Court Supply Requisition MI Quantity

Clear Form
Court Supply Requisition
Requested By
Date
Court
Street
City
Zip Code
MI
(Street Address is Needed for UPS Delivery)
Quantity
Mail to: Michigan Department of State
Inventory Services Section
430 W. Allegan
Lansing, MI 48918-1444
MS-72A (6/2007)
Stock or Form
Number
Description
CT
DS1-22
Abstract of Conviction and Court Order
1800 ct
BX
DS1-62
Notice of Failure to Appear in Court
1800 bx
EA
DS1-ENV-1
Self-addressed Return Envelope
Limit 150
PD
MS-72A
Order Forms (25 pd)
Limit 1
EA
BDVR-103
Abstract Certification
Limit 10
CT
BDVR-127
Fax to:
Clearance of FAC, FCJ or FCPV
Signature
1800 ct
517.373.1475