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CCFD 04

Order for Blood or Tissue Typing or DNA Profile (Safe Delivery of Newborn Act)

Michigan · Michigan State Court Administrative Office · Effective September 1, 2007

This form is an order from the court that directs a blood or tissue typing or DNA profile test to be done. It is used when a petition for custody of a newborn child has been filed, and testing is needed to see if the person claiming to be the parent is the biological parent.

The court describes it as: Court rule / statute: MCL 712.11, MCL 712.12 MCL 722.716

Open the official PDFfrom Michigan State Court Administrative Office

Where this fits in a case

Judgment

Stage: Judgment

This form is used in a case involving a surrendered newborn child when a petition for custody has been filed, and the court determines that testing is necessary to determine biological parentage.

Prepared by the court or clerk.

Common questions

Who fills out this form?
This form is an order that is issued by the court. It includes spaces for the judge's signature and date.
What does this form order?
It orders that a blood or tissue typing or DNA profile be conducted to check if someone is the biological parent of the surrendered newborn child.
Does this form mention fees?
The form includes a section stating that payment for the tests was waived because of indigency.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect September 1, 2007.

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