Order Determining Custody Of Surrendered Newborn Child {CCFD 06}

Approved, SCAO STATE OF MICHIGAN FILE NO. JUDICIAL CIRCUIT - FAMILY DIVISION ORDER DETERMINING CUSTODY COUNTY OF SURRENDERED NEWBORN CHILD In the matter of , a surrendered newborn child Full name of child 1. Date of hearing: Judge: Bar no.2. A petition for custody of the surrendered newborn child was filed and the required testing for maternity and/or paternity has been completed and the results served on the parent(s) and filed with the court. 3. Findings of fact and conclusions of law regarding the best interests of the newborn child as set forth in MCL 712.14 were made on the record. THE COURT FINDS: 4. Notice of hearing was given to or waived by all interested parties. 5. The petitioner is the biological mother father of the surrendered newborn child. 6. Custody of the surrendered newborn child should should not be given to the mother. father. 7. It is in the best interests of the surrendered newborn child to transfer custody as follows: IT IS ORDERED: 8. The petition for change of custody is denied. 9. The petition for change of custody is granted and , the Name(s) shall have legal physical custody of the newborn child. Custody shall be mother or father or both transferred from the child placing agency prospective adoptive parent(s)as follows: Court jurisdiction shall continue until . is relinquished. Date 10. The parental rights of are terminated. Name(s) of parent(s) Custody and care of the newborn child is granted to , a child placing agency. The prior court order dated authorizing placement of the surrendered newborn child with prospective adoptive parent(s) is continued. Date Judge Do not write below this line - For court use only CCFD 06 (1/01) ORDER DETERMINING CUSTODY OF SURRENDERED NEWBORN CHILD MCL 712.14