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Index of SCAO-Approved Forms for Use in Adoptions

This set of forms is for use in adoption proceedings. The forms must be filed in the family division of the circuit court.

 

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Citation
Previous Versions
Advice of Rights after Order Terminating Parental Rights (Adoption Code)pca3239/08
MCL 710.27, MCL 710.29, MCL 710.64, MCL 710.65, MCL 710.68, MCR 3.802(A)(3)
Certificate of Adoptive Informationpca3289/97
25 USC 1951
Clerk's Report to Prosecuting Attorneypca3349/07
MCL 710.23d
Consent to Adoption by Adopteepca3079/07
MCL 710.43, MCR 3.801
Consent to Adoption by Agency/Courtpca3093/12
MCL 710.43, MCL 710.44, MCR 3.801
(9/07) previous approved form which can be used until stock is depleted
Consent to Adoption by Guardianpca308a9/07
MCL 700.431(1)(c), MCL 710.22,
MCL 710.43, MCL 710.44, MCL 710.54, 25 USC 1913(a), MCR 3.801
Consent to Adoption by Parentpca3089/10
MCL 710.22, MCL 710.43, MCL 710.44, MCL 710.54, 25 USC 1913(a), MCR 3.801
(3/10) previous approved form which can be used until stock is depleted
Declaration of Inability to Identify/Locate Fatherpca3159/07
MCL 710.22(d), MCL 710.36, MCL 710.37, MCR 3.801, MCR 3.802
Final Order Allowing Fees and Costspca3419/07
MCL 710.54(10)
Followup Report after Temporary Placement of Child for Adoptionpca3339/06
MCL 710.23d(3)
Motion and Order for Delayed Registration of Foreign Birthpca3509/07
MCL 333.2830
Notice of Adoption Proceedings Concerning an Indian Childpca3527/11
25 USC 1912, MCR 3.802(A)(3)
Notice of Hearing to Identify Father and Determine or Terminate His Rightspca3113/10
MCR 3.801, MCR 3.802, MCR 3.803
(9/07) previous approved form which can be used until stock is depleted with hand corrections as appropriate
Notice of Hearing, Termination of Parental Rightspca3033/10
MCR 3.801, MCR 3.802, MCR 3.803
(9/07) previous approved form which can be used until stock is depleted with hand corrections as appropriate
Notice of Intent to Release or Consentpca3149/07
MCL 710.34, MCR 3.801, MCR 3.802
Notice to Adopting Parents on Pending or Potential Appeal/Rehearingpca3259/07
MCL 710.41
Notice to Putative Father and Custody Statementpca3169/06
MCL 710.36, MCL 710.37, MCR 3.801
Order Authorizing Foster Care Fundingpca3269/07
MCL 710.29
Order Committing to Agency/DHSpca3223/10
MCL 710.29(7)
(9/07) previous approved form which can be used until stock is depleted with hand correction as appropriate
Order Following Hearing on Review of Adoption Placement (IV-E Eligibility Compliance)pca3519/07
42 USC 671(a)(15)
Order of Adoptionpca3219/07
MCL 710.56, MCL 710.60
Order of Adoption (alternative format suitable for framing)pca321b9/07
Order of Adoption (alternative format suitable for framing)pca321a9/98
Order Placing Child (Stepparent Adoption)pca3199/10
25 USC 1915(a), MCL 710.51, MCL 710.52
(3/10) previous approved form which can be used until stock is depleted
Order Placing Child after Consentpca3203/10
MCL 710.51, MCL 710.52
(9/07) previous approved form which can be used until stock is depleted with hand corrections as appropriate
Order Terminating Parental Rights after Release or Consentpca3183/10
MCL 710.29(7), MCL 710.55(1)
(9/07) previous approved form which can be used until stock is depleted with hand corrections as appropriate
Order Terminating Rights of Father without Release or Consentpca3125/10
MCL 710.36
(9/07) previous approved form which can be used until stock is depleted with hand corrections as appropriate
Order Terminating Rights of Noncustodial Parentpca3043/10
MCL 710.51, MCR 3.801, MCR 3.802
(9/07) previous approved form which can be used until stock is depleted with hand corrections as appropriate
Order to Determine Custody of Child Temporarily Placed for Adoptionpca3369/07
MCL 710.23e
Parent's or Guardian's Verified Accounting for Adoption Release or Direct Placement Adoptionpca3489/07
MCL 710.29(5), MCL 710.44(5)
Petition and Order for Approval of Confidential Intermediary Feepca3439/07
MCL 710.68b
Petition and Order for Release of Information from Confidential Intermediary and Courtpca3449/09
MCL 710.68b(6)
Petition and Order to Appoint Confidential Intermediarypca3429/07
MCL 710.68b
Petition by Parent/Guardian for Return of Child and Ex Parte Orderpca3379/07
MCL 710.23d, MCL 710.23e
Petition for Adoptionpca3019/11
MCL 710.24, MCL 710.26, MCL 710.45,
MCL 710.46, MCL 710.52, MCL 710.56
(3/10) previous approved form which can be used
until stock is depleted
(9/09) previous approved forms which can be used until stock is depleted with hand corrections as appropriate
Petition for Adoption Information and Orderpca3279/07
MCL 710.67, MCL 710.68
Petition for Direct Placement Adoptionpca301a3/10
MCL 710.24, MCL 710.46, MCL 710.56
(3/06) previous approved form which can be used until stock is depleted with hand corrections as appropriate
Petition for Hearing to Identify Father and Determine or Terminate His Rightspca3103/10
MCL 710.22(d), MCL 710.36, MCR 3.801, MCR 3.803

