en-USUSE NOTE:en-US If the child is an Indian child, use form PCA 323-I.en-USIn the matter of en-USFull name of childen-US DOB: en-US en-US , adoptee � 1. � On en-USDateen-US an order was entered terminating your parental rights to the child(ren) named above. 2. � en-USYou have the right to � a. � Request a rehearing in the circuit court on the termination of your parental rights. If you choose to request a rehearing, � you must do so by contacting this court in writing within 21 days of the date of the order terminating your parental rights. � b. � Appeal to the Court of Appeals the termination of your parental rights or the denial of your request to revoke release/ � consent of parental rights. If you wish to appeal this termination or denial, you must do so by filing a claim of appeal with � the Court of Appeals of the State of Michigan within 21 days of the date of the order terminating your parental rights or � the order denying revocation of release/consent. 3. � Your obligation to support the child continues until a court of competent jurisdiction modifies or terminates the obligation, an � order of adoption is entered, or the child is emancipated by operation of law. 4. � en-USIn addition to the above rightsen-US you have the right to control the release of identifying information about yourself as follows: � a. � You may file with the Central Adoption Registry of the Michigan Department of Health and Human Services, at any time, � a form called 223Parent222s Consent/Denial to Release Information to Adult Adoptee.224 With this form (copies available at all � circuit courts or Michigan Department of Health and Human Services offices) you can consent to or deny the release of � the following identifying information: � en-US225 � Your name at the time of termination of your parental rights. � en-US225 � Your most recent name and address, which is on file with the Central Adoption Registry. � You can use this form anytime you change your mind about consenting to or denying the release of identifying � � information. � b. � You may keep your name and address current with the Central Adoption Registry by sending this information to the � Registry in writing. en-USNOTE:en-US If you do not file a 223Parent222s Consent/Denial to Release Information to Adult Adoptee,224 or if you revoke a previously filed en-USdenial, then the identifying information stated in item 4 will be released upon the request of each child after reaching the ageen-USof 18. If the other former parent has filed a denial of release of identifying information that has not been revoked, the identifying information about that parent will not be released. � American LegalNet, Inc. www.FormsWorkFlow.com