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PC 122Mandatory

Confidential Information for Proceedings Concerning Waiver of Parental Consent

Michigan · Michigan State Court Administrative Office · Effective September 1, 2010

This form is used when a minor needs the court to waive parental consent for an abortion. It asks the minor to provide personal details that the court will keep private.

The court describes it as: Court rule / statute: MCR 3.615

Open the official PDFfrom Michigan State Court Administrative Office

Where this fits in a case

Start a case

Stage: Start a case

This form is used in a legal process where a minor is petitioning the court to waive the need for parental consent regarding an abortion.

Usually filed by the person starting the case.

Common questions

What is this form for?
This form is for providing confidential information when a minor is asking the court to waive parental consent for an abortion. The court uses this information to contact the minor or to identify them in a court order if the petition is granted.
Who can see the information provided?
The information is kept private by the court in a sealed envelope. Only the judge, authorized court staff, the minor, the minor's attorney, and anyone the minor authorizes can see it.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect September 1, 2010.

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