Release of Child by Child Placing Agency
Michigan · Michigan State Court Administrative Office · Effective August 1, 2024
This form is a legal document used to show that a child placing agency is giving up parental rights to a child. The release is given to the Michigan Department of Health and Human Services for the purpose of adoption or finding a suitable placement.
The court describes it as: Court rule / statute: MCL 710.28, MCL 710.29, MCR 3.801
Where this fits in a case
General & infoInformation / general use — not tied to one step of a case
This form is used in a family court setting when a child placing agency is voluntarily giving up parental rights to a child.
Either party may file.
Common questions
- Who fills out this form?
- The form is filled out by the representative of the child placing agency.
- What does this form do?
- It is a voluntary release that gives up parental rights to the child to the Michigan Department of Health and Human Services.
- Does this form require a notary?
- Yes, the document must be subscribed and sworn to before a notary public or deputy clerk.
Revision history
No changes recorded since we started tracking this form on October 9, 2026. The current version took effect August 1, 2024.
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