Free pca320.pmd - Michigan


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State: Michigan
Category: Court Forms - State
Author: GentilozziT
Word Count: 202 Words, 1,205 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://courts.michigan.gov/scao/courtforms/adoptions/pca320.pdf

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Approved, SCAO

JIS CODE: OTR

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

FILE NO. ORDER PLACING CHILD AFTER CONSENT

COUNTY

In the matter of

Full name of child

DOB: Judge:

, adoptee
Bar no.

1. Date of hearing: THE COURT FINDS: 2. A petition for an order of adoption has been filed.

3. A report of investigation has been filed and reviewed by the court. 4. The best interests of the adoptee will be served by the adoption. 5. The rights of both parents or the person in loco parentis have been terminated. IT IS ORDERED: 6. The adoptee is made a ward of this court for purposes of adoption and placement in the home of the adoptive parents, , is approved.
Name(s)

7.

Court agent or employee, child-placing agency or Michigan Department of Human Services

shall supervise the adoptee in the home and months.

shall make reports to the court regarding the adjustment of the adoptee in the home every

8. The adoptive parent(s) may consent to all medical, surgical, dental, optical, psychological, educational, and related services for the adoptee.

Date

Judge

Do not write below this line - For court use only

PCA 320 (9/07)

ORDER PLACING CHILD AFTER CONSENT

MCL 710.51, MCL 710.52