Order Committing Child To Agency Department Of Human Services Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Order Committing Child To Agency Department Of Human Services Form. This is a Michigan form and can be use in Oakland Local County.
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Tags: Order Committing Child To Agency Department Of Human Services, PCA-322, Michigan Local County, Oakland
Approved, SCAO
JIS CODE: OCA
CASE NO.
STATE OF MICHIGAN
ORDER COMMITTING CHILD TO AGENCY/
DEPARTMENT OF HUMAN SERVICES
6th JUDICIAL CIRCUIT - FAMILY DIVISION
OAKLAND COUNTY
In the matter of
DOB:
Full name of child
child is an Indian child
1.
Date of hearing:
Judge:
Bar no.
THE COURT FINDS:
2.
The parental rights of
Name
Relationship
Name
Relationship
have been terminated.
3.
It is reasonable not to make efforts to prevent removal of the child or to reunify the family.
IT IS ORDERED:
4.
The child named above is committed to
Child-placing agency/Michigan Department of Human Services under MCL 710.29(7)
for the purpose of adoption.
Date
Judge
Do not write below this line - For court use only
PCA 322 (3/10) ORDER COMMITTING CHILD TO AGENCY/DEPARTMENT OF HUMAN RESOURCES
MCL 710.29(7)
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