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​​Numerical Index of Approved Adoption Court Forms

 

  
  
  
Citation
Previous Versions
pca3016/18Petition for Adoption
MCL 710.24, MCL 710.26, MCL 710.45, MCL 710.46, MCL 710.52, MCL 710.56, MCL 712B.9(1)
(6/17) version can be used until stock is depleted
pca301a6/17Petition for Direct Placement Adoption
MCL 710.24, MCL 710.46, MCL 710.56, MCL 712B.9(1)
(2/15) version can be used until stock is depleted
pca301b6/18Petition for Stepparent Adoption
MCL 710.24, MCL 710.51
New Form
pca3026/18Supplemental Petition and Affidavit to Terminate Parental Rights (Stepparent Adoption)
MCL 710.26, MCL 710.51(6), MCL 712B.9(1), MCR 3.801
(6/17) Can be used until stock is depleted
pca3032/15Notice of Hearing, Termination of Parental Rights
MCL 712B.9, MCR 3.801, MCR 3.802, MCR 3.803
(3/10) version can be used until stock is depleted
pca3046/18Order Terminating Parental Rights (Stepparent Adoption)
MCL 710.51, MCL 712B.1 et seq., 25 USC 1901 et seq., MCR 3.801, MCR 3.802
(6/17) Can be used until stock is depleted
pca3052/15Release of Child by Parent
MCL 710.28, MCL 710.29, MCL 710.54, MCR 3.801,
(9/10) version can be used until 12/31/15
pca305a2/15Release of Child by Guardian
MCL 700.431(1)(c), MCL 710.28, MCL 710.29,
MCL 710.54, MCR 3.801
(09/07) version can be used until 12/31/15
pca305i9/17Release of Indian Child by Parent
MCL 710.28, MCL 710.29, MCL 710.54, MCL 712B.13,
MCL 712B.27, 25 USC 1913(a), MCR 3.801
Existing paper stock cannot be used.
pca30611/05Release of Child by Child Placing Agency
MCL 710.28, MCL 710.29, MCR 3.801
pca3072/15Consent to Adoption by Adoptee
MCL 710.43, MCR 3.801
(9/07) version can be used until 12/31/15
pca3082/15Consent to Adoption by Parent
MCL 710.22, MCL 710.43, MCL 710.44, MCL 710.54, 25 USC 1913(a), MCR 3.801
(9/10) version can be used until 12/31/15
pca308a2/15Consent to Adoption by Guardian
MCL 700.5215(e), MCL 710.22, MCL 710.43,
MCL 710.44, MCL 710.54, MCR 3.801
(9/07) version can be used until 12/31/15
pca308i9/17Consent by Parent to Adoption of Indian Child
MCL 710.43, MCL 710.44, MCL 710.54,
MCL 712B.13, MCL 712B.27, 25 USC 1913(a), MCR 3.801
Existing paper stock cannot be used.
pca3092/15Consent to Adoption by Agency/Court
MCL 710.43, MCL 710.44, MCR 3.801
(3/12) version can be used until depleted
pca3106/17Petition for Hearing to Identify Father and Determine or Terminate His Rights
MCL 710.22(d), MCL 710.36, 25 USC 1901 et seq., MCL 712B.1 et seq., MCR 3.801, MCR 3.803

