Order Placing Child (Step Parent Adoption) {PCA 319}

Approved, SCAO JIS CODE: PCS STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION FILE NO. ORDER PLACING CHILD (STEPPARENT ADOPTION) COUNTY In the matter of Full name of child Date of birth , adoptee adoptee is an Indian child 1. Date of hearing: THE COURT FINDS: 2. A petition for an order of adoption has been filed. Judge: Bar no. 3. A report of investigation has been filed and reviewed by the court. 4. The best interests of the adoptee will be served by the adoption. 5. The petitioner for adoption is married to the parent having legal custody of the adoptee. IT IS ORDERED: 6. Placement of the adoptee in the home of Name(s) is approved. 7. Court agent or employee, child-placing agency, or Michigan Department of Human Services shall supervise the adoptee in the home and months. shall make reports to the court regarding the adjustment of the adoptee in the home every Date Judge NOTE: "In any adoptive placement of an Indian child under State law, a preference shall be given, in the absence of good cause to the contrary, to a placement with (1) a member of the child's extended family; (2) other members of the Indian child's tribe; or (3) other Indian families." 25 USC 1915(a) Do not write below this line - For court use only PCA 319 (9/10) ORDER PLACING CHILD (STEPPARENT ADOPTION) 25 USC 1915(a), MCL 710.51, MCL 710.52 American LegalNet, Inc. www.FormsWorkFlow.com