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PCA 354

Out-of-Court Release of Child by Parent

Michigan · Michigan State Court Administrative Office · Effective September 1, 2023

This form is a document used by a parent or guardian to give up their parental rights to a child without going through a full court hearing. It requires the parent to sign statements showing they understand what they are giving up and that they are doing it willingly.

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

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 is signing away their parental rights to a child. The form notes that it cannot be signed until at least 72 hours after the child was born.

Either party may file.

Common questions

Who fills out this form?
The parent or guardian of the child fills out this form. There are sections for signatures from an adoption attorney and an adoption agency representative as well.
What does signing this form mean?
Signing this means the parent is giving up all their parental rights to the child. The parent acknowledges that this termination of rights, if finalized by the court, is permanent.
Can the parent change their mind later?
The form mentions that a parent may request a revocation of the release. This request can be submitted to the adoption attorney or child-placing agency.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect September 1, 2023.

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