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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.

 

Title
  
Name
  
Date
  
Citation
Previous Versions
Addendum A to Verified Declaration About Paternity (Father's Name and Whereabouts Known)pca356a6/17
MCL 710.39
New Form
Addendum B to Verified Declaration About Paternity (Father's Name Unknown, but Whereabouts Unknown)pca356b6/17
MCL 710.37(2)(b)
New Form
Addendum C to Verified Declaration About Paternity (Father's Name and Whereabouts Unknown)pca356c6/17
MCL 710.37(2)(a)
New Form
Advice of Rights after Order Terminating Parental Rights (Adoption Code)pca3234/18
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
Advice of Rights After Order Terminating Parental Rights to Indian Child (Adoption Code)pca323i4/18
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
Certificate of Adoptive Informationpca3286/17
25 CFR 23.140(a), 25 USC 1951
(3/16) version can be used until stock is depleted
Clerk's Report to Prosecuting Attorneypca3349/07
MCL 710.23d
Consent by Parent to Adoption of Indian Childpca308i9/17
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.
Consent to Adoption by Adopteepca3072/15
MCL 710.43, MCR 3.801
(9/07) version can be used until 12/31/15
Consent to Adoption by Agency/Courtpca3092/15
MCL 710.43, MCL 710.44, MCR 3.801
(3/12) version can be used until depleted
Consent to Adoption by Guardianpca308a2/15
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
Consent to Adoption by Parentpca3082/15
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
Declaration of Inability to Identify/Locate Fatherpca3152/15
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
Ex Parte Petition to Issue Notice of Intent to Release or Consentpca3136/18
MCL 710.33, MCL 710.34, MCR 3.801
(9/07) version can be used until stock is depleted
Final Order Allowing Fees and Costspca3419/07
MCL 710.54(10)
Follow-up Report after Temporary Placement of Child for Adoptionpca3332/15
MCL 710.23d(3)
(9/06) version can be used until stock is depleted
Notice of Adoption Proceedings Concerning an Indian Childpca3522/15
25 USC 1912, MCL 712B.9,
MCL 712B.27, MCR 3.802(A)(3)
(7/11) version can be used until stock is depleted
Notice of Hearing to Identify Father and Determine or Terminate His Rightspca3116/17
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
Notice of Hearing, Termination of Parental Rightspca3032/15
MCL 712B.9, MCR 3.801, MCR 3.802, MCR 3.803
(3/10) version can be used until stock is depleted
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/Rehearingpca3252/15
MCL 710.41
(2/15) version can be used until stock is depleted
Notice to Putative Father and Custody Statementpca3166/17
MCL 710.36, MCL 710.37, MCR 3.801
(2/15) version can be used until stock is depleted
Order Authorizing Foster Care Funding After Releasepca3269/07
MCL 710.29
Order Committing Child to Agency/Department of Health and Human Servicespca3222/15
MCL 710.29(8), MCL 712B.13, MCL 712B.23
(3/10) version can be used until stock is depleted
Order Following Hearing on Review of Adoption Placement (IV-E Eligibility Compliance)pca3519/07
42 USC 671(a)(15)
Order of Adoptionpca32112/15
MCL 710.56, MCL 710.60
(9/07) version can be used until 12/18/15
Order of Adoption (alternative format suitable for framing)pca321b12/15
MCL 710.56, MCL 710.60
(9/98) version can be used until 12/18/15
Order Placing Child (Stepparent Adoption)pca3196/17
MCL 710.51, MCL 710.52, 25 USC 1915(a)
(9/10) Can be used until 6/30/2017
Order Placing Child after Consentpca3202/15
MCL 710.51, MCL 710.52, MCL 712B.23
(2/13) version can be used until stock is depleted
Order Terminating Parental Rights (Stepparent Adoption)pca3046/18
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
Order Terminating Parental Rights/Rights of Person In Loco Parentis After Release or Consentpca3186/18
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
Order Terminating Rights of Father without Release or Consentpca3126/17
MCL 710.36, MCL 712B.1 et seq., 25 USC 1901 et seq.
(2/15) version can be used until stock is depleted
Order to Determine Custody of Child Temporarily Placed for Adoptionpca3369/07
MCL 710.23e
Out-of-Court Consent to Direct Placement Adoption by Parentpca3555/18
