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PC 643Mandatory

Acceptance of Appointment and Report of Guardian Ad Litem

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

This form is used by a person who has been officially appointed by the court as a guardian ad litem. It asks the person to confirm they accept this role and to report information and recommendations to the court.

The court describes it as: Court rule / statute: MCL 700.1403(d), MCL 700.5406, MCR 5.121

Open the official PDFfrom Michigan State Court Administrative Office

Where this fits in a case

General & info

Information / general use — not tied to one step of a case

This form is used in a probate court setting when someone has been appointed as a guardian ad litem for a specific person. It also includes notes about the duties of such a guardian in a conservatorship case.

Either party may file.

Common questions

Who fills out this form?
The form is for the person who has been appointed by the court as the guardian ad litem to fill out. It is also for court use.
What does this form ask for?
It asks the person to state that they accept the appointment and to provide a report and recommendations to the court.
Are there duties listed on this form?
Yes, the form includes a notice listing partial duties for a guardian ad litem appointed under MCL 700.5406 in a protective proceeding.

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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