GUIDELINES FOR COMPLETING APPLICATIONS 

• DMH 128 is the Application used for mental health and alcohol and drug 96 hour involuntary commitments in probate court. 
• DMH 132 is the Application used by facility designees or peace officers for 96 hour imminent harm commitments for mental health and alcohol and drug. 
• DMH 133 is the Application used by facility designees for a voluntary client requesting release. 
• “RESPONDENT” means the person who is the subject of the involuntary detention proceedings. 
• Begin your Application by providing identifying information about the respondent. 
• Provide information that supports the belief that the respondent is mentally disordered or an abuser of alcohol or drugs or both. 
• Provide information that supports the belief that the respondent presents a likelihood of serious harm. 
• Summarize the information provided on the affidavits. 
• The Application must state the facts, behaviors and beliefs that support the application. 
• Witnessed behaviors should be included if possible. 
• Peace Officer Applications are based on the officer’s own personal observations or investigations. 
• Attach the Affidavits (DMH 142) and the List of Witnesses (DMH 137). 
• Write only on the front of the Application form. 
• Applications must be notarized. 
• The Application becomes part of the court file and medical record which are accessible to the individual if the individual requests to see it. There is no guarantee of confidentiality. 
• Local courts may have other or additional requirements.