Skip to content
LitigationForms
PCA 332

Statement of Prospective Adoptive Parent Transferring Physical Custody of Child for Adoption

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

This form is used by a prospective adoptive parent to tell the court that they are taking physical care of a child for the purpose of adoption. It includes statements about where the parent lives and what happens if the court changes the custody order.

The court describes it as: Court rule / statute: 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 in a family law case when a prospective adoptive parent is taking physical custody of a child before the adoption is finalized.

Usually filed by the person starting the case.

Common questions

Who fills out this form?
The form is for the prospective adoptive parent to fill out. It also requires signatures from a witness and the parent. The court will use the bottom section for its own records.
What does this form confirm?
It confirms that the parent is a resident of Michigan and that the temporary placement is not final until the court approves the adoption or releases parental rights.
Does this form involve a filing fee?
The provided text does not mention any filing fees for this form.

Revision history

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

Related forms

  • CC 436

    Order Regarding Request to Revoke Acknowledgment of Parentage

    This form is an official court document used by a judge to write an order about a request to cancel or take back a legal acknowledgment of parentage. It records the court's findings and issues a final decision on the request.

    Fillable PDF
  • CC 437

    Motion to Set Aside Order of Filiation

    This form is a request to the court to cancel a previous court order that named a father for a minor child. It asks the judge to set aside the order and may request genetic testing.

    Fillable PDF
  • CC 438

    Order on Motion to Set Aside Order of Filiation

    This form is used by the court to write an official order when someone asks to cancel a previous court order that established a parent-child relationship. The court uses this form to state its final decision on whether or not to set aside the original order.

    Fillable PDF
  • CC 99d

    Motion to Set Aside Default/Default Judgment (Domestic Relations)

    This form is a request to the court asking the judge to cancel a default or a default judgment. It allows the person filing it to state why they failed to answer or defend themselves in the case.

    Fillable PDF
  • CC 99e

    Order Regarding Motion to Set Aside Default / Default Judgment (Domestic Relations)

    This form is an official court order used in domestic relations cases. It records the judge's decision after a hearing about a request to cancel a default or default judgment.

    Fillable PDF
  • CCFD 22

    Joint Motion and Order to Stay Proceedings (Collaborative Law Process)

    This form is a joint request from both parties to the court asking the judge to pause or stop the current case proceedings. It is used when the parties have signed an agreement to follow a collaborative law process.

    MandatoryFillable PDF
  • CCFD 26

    Notice of Request to Enter Consent Judgment/Order

    This form is a notice that tells the court and the other party that a written agreement (consent judgment/order) has been submitted to the judge. It sets a date and time for a hearing where the judge will decide if the agreement can be officially entered as a court order.

    MandatoryFillable PDF
  • FOC 104

    Request to Reopen Friend of the Court Case

    This form is used to ask the court to reopen a case that was previously handled by the Friend of the Court. The person filing this form must also provide a completed Verified Statement and an Application for Title IV-D Child Support Services.

    MandatoryFillable PDF