Mc105 2026

1. Click ‘Get Form’ to open the mc105 in the editor.
2. Begin by filling in the 'PERSON IN CUSTODY' section. Enter the individual's first, middle, and last name, along with their date of birth, gender, race, and marital status.
3. If applicable, provide contact information for the parents or guardians of a minor. Include their names, address, and phone number.
4. In the 'PROBABLE CAUSE' section, certify that probable cause exists under AS 47.30.705 by checking the appropriate boxes regarding the individual's mental state and potential harm.
5. Document the location details where the person was taken into custody including date, time, and who took them into custody.
6. Complete the 'PERSON MAKING THIS APPLICATION' section by identifying your role (e.g., Peace Officer or Psychiatrist) and providing your signature along with contact information.

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