Free (jc15.pdf) - Michigan

Approved, SCAO

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

COUNTY
Court address

MOTION AND AUTHORIZATION/DENIAL

CASE NO. PETITION NO.

Court telephone no.

1. In the matter of
(name(s), alias(es), DOB)

MOTION 2. The names and addresses of parents, guardians, or legal custodians are:
Father Mother Guardian/Legal custodian Address Address Address

3. I request a transfer of this case to the formal calendar review. hearing regarding the agency's notice of intent to return the child home. review the initial services plan and/or custody or placement order.
State reasons below as appropriate

rehearing.

adjournment.

I declare that this motion has been examined by me and that its contents are true to the best of my information, knowledge, and belief.
Agency/Address City, state, and zip Telephone no.

Signature Name (type or print)

Date

AUTHORIZATION/DENIAL 4. Transfer is authorized and hearing on the petition of
Date

is set for at m. at
Time Location

. is authorized and .
Location

Date

5.

Review

Rehearing
Date

Adjournment

Hearing on agency's intent to return child home at
Time

hearing is set for 6. Transfer Review Rehearing

m. at is denied.

Adjournment

Date

Judge/Referee

Bar no.

Do not write below this line - For court use only

JC 15 (6/03)

MOTION AND AUTHORIZATION / DENIAL

MCL 712A.13a(12), MCL 712A.17, MCL 712A.18d, MCL 712A.19(10), MCL 712A.21, MCR 3.923(G), MCR 3.932(C)(8), MCR 3.942(A), MCR 3.945(A), MCR 3.966, MCR 3.972(A), MCR 3.975(H), MCR 3.992(A)