Free pca319.pmd - Michigan

Approved, SCAO

JIS CODE: PCS

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

FILE NO. ORDER PLACING CHILD (STEPPARENT ADOPTION)

COUNTY

In the matter of
Full name of child Date of birth

, adoptee

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

Judge:

Bar no.

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 petitioner for adoption is married to the parent having legal custody of the adoptee. IT IS ORDERED: 6. Placement of the adoptee in the home of
Name(s)

, is approved. shall supervise the adoptee in the home and

7.
Court agent or employee, child-placing agency, or Michigan Department of Human Services

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

months.

Date

Judge

Do not write below this line - For court use only

PCA 319 (9/07)

ORDER PLACING CHILD (STEPPARENT ADOPTION)

MCL 710.51, MCL 710.52