Use this form if you are law enforcement, a physician, or other qualified person to certify personal observation of the evaluee or the evaluee’s behavior and based on the observation or other information have reason to believe that the evaluee has a mental disorder and presents a danger to the life or safety to themselves or others.

Brochure - How To File A Peace Or Protection Order

Use this form if you are a forfeiting authority in possession of seized monies of a defendant in which the property is alleged to be associated with criminal activity and presumed to be subject to forfeiture.

For use with forms MDJ-004AG, MDJ-004C, and MDJ-004GI.

Request For Accommodation For Person With Disability

Request For Final Waiver Of Open Costs

Request for Waiver of Prepaid Costs

Request For Spoken Language Interpreter

Use this form if disclosing your address on a Peace Order petition would put you at risk of further harm. 

Request to shield my address/telephone number in a criminal case record

Use this form to apply for a Public Defender to represent you in a criminal or traffic case that carries a penalty of incarceration, and you cannot afford an attorney. You will need to provide information about your income, expenses, and assets.

Note: You must also complete, sign, and submit the DC-099A – Informed Consent Release Form.