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Notice Of Appointment Of Temporary Guardian For Minor And Of Right To Object PC 672 - Michigan
| Notice Of Appointment Of Temporary Guardian For Minor And Of Right To Object Form. This is a Michigan form and can be used in Guardianships and Conservatorships Probate Statewide . |
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Approved, SCAO JIS CODE: MGS STATE OF MICHIGAN PROBATE COURT COUNTY CIRCUIT COURT - FAMILY DIVISION FILE NO. MINOR GUARDIANSHIP SOCIAL HISTORY USE NOTE: File this form with the petition for appointment of guardian. This information is confidential and will not be placed in the public court file. Parent and Minor Child Information: Name of minor Minor's present address Mother's name Mother's birth date Minor's birth date City Father's name Minor's social security no. State Father's birth date Zip Father's name on minor's birth certificate Paternity established through court proceedings If yes, specify court and county where paternity was established Yes Yes Child Child Child Child No No Father Father Father Father Mother Mother Mother Mother Yes Yes No No Circuit Probate If yes, specify county of divorce County County Minor's parents married to each other Minor's parents divorced from each other Check any of the following that are true about the child, father, or mother and describe below (include the name of any case worker) Victim of domestic violence Had contact with the protective services unit of the Department of Human Services Experienced a substance abuse problem Experienced a mental health problem Name of school child attends (specify if home schooled) Describe child's school attendance, behavior, and grades Describe child's relationship and extent of contact with parent(s) If the child is a member of an Indian tribe, or is eligible for membership in an Indian tribe and is a biological child of a member of an Indian tribe, list the child's tribal affiliation. Proposed Guardian Information: Name of proposed guardian (including any prior names) Present address Relationship to minor Guardianship of any other minor Occupation Home phone no. City Work phone no. Birth date State Cell phone no. Driver's license no. Zip Social security no. Length of time at this address Best number to call between 8:00 a.m. and 5:00 p.m. If yes, give name and file numbers of each minor child Employer's name and telephone no. Length of time with this employer Check any of the following that are true about the proposed guardian and describe below (include the name of any case worker) Victim of domestic violence Had contact with the protective services unit of the Department of Human Services Experienced a substance abuse problem Experienced a mental health problem Specify the date, place, and nature of any offense, other than a minor traffic violation, for which you were convicted; check if none None PC 670 (3/10) MINOR GUARDIANSHIP SOCIAL HISTORY MCR 5.404(A) American LegalNet, Inc. www.FormsWorkFlow.com Proposed Guardian Questionnaire: (the proposed guardian must complete all items below) 1. Describe the reasons for the guardianship. 2. Do the parents agree with this guardianship? Yes No If no, explain. 3. Describe the parents' visiting schedule with the child after you are the guardian. If there is no understanding about this, check none. 4. Describe any physical and/or mental limitations you have that would affect your ability to raise this child. If there are none, check none. 5. Describe the type (visits, telephone calls, etc.) and frequency of contact (daily, weekly, etc.) you have had with the minor in the past. 6. Explain how you propose to handle the additional financial burden of this guardianship. List annual income of the household and the sources of that income. 7. Describe the sleeping space you have in your home for this child. 8. Indicate how many other children live in your home. 9. Describe the methods of discipline you would use to control this child. 10. Provide the full name and date of birth of every adult living in the home. 11. List two people the court may contact for references. Provide their names, addresses, and telephone numbers. 12. Specify any other information you believe would be helpful to the court. Date Signature American LegalNet, Inc. www.FormsWorkFlow.com
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