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PCA 338

Statement to Accompany Release

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

This form is a statement that goes with a release document for an adoption. It asks the parent or guardian to confirm several things, such as that they are releasing the child for adoption and that they understand certain rules regarding the child's welfare.

The court describes it as: Court rule / statute: MCL 710.29(6)

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 when a parent or guardian intends to sign a release for the purpose of an adoption.

Usually filed by the person starting the case.

Common questions

Who fills out this form?
The parent or guardian of the child who is being adopted fills out this statement.
What does this form confirm?
It confirms that the parent or guardian intends to release the child for adoption and that they have received certain information, like a list of support groups.
Does this form involve a fee?
The text does not mention any filing fees for this statement.

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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