Petition And Order For Release Of Information From Confidential Intermediary And Court {PCA 344}

Approved, SCAO JIS CODE: PCS and MiCOURT - RIC TCS - CONF STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION PETITION AND ORDER REGARDING RELEASE OF INFORMATION FROM CONFIDENTIAL COUNTY INTERMEDIARY AND COURT FILE NO. In the matter of Full name of child , adoptee PETITION 1. I am the adult adoptee and on Date the court appointed a confidential intermediary to search for and contact a former family member of mine. 2. More than six months have passed since the appointment and the confidential intermediary has failed to contact the former family member. 3. I REQUEST that the court issue an order to release the confidential information described in MCL 710.27(3) and any additional information obtained by the confidential intermediary. Date Signature of petitioner Name of petitioner (type or print) Address City, state, zip Telephone no. ORDER 4. Date of hearing: Judge: Bar no. 5. The confidential intermediary shall search for another six months. 6. Name is appointed successor confidential intermediary to search for and contact the former family member. 7. The identifying information in MCL 710.27(3) and any additional information obtained by the confidential intermediary shall be released to the adult adoptee. 8. The petition is denied. Date Judge Do not write below this line - For court use only PCA 344 (2/15) PETITION AND ORDER REGARDING RELEASE OF INFORMATION FROM CONFIDENTIAL INTERMEDIARY American LegalNet, Inc. MCL 710.68b(6) AND COURT www.FormsWorkFlow.com