Pca 305 - Michigan Courts Release Of Child By Parent
Download a blank fillable Pca 305 - Michigan Courts Release Of Child By Parent in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Pca 305 - Michigan Courts Release Of Child By Parent with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2JIS CODE: PCS, TCS,
and MiCOURT - RCP
Approved, SCAO
STATE OF MICHIGAN
FILE NO.
JUDICIAL CIRCUIT - FAMILY DIVISION
RELEASE OF CHILD BY PARENT
COUNTY
In the matter of
Full name of child
NOTE: If the child is an Indian child use form PCA 305-I.
mother (
)
Date of birth
1. I,
, am the
father
(
)
Date of birth
Name
of the child named above, who was born
at
.
Date
Place
2. A judge or referee of the court, or other authorized person, has fully explained to me my legal rights as a parent and that I do not
have to sign this release of my parental rights. I understand my parental rights and that if I do sign this release, I voluntarily and
permanently give up all of my parental rights to my child.
3. I understand my right to request a rehearing or to appeal within 21 days after an order is entered terminating my parental rights.
4. I have not received or been promised any money or anything of value for the release of my child except for charges and fees
approved by the court.
5. Of my own free will, I give up completely and permanently my parental rights to my child, and I release my child to
for the purpose of adoption.
Child-placing agency or Michigan Department of Health and Human Services
Date
Parent signature
Parent name (type or print)
Address
City
State
Zip
parent
The parent signing this release is an unemancipated minor. I am the
guardian
(Copy of letters of authority attached.)
guardian ad litem
(Copy of order attached.)
of the minor parent, and I join with the minor parent in signing this release.
Date
Parent/guardian of unemancipated minor signature
Address
City
State
Zip
See reverse side for certification by judge/referee
and special acknowledgment for releases by those in the armed services or in prison.
Do not write below this line - For court use only
RELEASE OF CHILD BY PARENT
MCL 710.28, MCL 710.29, MCL 710.54, MCR 3.801
PCA 305 (2/15)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal