Summons And Complaint Form PDF Details

The Summons and Complaint form represents a critical step in the legal process, serving as the formal notification to a defendant that legal action has been initiated against them. Originating from the State of Michigan's judicial system, this document contains several key components, including the identification of the court, the case number, and detailed information about both the plaintiff and the defendant. Each party involved receives a copy of the form, ensuring that all are informed of the lawsuit's proceedings and their respective roles within it. The form is meticulously structured to include sections for various case types, such as domestic relations and civil cases, specifying if there are any related legal matters pending or resolved within the same jurisdiction. In addition, the form outlines the expectations placed upon the defendant, noting the critical 21-day period (or 28 if served by mail or outside the state) for responding to the complaint. Failure to act within this timeframe could lead to a judgment against the defendant. Moreover, accommodations for individuals with disabilities or those needing a translator are considered, emphasizing the court's commitment to fairness and accessibility. Particular attention is given to the summons section, completed by the court clerk, which underscores the importance of timely service and includes an explication of the summons' validity predicated on its service before the specified expiration date. Additionally, the form accommodates the proof of service, an essential aspect ensuring that the defendant has been properly notified, with designated sections for detailing the method of service, the attempt at service, or acknowledging receipt of the summons and complaint.

QuestionAnswer
Form NameSummons And Complaint Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmi complaint form, mc 01 summons complaint, mi complaint, michigan summons complaint form

Form Preview Example

 

Original - Court

2nd copy - Plaintiff

Approved, SCAO

1st copy - Defendant

3rd copy - Return

STATE OF MICHIGAN

 

CASE NO.

JUDICIAL DISTRICT

SUMMONS

 

JUDICIAL CIRCUIT

 

 

 

COUNTY PROBATE

 

 

 

 

 

Court address

 

Court telephone no.

Plaintiff’s name(s), address(es), and telephone no(s).

Defendant’s name(s), address(es), and telephone no(s).

v

Plaintiff’s attorney, bar no., address, and telephone no.

Instructions: Check the items below that apply to you and provide any required information. Submit this form to the court clerk along with your complaint and, if necessary, a case inventory addendum (form MC 21). The summons section will be completed by the court clerk.

Domestic Relations Case

There are no pending or resolved cases within the jurisdiction of the family division of the circuit court involving the family or family members of the person(s) who are the subject of the complaint.

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 of the person(s) who are the subject of the complaint. I have separately filed a completed confidential case inventory (form MC 21) listing those cases.

It is unknown if there are pending or resolved cases within the jurisdiction of the family division of the circuit court involving the family or family members of the person(s) who are the subject of the complaint.

Civil Case

This is a business case in which all or part of the action includes a business or commercial dispute under MCL 600.8035.

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

There is no other pending or resolved civil action arising out of the same transaction or occurrence as alleged in the complaint.

A civil action between these parties or other parties arising out of the transaction or occurrence alleged in the complaint has

been previously filed in

this court,

it was given case number

 

The action

remains

is no longer pending.

Summons section completed by court clerk.

Court, where

and assigned to Judge

 

.

SUMMONS

NOTICE TO THE DEFENDANT: In the name of the people of the State of Michigan you are notified:

1.You are being sued.

2.YOU HAVE 21 DAYS after receiving this summons and a copy of the complaint to file a written answer with the court and serve a copy on the other party or take other lawful action with the court (28 days if you were served by mail or you were served outside this state).

3.If you do not answer or take other action within the time allowed, judgment may be entered against you for the relief demanded in the complaint.

4.If you require special accommodations to use the court because of a disability or if you require a foreign language interpreter to help you fully participate in court proceedings, please contact the court immediately to make arrangements.

Issue date

Expiration date*

Court clerk

*This summons is invalid unless served on or before its expiration date. This document must be sealed by the seal of the court.

MC 01 (9/19) SUMMONS

MCR 1.109(D), MCR 2.102(B), MCR 2.103, MCR 2.104, MCR 2.105

PROOF OF SERVICE

SUMMONS

Case No.

TO PROCESS SERVER: You are to serve the summons and complaint not later than 91 days from the date of filing or the date of expiration on the order for second summons. You must make and file your return with the court clerk. If you are unable to complete service you must return this original and all copies to the court clerk.

CERTIFICATE / AFFIDAVIT OF SERVICE / NONSERVICE

OFFICER CERTIFICATE

OR

AFFIDAVIT OF PROCESS SERVER

I certify that I am a sheriff, deputy sheriff, bailiff, appointed

 

Being first duly sworn, I state that I am a legally competent

court officer, or attorney for a party (MCR 2.104[A][2]),

 

adult, and I am not a party or an officer of a corporate

and that: (notarization not required)

 

party (MCR 2.103[A]), and that: (notarization required)

 

 

 

I served personally a copy of the summons and complaint,

I served by registered or certified mail (copy of return receipt attached) a copy of the summons and complaint,

together with

List all documents served with the summons and complaint

on the defendant(s):

Defendant’s name

Complete address(es) of service

Day, date, time

I have personally attempted to serve the summons and complaint, together with any attachments, on the following defendant(s) and have been unable to complete service.

Defendant’s name

Complete address(es) of service

Day, date, time

I declare under the penalties of perjury that this proof of service has been examined by me and that its contents are true to the best of my information, knowledge, and belief.

Service fee

Miles traveled

Fee

 

$

 

 

 

 

$

 

 

 

 

 

Incorrect address fee

Miles traveled

Fee

TOTAL FEE

$

 

 

$

 

$

 

 

 

 

Signature

Name (type or print)

Title

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

 

 

 

 

 

 

 

ACKNOWLEDGMENT OF SERVICE

I acknowledge that I have received service of the summons and complaint, together with

Attachments

on

Day, date, time

on behalf of

 

.

Signature

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1. To start with, when filling in the wayne county summons, beging with the part with the next blanks:

Part no. 1 for submitting mi summons form

2. Soon after performing the previous section, go on to the subsequent part and enter the necessary details in these blank fields - There are no pending or resolved, confidential case inventory form, It is unknown if there are pending, Civil Case, This is a business case in which, complaint, A civil action between these, been previously filed in, this court, it was given case number, and assigned to Judge, The action, remains, is no longer pending, and Summons section completed by court.

The action, It is unknown if there are pending, and This is a business case in which in mi summons form

3. Within this step, check out NOTICE TO THE DEFENDANT In the, to help you fully participate in, Expiration date, Court clerk, This summons is invalid unless, SUMMONS, and MCR D MCR B MCR MCR MCR. Each one of these will have to be filled in with highest precision.

Part number 3 of submitting mi summons form

4. This fourth part comes with the next few fields to complete: TO PROCESS SERVER You are to serve, PROOF OF SERVICE, SUMMONS, Case No, CERTIFICATE AFFIDAVIT OF SERVICE, OFFICER CERTIFICATE, AFFIDAVIT OF PROCESS SERVER, I certify that I am a sheriff, Being first duly sworn I state, I served personally a copy of the, together with, List all documents served with the, Defendants name, Complete addresses of service, and Day date time.

Ways to complete mi summons form portion 4

You can easily make an error when filling in your SUMMONS, consequently be sure to take another look prior to deciding to send it in.

5. The very last point to finalize this form is critical. Be certain to fill out the necessary blanks, including I have personally attempted to, and have been unable to complete, Complete addresses of service, Day date time, I declare under the penalties of, Miles traveled Fee, Signature, Incorrect address fee, Miles traveled Fee, TOTAL FEE, and Name type or print, prior to using the pdf. If you don't, it may end up in an unfinished and possibly invalid paper!

Stage number 5 of completing mi summons form

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