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PCA 332a

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

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

This form is a statement used by a prospective adoptive parent who does not live in Michigan. It confirms that the parent has taken physical custody of a child and agrees to follow rules about placing the child in Michigan for adoption.

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

Start a case

Stage: Start a case

This form is used when a prospective adoptive parent who lives outside of Michigan takes physical custody of a child for the purpose of adoption.

Usually filed by the person starting the case.

Common questions

Who fills out this form?
The form is for a prospective adoptive parent who is not a resident of Michigan.
What does the parent agree to?
The parent agrees to get approval under the Interstate Compact on Placement of Children and agrees to follow Michigan's court rules.

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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