Michigan Compiled Laws, Chapter 780. Criminal Procedure § 780.583

Sec. 3. (1) If an arrested person deposits an interim bond pursuant to section 1,  1 the officer accepting the bond shall give a receipt to the person for the money deposited with him or her on a form as follows:

Received from __________ the sum of __________ Dollars as cash bail to assure the appearance of ____________________ before __________ District Court Judge (or Municipal Judge) for ____________________, at __________ on the __________ day of __________, 19___, to answer to a charge of __________

If the accused fails to appear at the time and place specified above and to submit to the jurisdiction of the court and stand to and abide by any order of the court, the sum specified above shall be forfeited to the state or the arresting political subdivision. By depositing this money and accepting this receipt the accused waives any claim to the money following forfeiture.

(2) If the accused fails to appear as required in the interim bond receipt, the court shall order the bond forfeited as in cases of default in bail. In addition, the court may issue a warrant upon a signed complaint for the arrest of the accused or a bench warrant for the further appearance of the accused.