What is the civil infraction appeal and withdrawal form for?

It lets a plaintiff or defendant claim an appeal from a civil infraction judgment, or lets a defendant request to withdraw an admission entered in court.

Do I need a notary for the civil infraction form?

No. The form is signed and dated without a notary, and it lists no sworn or notarized attachment.

How do I submit the civil infraction form?

The form lists the court at 111 S. Michigan Ave., Saginaw, MI 48602. It does not state a submission method.

Saginaw County, MI · Saginaw County

No notary required

Claim of Appeal or Request to Withdraw Admission and Order, Civil Infraction

This form lets a civil infraction defendant claim an appeal or ask to withdraw an admission, and is completed for the court.

At a glance

Issued by: City of Saginaw County · Saginaw County, Saginaw County, Michigan
Notarization: Not required: file this form without a notary.
Official source: saginawcountymi.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

$First page of the Claim of Appeal or Request to Withdraw Admission and Order, Civil Infraction$

What this form is

Use this form to claim an appeal from a civil infraction judgment or request to withdraw an admission entered in court. It asks for the infraction and case details, identifies the defendant and plaintiff, and records the judgment or admission information and the judge or magistrate’s decision. The form also includes fields for signatures, dates, and appeal security or payments.

Who needs it

A plaintiff or defendant pursuing an appeal, or a defendant asking to withdraw an admission, uses this form for the civil infraction case.

How to submit it

The form lists the court at 111 S. Michigan Ave., Saginaw, MI 48602; it also provides the court telephone number, but no submission method.

About notarization

This form is signed and dated without a notary; it lists no sworn or notarized attachment, so the signer just signs and dates it.

How to submit this form

1
Download the Form
Download the civil infraction appeal or request-to-withdraw form.
2
Complete the Form
Enter the case and infraction details, identify the parties, and complete the applicable appeal or withdrawal section.
3
Sign and Date
Complete the signature and date fields; the form does not require notarization.
4
Submit to the Court
The form lists the court address as 111 S. Michigan Ave., Saginaw, MI 48602.

Frequently asked questions

What is the civil infraction appeal and withdrawal form for?: It lets a plaintiff or defendant claim an appeal from a civil infraction judgment, or lets a defendant request to withdraw an admission entered in court.
Do I need a notary for the civil infraction form?: No. The form is signed and dated without a notary, and it lists no sworn or notarized attachment.
How do I submit the civil infraction form?: The form lists the court at 111 S. Michigan Ave., Saginaw, MI 48602. It does not state a submission method.

Need something notarized?

This Claim of Appeal or Request to Withdraw Admission and Order, Civil Infraction doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.