Clerks Report To Prosecuting Attorney {PCA 334}

Approved, SCAO STATE OF MICHIGAN FILE NO. JUDICIAL CIRCUIT - FAMILY DIVISION CLERKS REPORT TO COUNTY PROSECUTING ATTORNEY In the matter of DOB: Full name of child NOTICE TO PROSECUTING ATTORNEY: 1. The above named child was temporarily placed with prospective adoptive parents for purposes of adoption as indicated in the attached statement (attach Form PCA 330 or PCA 331). 2. According to court records, no petition for adoption has been filed and the child has not been returned to the parent(s) or other person having the right to legal custody as required and no petition to determine custody of the child has been filed.TAKE NOTICE: 3. The Michigan Adoption Code requires that the prosecuting attorney for the county where the child has been temporarily placed for adoption shall immediately file a petition in the circuit court to determine the custody of the child.Date Signature of clerk Do not write below this line - For court use only PCA 334 (11/97) CLERKS REPORT TO PROSECUTING ATTORNEY MCL 710.23d; MSA 27.3178(555.23d)