Free pca311.pmd - Michigan

Approved, SCAO

JIS CODE: NIF

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

COUNTY

NOTICE OF HEARING TO IDENTIFY FATHER AND DETERMINE OR TERMINATE HIS RIGHTS

FILE NO.

In the matter of TO:

, adoptee

TAKE NOTICE: On
Building

Date Address

at

Time

, in the
City State

courtroom, , a hearing
Date

before

Name

,

Title

will be held to determine the identity of the father of the child named above who was born at
City, county, and state

to
Mother's name

,

who has

signed or intends to sign a release or consent relinquishing permanently her parental rights to the child. joined with her husband in a petition for adoption.

At the hearing the rights of the father shall be determined or terminated. YOUR FAILURE TO APPEAR AT THIS HEARING SHALL CONSTITUTE A DENIAL OF YOUR INTEREST IN THE CUSTODY OF THE CHILD, WHICH SHALL RESULT IN THE COURT'S TERMINATION OF YOUR PARENTAL RIGHTS TO THE CHILD.

Attorney name and bar no./Agency/Michigan Department of Human Services Address City, state, zip Telephone no.

Date Deputy clerk

Do not write below this line - For court use only

MCR 3.801, MCR 3.802, MCR 3.803 PCA 311 (9/07)

NOTICE OF HEARING TO IDENTIFY FATHER AND DETERMINE OR TERMINATE HIS RIGHTS