Free jc96.pmd - Michigan

Approved, SCAO

JIS CODE: AGM

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

CASE NO. REPORT AFTER INVESTIGATION OF JUVENILE GUARDIANSHIP
Court telephone no.

COUNTY
Court address

1. In the matter of name, alias(es), DOB 2. I,
Name (type or print) Date

, have investigated this juvenile guardianship as ordered by the court. at
Location

3. I visited the juvenile guardian on

. .

I did not visit the juvenile guardian because 4. I visited the child on
Date

at

Location

. .

I did not visit the child because 5. The juvenile guardian has adequately provided for the welfare of the child to the following extent:

6. The juvenile guardian 7. The juvenile guardian 8. This juvenile guardianship

is has is

is not

willing to continue to provide for the welfare of the child. the ability to continue to provide for the welfare of the child. necessary for the following reasons:

does not have is not

9. If the juvenile guardianship is continued, the effect on the welfare of the child will be as follows:

10. The following factors should be considered for the welfare of the child:

11. Child protective services has been involved in this juvenile guardianship as follows:

12. I RECOMMEND that a. this juvenile guardianship be continued without modification. I request that a hearing be scheduled. b. this juvenile guardianship be continued with the following modifications:

I request that a hearing be scheduled.
Date Signature

USE NOTE: This report is used only for investigations ordered pursuant to MCR 3.979(D)(2).

Do not write below this line - For court use only

JC 96 (6/09)

REPORT AFTER INVESTIGATION OF JUVENILE GUARDIANSHIP

MCR 3.979(D)(2)