LK-905Local

Application for Mental Health Diversion, Advisement of Rights & Waiver

Lake Superior Court · Local Forms and Information

This form was updated 29 days ago — make sure you're using the latest version.

Last updated July 3, 2026

This form is used by someone accused of a crime to ask the court to let them get mental health treatment instead of going through the regular criminal process. A person would need this form if they have a mental health condition that contributed to their criminal charges and they want to address that condition rather than face criminal prosecution.

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