Order Determining Maternity Or Paternity Of Surrendered Newborn Child {CCFD 04a}

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) American LegalNet, Inc. www.FormsWorkflow.com