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PCA 333

Follow-up Report after Temporary Placement of Child for Adoption

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

This form is a report that must be filled out within 30 days after a child is temporarily placed for adoption. It asks for details about the temporary placement and what has happened with the child since that time.

The court describes it as: Court rule / statute: MCL 710.23d(3)

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 after a child has been temporarily placed for adoption. It is completed by the adoption attorney representing the child-placing agency.

Prepared by the court or clerk.

Common questions

Who fills out this form?
The adoption attorney who represents the child-placing agency fills out this report.
When must this report be completed?
This report must be completed within 30 days after the physical custody of the child was transferred.
Does this form replace other reports?
No, this report is in addition to the report included in the statement transferring custody (either form PCA 330 or PCA 331).

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

  • PCA 330

    Statement of Parent/Guardian Transferring Physical Custody of Child for Adoption

    This form is a statement used by a parent or guardian to tell the court that they are temporarily giving physical care of a child to prospective adoptive parents for the purpose of adoption. It includes agreements about medical care and the parent's understanding of their rights.

    Fillable PDF
  • PCA 331

    Statement of Child-Placing Agency Transferring Physical Custody of Child for Adoption

    This form is a statement from a child-placing agency that tells the court that physical custody of a child has been temporarily given to prospective adoptive parents for the purpose of adoption. It includes details about the parents and the agency's confirmation that the placement is authorized.

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