(2/15) version can be used until stock is depleted
pca3116/17Notice of Hearing to Identify Father and Determine or Terminate His Rights
MCL 712B.9, MCL 712B.13(1)(b),
MCR 3.801, MCR 3.802, MCR 3.803
(2/15) version can be used until stock is depleted
pca3126/17Order Terminating Rights of Father without Release or Consent
MCL 710.36, MCL 712B.1 et seq., 25 USC 1901 et seq.
(2/15) version can be used until stock is depleted
pca3136/18Ex Parte Petition to Issue Notice of Intent to Release or Consent
MCL 710.33, MCL 710.34, MCR 3.801
(9/07) version can be used until stock is depleted
pca3149/07Notice of Intent to Release or Consent
MCL 710.34, MCR 3.801, MCR 3.802
pca3152/15Declaration of Inability to Identify/Locate Father
MCL 710.22(d), MCL 710.36, MCL 710.37,
MCR 3.801, MCR 3.802(B)
(9/07) version can be used until depleted
pca3166/17Notice to Putative Father and Custody Statement
MCL 710.36, MCL 710.37, MCR 3.801
(2/15) version can be used until stock is depleted
pca3186/18Order Terminating Parental Rights/Rights of Person In Loco Parentis After Release or Consent
MCL 710.29(7), MCL 710.51(1), 25 USC 1901 et seq., MCL 712B.1 et seq.
(3/16) version can be used until stock is depleted
pca3196/17Order Placing Child (Stepparent Adoption)
MCL 710.51, MCL 710.52, 25 USC 1915(a)
(9/10) Can be used until 6/30/2017
pca3202/15Order Placing Child after Consent
MCL 710.51, MCL 710.52, MCL 712B.23
(2/13) version can be used until stock is depleted
pca32112/15Order of Adoption
MCL 710.56, MCL 710.60
(9/07) version can be used until 12/18/15
pca321b12/15Order of Adoption (alternative format suitable for framing)
MCL 710.56, MCL 710.60
(9/98) version can be used until 12/18/15
pca3222/15Order Committing Child to Agency/Department of Health and Human Services
MCL 710.29(8), MCL 712B.13, MCL 712B.23
(3/10) version can be used until stock is depleted
pca3234/18Advice of Rights after Order Terminating Parental Rights (Adoption Code)
MCL 710.27, MCL 710.29, MCL 710.64, MCL 710.65, MCL 710.68
(2/15) version can not be used after 4/30/18
pca323i4/18Advice of Rights After Order Terminating Parental Rights to Indian Child (Adoption Code)
MCL 710.27, MCL 710.29, MCL 710.64, MCL 710.65, MCL 710.68, MCL 712B.13(3), (6), 25 USC 1913(c)
(2/15) version can not be used after 4/30/2018
pca3252/15Notice to Adopting Parents on Pending or Potential Appeal/Rehearing
MCL 710.41
(2/15) version can be used until stock is depleted
pca3269/07Order Authorizing Foster Care Funding After Release
MCL 710.29
pca3272/15Petition for Adoption Information and Order
MCL 710.67, MCL 710.68
(9/07) version can be used until stock is depleted
pca3286/17Certificate of Adoptive Information
25 CFR 23.140(a), 25 USC 1951
(3/16) version can be used until stock is depleted
pca3292/15Statement of Parent/Guardian Authorizing Temporary Placement of Child for Adoption
MCL 710.23b, MCL 710.23d
(9/07) version can be used until stock is depleted
pca3302/15Statement of Parent/Guardian Transferring Physical Custody of Child for Adoption
MCL 710.23d
(9/06) version can be used until stock is depleted
pca3312/15Statement of Child-Placing Agency Transferring Physical Custody of Child for Adoption
MCL 710.23d
(9/06) version can be used until stock is depleted
pca3322/15Statement of Prospective Adoptive Parent Transferring Physical Custody of Child for Adoption
MCL 710.23d
(9/07) version can be used until stock is depleted
pca332a2/15Statement of Nonresident Prospective Adoptive Parent Transferring Physical Custody of Child for Adoption
MCL 710.23d
(2/13) version can be used until stock is depleted
pca3332/15Follow-up Report after Temporary Placement of Child for Adoption
MCL 710.23d(3)
(9/06) version can be used until stock is depleted
pca3349/07Clerk's Report to Prosecuting Attorney
MCL 710.23d
pca3352/15Petition to Determine Custody of Child Temporarily Placed for Adoption
MCL 710.23d
(9/07) version can be used until stock is depleted
pca3369/07Order to Determine Custody of Child Temporarily Placed for Adoption
MCL 710.23e
pca3372/15Petition by Parent/Guardian for Return of Child and Ex Parte Order
MCL 710.23d, MCL 710.23e
(9/07) version can be used until stock is depleted
pca3382/15Statement to Accompany Release
MCL 710.29(6)
(9/07) version can be used until stock is depleted
pca3392/15Statement to Accompany Consent in Direct Placement
MCL 710.44(5)
(9/07) version can be used until stock is depleted
pca3406/17Statement of Identifying Information
MCL 710.24(7)
(9/11) version can be used until stock is depleted
pca3419/07Final Order Allowing Fees and Costs
MCL 710.54(10)
pca3422/15Petition and Order to Appoint Confidential Intermediary
MCL 710.68b
(9/07) version can be used until stock is depleted
pca3432/15Petition and Order for Approval of Confidential Intermediary Fee
MCL 710.68b
(9/07) version can be used until stock is depleted
pca3442/15Petition and Order Regarding Release of Information from Confidential Intermediary and Court
MCL 710.68b(6)
(9/09) version can be used until stock is depleted
pca3459/07Statement of Services Performed by Agency/Department of Human Services
MCL 710.54(7)
pca3466/17Statement of Services Performed by Attorney
MCL 710.54(7)
(9/07) version can be used until stock is depleted
pca3473/16Petitioner's Verified Accounting
MCL 710.54(7), MCR 3.803(A)
(2/15) version can be used until stock is depleted
pca347a2/15Supplement to Petitioner's Verified Accounting
MCL 710.54(7), MCR 3.803(A)
New form
pca3482/15Parent's or Guardian's Verified Accounting for Adoption Release or Direct Placement Consent
MCL 710.29(6), MCL 710.44(5)
(9/07) version can be used until stock is depleted
pca3492/15Petition for Rescission of Adoption and Order
MCL 710.66
(9/07) version can be used until stock is depleted
pca3506/17Petition and Order for Delayed Registration of Foreign Birth
MCL 333.2830
(2/15) version can be used until stock is depleted
pca3519/07Order Following Hearing on Review of Adoption Placement (IV-E Eligibility Compliance)
42 USC 671(a)(15)
pca3522/15Notice of Adoption Proceedings Concerning an Indian Child
25 USC 1912, MCL 712B.9,
MCL 712B.27, MCR 3.802(A)(3)
(7/11) version can be used until stock is depleted
pca3536/17Request for Confidentiality
25 USC 1951(a)
(3/10) version can be used until stock is completed
pca3544/18Out-of-Court Release of Child by Parent
MCL 710.29
(2/15) version can not be used after 4/30/2018
pca3555/18Out-of-Court Consent to Direct Placement Adoption by Parent
MCL 710.44
(2/15) version can not be used after 4/30/2018
pca3566/17Verified Declaration About Paternity (Out-of-Court Release or Consent)
MCL 710.36(6), MCL 710.37
New Form
pca356a6/17Addendum A to Verified Declaration About Paternity (Father's Name and Whereabouts Known)
MCL 710.39
New Form
pca356b6/17Addendum B to Verified Declaration About Paternity (Father's Name Unknown, but Whereabouts Unknown)
MCL 710.37(2)(b)
New Form
pca356c6/17Addendum C to Verified Declaration About Paternity (Father's Name and Whereabouts Unknown)
MCL 710.37(2)(a)
New Form