Free pca323.pmd - Michigan


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Approved, SCAO

JIS CODE: ADV

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

COUNTY

ADVICE OF RIGHTS AFTER ORDER TERMINATING PARENTAL RIGHTS (Adoption Code)

FILE NO.

In the matter of
Date of birth

1. On

Date

an order was entered terminating your parental rights to the child(ren) named above.

2. You have the right to a. Request a rehearing in the circuit court on the termination of your parental rights. If you choose to request a rehearing, you must do so by contacting this court in writing within 21 days of the date of the order terminating your parental rights. b. Appeal to the Court of Appeals the termination of your parental rights or the denial of your request to revoke release/ consent of parental rights. If you wish to appeal this termination or denial, you must do so by filing a claim of appeal with the Court of Appeals of the State of Michigan within 21 days of the date of the order terminating your parental rights or the order denying revocation of release/consent. 3. In addition to the above rights you have the right to control the release of identifying information about yourself as follows. a. You may file with the Central Adoption Registry of the Michigan Department of Human Services, at any time, a form called "Parent's Consent/Denial to Release Information to Adult Adoptee." With this form (copies available at all circuit courts or Michigan Department of Human Services offices) you can consent to or deny the release of the following identifying information: Your name at the time of termination of your parental rights. Your most recent name and address, which is on file with the Central Adoption Registry. You can use this form anytime you change your mind about consenting to or denying the release of identifying information. b. You may keep your name and address current with the Central Adoption Registry by sending this information to the Registry in writing.

NOTE: If you do not file a "Parent's Consent/Denial to Release Information to Adult Adoptee," or if you revoke a previously filed denial, then the identifying information stated in item 3 will be released upon the request of each child after reaching the age of 18. If the other former parent has filed a denial of release of identifying information that has not been revoked, the identifying information about that parent will not be released.

Do not write below this line - For court use only

MCL 710.27, MCL 710.29, MCL 710.64, MCL 710.65, MCL 710.68 PCA 323 (9/08)

ADVICE OF RIGHTS AFTER ORDER TERMINATING PARENTAL RIGHTS (Adoption Code)