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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.

 

  
  
  
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)pca321a9/07
Order of Adoption (alternative format suitable for framing)pca321b9/98
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 Consentpca3202/13
MCL 710.51, MCL 710.52, MCL 712B.23
(3/10) previous approved form which can be used until stock is depleted
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 Parentpca3047/13
MCL 710.51, MCR 3.801, MCR 3.802
(3/10), (9/07) previous approved forms 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 Adoptionpca3012/13
MCL 710.24, MCL 710.26, MCL 710.45,
MCL 710.46, MCL 710.52, MCL 710.56
(9/11) (3/10) previous approved forms which can be used
until stock is depleted
Petition for Adoption Information and Orderpca3279/07
MCL 710.67, MCL 710.68
Petition for Direct Placement Adoptionpca301a6/13
MCL 710.24, MCL 710.46, MCL 710.56
(3/10) previous approved form which can be used until stock is depleted
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 Adoptionpca332a2/13
MCL 710.23d
(9/06) previous approved form which can be used until stock is depleted with hand correction as appropriate
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