Free jc17a.p65 - Michigan

Approved, SCAO

JIS CODE: DSP

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

COUNTY
Court address

ORDER OF DISPOSITION, CHILD IN HOME (CHILD PROTECTIVE PROCEEDINGS)

CASE NO. PETITION NO.

Court telephone no.

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

2. Date of hearing:

Judge/Referee:
Bar no.

3. An adjudication was held and one or more of the statutory grounds alleged in the petition are true. 4. Notice of hearing for the disposition was given as required by law. 5. The court has considered the case service plan and other evidence presented. Specific findings of fact and law regarding this proceeding are on the record. in the attached written opinion. as noted below.

THE COURT FINDS: 6. Parenting time by IT IS ORDERED: 7.
Name (type or print)

Identify person(s)

, even if supervised, would be harmful to the child(ren).

is warned and the jurisdiction of the court is terminated.

8. The child(ren) are in the temporary custody of this court and shall remain at home/be returned home to the care of court. Michigan Department of Human Services.

under the supervision of the
Name of parent/guardian/legal custodian

9. The parent(s), guardian, or legal custodian shall comply with the case service plan dated as modified at the hearing. and additionally shall:

10. Parenting time is denied to

Identify person(s)

. subject

11. Parenting time is granted to to the following conditions: Identify person(s)

12. The petition is dismissed and the jurisdiction of this court is terminated except that the court reserves the right to enforce payments of reimbursement that have been accrued up to and including the date of this order. 13. Other: Include reimbursement provisions as required by MCL 712A.18(2)

14. Notice: Reviews shall be held as follows: Progress review (without hearing) shall be held on Dispositional review hearing shall be held on Recommended by:
Date JC 17a (9/06) Referee signature Date

Date

at at
Time

Time

. .

Judge MCL 712A.18, MCL 712A.18f, MCL 712A.20, MCR 3.973(F)

ORDER OF DISPOSITION, CHILD IN HOME (CHILD PROTECTIVE PROCEEDINGS)