Approved, SCAO
JIS CODE: MPS
STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY
ORDER DETERMINING MATERNITY/PATERNITY OF SURRENDERED NEWBORN CHILD
FILE NO.
In the matter of
Full name of child
, a surrendered newborn child
1. Date of hearing:
Judge:
Bar no.
2. A petition for custody of the surrendered newborn child was filed. The required testing for maternity and/or paternity has been completed and the results were served on the parent(s) and filed with the court. THE COURT FINDS: 3. Notice of hearing was given to or waived by all interested parties. 4. a. The result of the maternity testing b. The result of the paternity testing 5. a. The petitioner,
Name
is is
is not is not
admissible. admissible. , is is not the biological mother of the
surrendered newborn child. b. The petitioner,
Name
,
is
is not
the biological father of the
surrendered newborn child. IT IS ORDERED: 6. The petition for change of custody is dismissed. 7. A hearing on the petition for change of custody shall be held on
Time and location Date
at .
before Hon.
Date
Judge
Do not write below this line - For court use only
CCFD 04a (9/07)
ORDER DETERMINING MATERNITY/PATERNITY OF SURRENDERED NEWBORN CHILD
MCL 712.10(3), MCL 712.11(5)