the order. You must then forward the withheld funds to the court at the address provided, making sure to include the case number.
What is the difference between Part 1 and Part 2 of the form?
The main order is identical on both parts, but they are distributed differently. Part 1 is sent to the employer, while Part 2 is for the court's records and the employee.
What types of income are considered 'wages' for this assignment?
Wages are broadly defined as any compensation for personal services, including salary, commission, bonuses, and even periodic payments from a pension or retirement program.
Can I use an AI tool to help me fill out this form?
Yes, services like Instafill.ai use AI to accurately auto-fill form fields with your saved information, which can save time and help reduce errors.
How can I fill out the Wage Assignment form online?
To fill this form online, you can upload it to a platform like Instafill.ai. The service allows you to click on any field to type your information, add a signature, and then download or print the completed document.
The PDF of this form I have isn't fillable. What should I do?
You can use a service like Instafill.ai, which can convert flat, non-fillable PDFs into interactive forms. This allows you to easily type your information directly into the fields online.
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Other forms like this one

Michigan court forms: Form MC 03, Answer, Civil, Form MC 02, Appearance, Form MC 6, Notice to Appear, Form MC 01, Summons, State of Michigan, Form MC 01a, Complaint, Form MC 01b, Motion for Second Summons and Order, State of Michigan Blank Court Form, Form MC 07, Default Request and Entry, Form MC 07a, Default Request, Entry, and Judgment (Sum Certain), Form MC 09, Dismissal, Form MC 09a, Dismissal, Nonservice/No Progress, Form MC 10, Judgment, Civil, Form MC 11, Subpoena, Order to Appear and/or Produce, Request and Writ for Garnishment (Periodic), Form MC 13, Request and Writ for Garnishment (Nonperiodic), Form MC 14, Garnishee Disclosure, Form MC 15, Motion and Affidavit for Installment Payments/To Amend Order for Installment Payments, Form MC 15a, Order Regarding Installment Payments, Form MC 16, Motion to Set Aside Order for Installment Payments, State of Michigan, Form MC 16a, Order on Motion to Set Aside Order for Installment Payments

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