LK-905Local

Application for Mental Health Diversion, Advisement of Rights & Waiver

Lake Superior Court · Local Forms and Information

Last updated July 3, 2026

Used by a criminal defendant to apply for mental health pretrial diversion, acknowledging program rules and waiving rights, with successful completion leading to dismissal of the case.

This form must be printed and filled by hand, or opened in Adobe Acrobat.
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