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