Approved, SCAO
JIS CODE: NPF
STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY
Court address
NOTICE TO PUTATIVE FATHER
CASE NO. PETITION NO.
Court telephone no.
1. In the matter of
name(s), alias(es), DOB
TO:
2.
Name of child
was born on
Date
at
Child's place of birth
The mother of the child is
Mother's full name
.
3. A petition requesting the court to take jurisdiction of this child has been filed with this court. 4. The court has received information that you may be the natural father of the child. 5. You must appear at at
Time Location
on
Date
m. to state your interest, if any, in the child.
6. Your failure to appear at this hearing: a) is a denial of your interest in the child, b) is a waiver of notice for all subsequent hearings, c) is a waiver of a right to appointment of an attorney, and d) could result in termination of whatever rights you may have to the child. If you require special accommodations to use the court because of a disability or if you require a foreign language interpreter to help you to fully participate in court proceedings, please contact the court immediately to make arrangements.
Date Clerk/Deputy clerk
If the court finds probable cause to believe that an identifiable person is the natural father of the minor, the court shall direct that notice be served on that person in any manner reasonably calculated to provide notice to the putative father, including publication if his whereabouts remain unknown after diligent inquiry.
JC 53 (11/05)
NOTICE TO PUTATIVE FATHER
MCR 3.921(C)