MCL 710.44
(2/15) version can not be used after 4/30/2018
Out-of-Court Release of Child by Parentpca3544/18
MCL 710.29
(2/15) version can not be used after 4/30/2018
Parent's or Guardian's Verified Accounting for Adoption Release or Direct Placement Consentpca3482/15
MCL 710.29(6), MCL 710.44(5)
(9/07) version can be used until stock is depleted
Petition and Order for Approval of Confidential Intermediary Feepca3432/15
MCL 710.68b
(9/07) version can be used until stock is depleted
Petition and Order for Delayed Registration of Foreign Birthpca3506/17
MCL 333.2830
(2/15) version can be used until stock is depleted
Petition and Order Regarding Release of Information from Confidential Intermediary and Courtpca3442/15
MCL 710.68b(6)
(9/09) version can be used until stock is depleted
Petition and Order to Appoint Confidential Intermediarypca3422/15
MCL 710.68b
(9/07) version can be used until stock is depleted
Petition by Parent/Guardian for Return of Child and Ex Parte Orderpca3372/15
MCL 710.23d, MCL 710.23e
(9/07) version can be used until stock is depleted
Petition for Adoptionpca3016/18
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
Petition for Adoption Information and Orderpca3272/15
MCL 710.67, MCL 710.68
(9/07) version can be used until stock is depleted
Petition for Direct Placement Adoptionpca301a6/17
MCL 710.24, MCL 710.46, MCL 710.56, MCL 712B.9(1)
(2/15) version can be used until stock is depleted
Petition for Hearing to Identify Father and Determine or Terminate His Rightspca3106/17
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
Petition for Rescission of Adoption and Orderpca3492/15
MCL 710.66
(9/07) version can be used until stock is depleted
Petition for Stepparent Adoptionpca301b6/18
MCL 710.24, MCL 710.51
New Form
Petition to Determine Custody of Child Temporarily Placed for Adoptionpca3352/15
MCL 710.23d
(9/07) version can be used until stock is depleted
Petitioner's Verified Accountingpca3473/16
MCL 710.54(7), MCR 3.803(A)
(2/15) version 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 Guardianpca305a2/15
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
Release of Child by Parentpca3052/15
MCL 710.28, MCL 710.29, MCL 710.54, MCR 3.801,
(9/10) version can be used until 12/31/15
Release of Indian Child by Parentpca305i9/17
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.
Request for Confidentialitypca3536/17
25 USC 1951(a)
(3/10) version can be used until stock is completed
Statement of Child-Placing Agency Transferring Physical Custody of Child for Adoptionpca3312/15
MCL 710.23d
(9/06) version can be used until stock is depleted
Statement of Identifying Informationpca3406/17
MCL 710.24(7)
(9/11) version can be used until stock is depleted
Statement of Nonresident Prospective Adoptive Parent Transferring Physical Custody of Child for Adoptionpca332a2/15
MCL 710.23d
(2/13) version can be used until stock is depleted
Statement of Parent/Guardian Authorizing Temporary Placement of Child for Adoptionpca3292/15
MCL 710.23b, MCL 710.23d
(9/07) version can be used until stock is depleted
Statement of Parent/Guardian Transferring Physical Custody of Child for Adoptionpca3302/15
MCL 710.23d
(9/06) version can be used until stock is depleted
Statement of Prospective Adoptive Parent Transferring Physical Custody of Child for Adoptionpca3322/15
MCL 710.23d
(9/07) version can be used until stock is depleted
Statement of Services Performed by Agency/Department of Human Servicespca3459/07
MCL 710.54(7)
Statement of Services Performed by Attorneypca3466/17
MCL 710.54(7)
(9/07) version can be used until stock is depleted
Statement to Accompany Consent in Direct Placementpca3392/15
MCL 710.44(5)
(9/07) version can be used until stock is depleted
Statement to Accompany Releasepca3382/15
MCL 710.29(6)
(9/07) version can be used until stock is depleted
Supplement to Petitioner's Verified Accountingpca347a2/15
MCL 710.54(7), MCR 3.803(A)
New form
Supplemental Petition and Affidavit to Terminate Parental Rights (Stepparent Adoption)pca3026/18
MCL 710.26, MCL 710.51(6), MCL 712B.9(1), MCR 3.801
(6/17) Can be used until stock is depleted
Verified Declaration About Paternity (Out-of-Court Release or Consent)pca3566/17
MCL 710.36(6), MCL 710.37
New Form