(9/07) previous approved form which can be used until stock is depleted with hand corrections as appropriate
Petition for Rescission of Adoption and Orderpca3499/07
MCL 710.66
Petition to Determine Custody of Child Temporarily Placed for Adoptionpca3359/07
MCL 710.23d
Petition to Issue Notice of Intent to Release or Consentpca3139/07
MCL 710.33, MCL 710.34, MCR 3.801
Petitioner's Verified Accountingpca3479/11
MCL 710.54(7)
(9/10) previous approved form which can be used until stock is      
depleted
Release of Child by Child Placing Agencypca30611/05
MCL 710.28, MCL 710.29, MCR 3.801
Release of Child by Guardianpca305a9/07
MCL 700.431(1)(c), MCL 710.28,
MCL 710.29, MCL 710.54, 25 USC 1913(a), MCR 3.801
Release of Child by Parentpca3059/10
MCL 710.28, MCL 710.29, MCL 710.54, 25 USC 1913(a), MCR 3.801,
(11/05) previous approved form which can be used until stock is depleted
Request for Confidentialitypca3533/10
25 USC 1951(c)
Statement of Child Placing Agency Transferring Physical Custody of Child for Adoptionpca3319/06
MCL 710.23d
Statement of Identifying Informationpca3409/11
MCL 710.24(5)
(9/07) previous approved form which can be used until stock is depleted
Statement of Nonresident Prospective Adoptive Parent Transferring Physical Custody of Child for Adoptionpca332a9/06
MCL 710.23d
Statement of Parent/Guardian Authorizing Temporary Placement of Child for Adoptionpca3299/07
MCL 710.23b, MCL 710.23d
Statement of Parent/Guardian Transferring Physical Custody of Child for Adoptionpca3309/06
MCL 710.23d
Statement of Prospective Adoptive Parent Transferring Physical Custody of Child for Adoptionpca3329/07
MCL 710.23d
Statement of Services Performed by Agency/Department of Human Servicespca3459/07
MCL 710.54(7)
Statement of Services Performed by Attorneypca3469/07
MCL 710.54(7)
Statement to Accompany Consent in Direct Placementpca3399/07
MCL 710.44(5)
Statement to Accompany Releasepca3389/07
MCL 710.29(5)
Supplemental Petition and Affidavit to Terminate Parental Rights of Noncustodial Parentpca3023/10
MCL 710.26, MCL 710.51(6), MCR 3.801
(11/05) previous approved form which can be used until stock is depleted with hand corrections as appropriate