Approved, SCAO PCS CODE: DSP TCS CODE: DSP STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION COUNTY Court address ORDER OF DISPOSITION, CHILD IN HOME (CHILD PROTECTIVE PROCEEDINGS) CASE NO. PETITION NO. 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 IT IS ORDERED: 7. Identify person(s) , even if supervised would be harmful to the child(ren). Name of parent/guardian/legal custodian is warned and the jurisdiction of the court is terminated. 8. The child(ren) are in the temporary custody of this court and shall remain at home/be returned home to the care of Name of parent/guardian/legal custodian under the supervision of the court. the department. 9. The parent(s), guardian, or legal custodian shall comply with the case service plan dated Date as modified at the hearing. and additionally shall: 10. Parenting time is denied to Identify person(s) Identify person(s) . subject to the following conditions: 11. Parenting time is granted to 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: Referee signature Date Date at at Date Time . . Time Date Judge American LegalNet, Inc. www.FormsWorkFlow.com JC 17a (9/16) ORDER OF DISPOSITION, CHILD IN HOME (CHILD PROTECTIVE PROCEEDINGS) MCL 712A.18, MCL 712A.18f, MCL 712A.20, MCR 3.973(F)