Approved, SCAO JIS CODE: PTG STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION COUNTY Court address PETITION TO TERMINATE APPOINTMENT OF JUVENILE GUARDIAN, NOTICE OF HEARING, AND ORDER FOR INVESTIGATION CASE NO. Court telephone no. 1. In the matter of name, alias(es), DOB 2. I am the juvenile guardian. an interested person. 3. The reasons why the court should take action are: I request that the court: 4. Terminate the appointment of the juvenile guardian. Address City I request State Name (type or print) Zip Telephone no. be appointed successor guardian. Signature of petitioner Name (type or print) Date Address City, state, and zip Telephone no. NOTICE OF HEARING A hearing on the above petition shall be held on Day, date, and time Location at before Judge/Referee Bar no. . TO ALL INTERESTED PERSONS (listed in MCR 3.921[C]): You are entitled to participate in this hearing. Any information you want the court to consider at this hearing must be submitted in writing and in advance to the court, the agency, the lawyer-guardian ad litem for the child, and, if any, the attorneys for the parties. ORDER FOR INVESTIGATION IT IS ORDERED: The department shall perform an investigation of the juvenile guardianship and file a written report of the investigation with the court no later than 7 days before the hearing on the above petition. The report shall include the reasons why the appointment of the juvenile guardian should be terminated and a recommendation regarding temporary placement, if necessary. IT IS FURTHER ORDERED: Recommended by: Referee signature Date Date Judge Bar no. Do not write below this line - For court use only Reference Note: The term "department" refers to the Department of Health and Human Services. JC 98 (9/15) PETITION TO TERMINATE APPOINTMENT OF JUVENILE GUARDIAN, NOTICE OF HEARING, AND ORDER FOR INVESTIGATION MCR 3.979(F) American LegalNet, Inc. www.FormsWorkFlow.com