Verified Statement of Service Performed by Lawyer-Guardian Ad Litem
Michigan · Michigan State Court Administrative Office · Effective December 1, 2022
This form is a sworn statement used by a lawyer-guardian ad litem to tell the court that they have completed certain required actions regarding a child. It confirms things like meeting with the child and reviewing case files.
The court describes it as: Court rule / statute: MCL 712A.17d, MCR 3.915
Where this fits in a case
HearingStage: Hearing
This form is used in a juvenile court case when a lawyer-guardian ad litem needs to report to the court that they have performed specific duties related to the child's case.
Either party may file.
Common questions
- Who fills out this form?
- The form is for the lawyer-guardian ad litem to fill out and sign. It is also for a substitute lawyer-guardian ad litem to use if they are covering for the appointed person.
- What does this form confirm?
- It confirms that the lawyer-guardian ad litem has met with or had contact with the child, reviewed the case file, and spoken with the child's parents, guardians, and workers.
- Is there a fee mentioned?
- The form includes a statement that the lawyer-guardian ad litem understands payment is only for services performed if they meet with or observe the child before every hearing.
Revision history
No changes recorded since we started tracking this form on October 9, 2026. The current version took effect December 1, 2022.
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