ࡱ>  @ ebjbj *|qlllllllH'H'H'8'L' Udh(++++,F-.dRa$vcvcvcvcvcvc$eRhculR0,,R0R0cll++d838383R0"l+l+Ra83R0Ra8383n YllN[+( h&H't0"Z [|%d0Ud2Zh0h@N[llllhlN[/05/"83W/s////ccD3"ADOPTION CONSENT REQUEST (RECRUITED FAMILY OR COMPETING PARTIES)Department of Human ServicesChild s Name (Last, First, Middle)Date of BirthDHS Case Number FORMTEXT       FORMTEXT       FORMTEXT      Adoptive Placement CountyName of Recommended Adoptive Parent(s) FORMCHECKBOX Other FORMTEXT       FORMTEXT       FORMTEXT      SELECT THE TYPE OF CONSENT REQUESTED: FORMCHECKBOX RECRUITED FAMILY CONSENT REQUEST (CHILD NOT IN THE HOME)Describe how family was selected (e.g. recruited by MARE, local search, previously known to child): FORMTEXT      Describe visitations between the child and family, including the number, frequency and quality of visits. FORMTEXT       FORMCHECKBOX COMPETING PARTY REQUEST (MORE THAN 1 INTERESTED FAMILY)FAMILY(IES) NOT RECOMMENDED*:Name: FORMTEXT      relationship to child FORMTEXT       FORMCHECKBOX  Prelim. Assessment FORMCHECKBOX  Adoptive Family Assessment FORMCHECKBOX  Letter not recommending attached FORMCHECKBOX  Case Conference FORMCHECKBOX  n/aName: FORMTEXT      relationship to child FORMTEXT       FORMCHECKBOX  Prelim. Assessment FORMCHECKBOX  Adoptive Family Assessment FORMCHECKBOX  Letter not recommending attached FORMCHECKBOX  Case Conference FORMCHECKBOX  n/aName: FORMTEXT      relationship to child FORMTEXT       FORMCHECKBOX  Prelim. Assessment FORMCHECKBOX  Adoptive Family Assessment FORMCHECKBOX  Letter not recommending attached FORMCHECKBOX  Case Conference FORMCHECKBOX  n/aName: FORMTEXT      relationship to child FORMTEXT       FORMCHECKBOX  Prelim. Assessment FORMCHECKBOX  Adoptive Family Assessment FORMCHECKBOX  Letter not recommending attached FORMCHECKBOX  Case Conference FORMCHECKBOX  n/a*Attach additional pages if necessaryALL OF THE FOLLOWING ARE REQUIRED FOR EACH CONSENT REQUEST: FORMCHECKBOX Consent to Adoption (PCA309) is attached which includesCounty where petition will be filed, Childs name as it appears on the birth certificate and any documented AKA. 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FORMCHECKBOX The following required documentation is included and is current within 1 year.Child Assessment and addendum(s) (required to update or indicate changes in placement). Adoptive Family Assessment and addendum(s) with supervisory approval noted. FORMCHECKBOX Copy of the child s birth certificate or other verification of birth FORMCHECKBOX Legal documentation (Copies of at least 1 of the following legal forms must be included)A copy of the Order Terminating Parental Rights, Commitment to DHS (JC63) The applicable legal documents committing a child to DHS following a voluntary release (PCA 305, 306, 312, 318, 322) Combination of a. and b. above Order committing a child to MCI, following a disrupted adoptionPlacement Agency and Address FORMTEXT      Signature of Adoption WorkerDateTelephone Number FORMTEXT      ( FORMTEXT    )  FORMTEXT      Signature of Adoption Supervisor Approving this PlacementDate FORMTEXT      Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area.AUTHORITY: MCL 710.21 et. Seq. and P.A. 280 of 1939. RESPONSE: Required. PENALTY: Adoption delay. 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