Free jc84.p65 - Michigan

Approved, SCAO

Copies to: Trial Court, Court Reporter(s)/ Recorder(s), Appointed Attorney, Respondent, Petitioner, Prosecutor, Lawyer-Guardian ad Litem, and Court of Appeals JIS CODE: COA

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

COUNTY
Court address

CLAIM OF APPEAL AND ORDER APPOINTING APPELLATE COUNSEL Substitution of Counsel Order Amended

CASE NO. PETITION NO.
Court telephone no.

1. In the matter of name(s), alias(es), DOB
Name(s) of child(ren) affected by the order being appealed Name and address of petitioner Name and phone number of lawyer-guardian ad litem for child(ren)

2. The respondent,

Name (one respondent per claim of appeal) Date

, claims an appeal from an order terminating in the Circuit Court,
Bar no.

parental rights entered on

County, Michigan by Judge
Copies of the judgment or order being appealed and the register of actions in the case are attached for the Court of Appeals, appointed counsel, petitioner, and prosecutor.

.

3. On

Date

the respondent filed a request for appointment of attorney and a declaration of indigency.

IT IS ORDERED: 4. a.
Name City, state, and zip

Address Telephone no. Bar no.

is appointed counsel for the respondent in appellate proceedings. If appointed counsel cannot or will not accept this appointment, counsel shall notify the court immediately. The court reserves the right to order reimbursement for attorney fees and transcript costs. b. The respondent's request for appointed counsel is denied because the respondent is not indigent. 5. The court reporter(s)/recorder(s) shall file with the trial court clerk the transcripts listed below and any other transcripts requested by counsel in this case not previously transcribed. Transcripts shall be filed within 42 days from the date ordered or requested. [MCR 7.210(B)] Reporter(s)/Recorder(s) shall be compensated for the transcripts as provided by law.
REPORTER/RECORDER NAME NUMBER DATE(S) OF PROCEEDING

The clerk shall immediately send to counsel a copy of the transcripts ordered above or requested by counsel as they become available.
Date Judge Bar no.

NOTE TO COURT: This order is used when the respondent filed a timely request for appointed counsel, whether the court finds the respondent is indigent or not. If item 4a is checked, item 5 must be checked. If the respondent is financially able to provide an attorney, check item 4b; the claim of appeal must still be filed with the Court of Appeals because the request was timely. If the request for appointed counsel was not timely, use form JC 85. This order must be served on the respondent, appointed counsel for the respondent, court reporter(s)/recorder(s), petitioner, prosecuting attorney, lawyer-guardian ad litem appointed under MCL 712A.13a(1)(f), and guardian ad litem or attorney (if any) for the child(ren). Service may be made by first class mail. Use form JC 12a or JC 12b for proof of service and attach it to this order before sending it to the Court of Appeals.
JC 84 (11/05)

CLAIM OF APPEAL AND ORDER APPOINTING APPELLATE COUNSEL

MCR 3.977(I)(2), MCR 3.993(A)(2), MCR 7.204, MCR 7.210(B)(3)