Form CCFD07 "Petition to Accept Release and Terminate Rights to Surrendered Newborn Child" - Michigan

Form CCFD07 is a Michigan Circuit Court form also known as the "Petition To Accept Release And Terminate Rights To Surrendered Newborn Child". The latest edition of the form was released in September 1, 2007 and is available for digital filing.

Download a PDF version of the Form CCFD07 down below or find it on Michigan Circuit Court Forms website.

ADVERTISEMENT

Download Form CCFD07 "Petition to Accept Release and Terminate Rights to Surrendered Newborn Child" - Michigan

1196 times
Rate
(4.4 / 5) 60 votes
Approved, SCAO
JIS CODE: ART
CASE NO.
STATE OF MICHIGAN
PETITION TO ACCEPT RELEASE AND
JUDICIAL CIRCUIT - FAMILY DIVISION
TERMINATE RIGHTS TO
COUNTY
SURRENDERED NEWBORN CHILD
In the matter of
, a surrendered newborn child
Full name of child
1.
I am an employee of
, a child-placing agency that assumed
Name of agency
temporary protective custody of the surrendered newborn child on
.
Date
2. The surrendering parent,
, has knowingly released the newborn.
Name
Evidence demonstrating this release is attached.
3.
a. The nonsurrendering parent,
, has been identified and located
Name
and provided with notice of the surrender of the newborn as follows:
(Specify the address or location of the nonsurrendering parent
and show proof of the notice provided.)
b. The nonsurrendering parent has not been identified or located. The following efforts were made to identify, locate, and
provide notice to the nonsurrendering parent of the surrender of the newborn:
(Specify the efforts made.)
4. The
surrendering parent
nonsurrendering parent
has not filed a petition for custody of the newborn within
the required 28 days following notice of the surrender of the newborn.
5. I REQUEST the court to accept the release of the surrendering parent and to enter an order terminating the rights of the
surrendering parent.
nonsurrendering parent.
I declare that this petition has been examined by me and that its contents are true to the best of my information, knowledge, and
belief.
Date
Attorney signature
Signature of petitioner
Attorney name (type or print)
Bar no.
Name (type or print)
Address
Address
City, state, zip
Telephone no.
City, state, zip
Telephone no.
Do not write below this line - For court use only
MCL 712.17
PETITION TO ACCEPT RELEASE AND TERMINATE RIGHTS TO SURRENDERED NEWBORN CHILD
CCFD 07 (9/07)
Approved, SCAO
JIS CODE: ART
CASE NO.
STATE OF MICHIGAN
PETITION TO ACCEPT RELEASE AND
JUDICIAL CIRCUIT - FAMILY DIVISION
TERMINATE RIGHTS TO
COUNTY
SURRENDERED NEWBORN CHILD
In the matter of
, a surrendered newborn child
Full name of child
1.
I am an employee of
, a child-placing agency that assumed
Name of agency
temporary protective custody of the surrendered newborn child on
.
Date
2. The surrendering parent,
, has knowingly released the newborn.
Name
Evidence demonstrating this release is attached.
3.
a. The nonsurrendering parent,
, has been identified and located
Name
and provided with notice of the surrender of the newborn as follows:
(Specify the address or location of the nonsurrendering parent
and show proof of the notice provided.)
b. The nonsurrendering parent has not been identified or located. The following efforts were made to identify, locate, and
provide notice to the nonsurrendering parent of the surrender of the newborn:
(Specify the efforts made.)
4. The
surrendering parent
nonsurrendering parent
has not filed a petition for custody of the newborn within
the required 28 days following notice of the surrender of the newborn.
5. I REQUEST the court to accept the release of the surrendering parent and to enter an order terminating the rights of the
surrendering parent.
nonsurrendering parent.
I declare that this petition has been examined by me and that its contents are true to the best of my information, knowledge, and
belief.
Date
Attorney signature
Signature of petitioner
Attorney name (type or print)
Bar no.
Name (type or print)
Address
Address
City, state, zip
Telephone no.
City, state, zip
Telephone no.
Do not write below this line - For court use only
MCL 712.17
PETITION TO ACCEPT RELEASE AND TERMINATE RIGHTS TO SURRENDERED NEWBORN CHILD
CCFD 07 (9/07)
ADVERTISEMENT