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PCA 329

Statement of Parent/Guardian Authorizing Temporary Placement of Child for Adoption

Michigan · Michigan State Court Administrative Office · Effective February 1, 2015

This form is a statement from a parent or guardian that gives permission for a child-placing agency to temporarily place a child with potential adoptive parents. It confirms the parent's understanding of their rights and the process involved.

The court describes it as: Court rule / statute: MCL 710.23b, MCL 710.23d

Open the official PDFfrom Michigan State Court Administrative Office

Where this fits in a case

Motions

Stage: Motions

This form is used when a parent or guardian needs to authorize a temporary placement of a child for adoption through a child-placing agency.

Usually filed by the person starting the case.

Common questions

Who fills out this form?
The form is for the parent or guardian to complete and sign. It also includes spaces for witnesses.
What does this form authorize?
It authorizes a child-placing agency to make a temporary placement of the child with prospective adoptive parents.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect February 1, 2015.

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