Form CC386 "Proof of Service/Oral Notice Regarding Personal Protection Order" - Michigan

What Is Form CC386?

This is a legal form that was released by the Michigan Circuit Court - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2011;
  • The latest edition provided by the Michigan Circuit Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form CC386 by clicking the link below or browse more documents and templates provided by the Michigan Circuit Court.

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Download Form CC386 "Proof of Service/Oral Notice Regarding Personal Protection Order" - Michigan

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Original - Court file
Approved, SCAO
Copies as needed
STATE OF MICHIGAN
CASE NO.
PROOF OF SERVICE/ORAL NOTICE
JUDICIAL CIRCUIT
REGARDING
COUNTY
PERSONAL PROTECTION ORDER
Court address
Court telephone no.
Petitioner's name
Respondent's name, address, and telephone no.
v
Address and telephone no. where court can reach petitioner
AFFIDAVIT OF SERVICE
I certify that on
I personally served
Date
Respondent name
at
Address or location of service
with a copy of the personal protection order issued on
by the
Date
Circuit Court.
Officer signature
Law enforcement agency
Name (type or print)
Address
ID no.
City, state, zip
Telephone no.
Subscribed and sworn to before me on
,
County, Michigan.
Date
My commission expires:
Signature:
Date
Deputy court clerk/Notary public
Notary public, State of Michigan, County of
PROOF OF ORAL NOTICE
I certify that on
I orally notified
of
Date
Respondent name
the existence of a personal protection order issued on
by the
Date
Circuit Court. I also certify that the respondent was advised of the following:
the specific conduct enjoined.
the penalties for violating the order.
where the respondent could obtain a copy of the personal protection order.
Date
Officer signature
Name (type or print)
ID no.
Law enforcement agency
Address
City, state, zip
Telephone no.
MCL 600.2950(22), MCL 600.2950a(19), MCR 3.706(E)
PROOF OF SERVICE/ORAL NOTICE REGARDING PERSONAL PROTECTION ORDER
CC 386 (3/11)
Original - Court file
Approved, SCAO
Copies as needed
STATE OF MICHIGAN
CASE NO.
PROOF OF SERVICE/ORAL NOTICE
JUDICIAL CIRCUIT
REGARDING
COUNTY
PERSONAL PROTECTION ORDER
Court address
Court telephone no.
Petitioner's name
Respondent's name, address, and telephone no.
v
Address and telephone no. where court can reach petitioner
AFFIDAVIT OF SERVICE
I certify that on
I personally served
Date
Respondent name
at
Address or location of service
with a copy of the personal protection order issued on
by the
Date
Circuit Court.
Officer signature
Law enforcement agency
Name (type or print)
Address
ID no.
City, state, zip
Telephone no.
Subscribed and sworn to before me on
,
County, Michigan.
Date
My commission expires:
Signature:
Date
Deputy court clerk/Notary public
Notary public, State of Michigan, County of
PROOF OF ORAL NOTICE
I certify that on
I orally notified
of
Date
Respondent name
the existence of a personal protection order issued on
by the
Date
Circuit Court. I also certify that the respondent was advised of the following:
the specific conduct enjoined.
the penalties for violating the order.
where the respondent could obtain a copy of the personal protection order.
Date
Officer signature
Name (type or print)
ID no.
Law enforcement agency
Address
City, state, zip
Telephone no.
MCL 600.2950(22), MCL 600.2950a(19), MCR 3.706(E)
PROOF OF SERVICE/ORAL NOTICE REGARDING PERSONAL PROTECTION ORDER
CC 386 (3/11)