Order Of Disposition, Child In Home (Child Protective Proceedings) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Order Of Disposition, Child In Home (Child Protective Proceedings) Form. This is a Michigan form and can be use in Juvenile Statewide.
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Tags: Order Of Disposition, Child In Home (Child Protective Proceedings), JC 17a, Michigan Statewide, Juvenile
Approved, SCAO
JIS CODE: DSP
STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY
ORDER OF DISPOSITION, CHILD IN HOME
(CHILD PROTECTIVE PROCEEDINGS)
CASE NO.
PETITION NO.
Court address
Court telephone no.
1. In the matter of
name(s), alias(es), DOB
2. Date of hearing:
Judge/Referee:
Bar no.
3. An adjudication was held and one or more of the statutory grounds alleged in the petition are true.
4. Notice of hearing for the disposition was given as required by law.
5. The court has considered the case service plan and other evidence presented. Specific findings of fact and law regarding this
proceeding are
on the record.
in the attached written opinion.
as noted below.
THE COURT FINDS:
6. Parenting time by
, even if supervised, would be harmful to the child(ren).
Identify person(s)
IT IS ORDERED:
7.
is warned and the jurisdiction of the court is terminated.
Name (type or print)
8. The child(ren) are in the temporary custody of this court and shall remain at home/be returned home to the care of
under the supervision of the
court.
Michigan Department of Human Services.
Name of parent/guardian/legal custodian
9. The parent(s), guardian, or legal custodian shall comply with the case service plan dated
as modified at the hearing.
and additionally shall:
10. Parenting time is denied to
11. Parenting time is granted to
to the following conditions:
.
Identify person(s)
subject
Identify person(s)
12. The petition is dismissed and the jurisdiction of this court is terminated except that the court reserves the right to enforce
payments of reimbursement that have been accrued up to and including the date of this order.
13. Other: Include reimbursement provisions as required by MCL 712A.18(2)
14. Notice: Reviews shall be held as follows:
Progress review (without hearing) shall be held on
Dispositional review hearing shall be held on
Recommended by:
Date
at
Date
at
Date
Time
.
Time
.
Referee signature
Judge
MCL 712A.18, MCL 712A.18f, MCL 712A.20, MCR 3.973(F)
JC 17a (9/06)
ORDER OF DISPOSITION, CHILD IN HOME (CHILD PROTECTIVE PROCEEDINGS)
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