Last updated: 3/30/2016
Parents Or Guardians Verified Accounting For Adoption Release Or Direct Placement Consent {PCA 348}
Start Your Free Trial $ 13.99What you get:
- Instant access to fillable Microsoft Word or PDF forms.
- Minimize the risk of using outdated forms and eliminate rejected fillings.
- Largest forms database in the USA with more than 80,000 federal, state and agency forms.
- Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
- Trusted by 1,000s of Attorneys and Legal Professionals
Description
Approved, SCAO JIS CODE: POG STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION COUNTY PARENT'S OR GUARDIAN'S VERIFIED ACCOUNTING FOR ADOPTION RELEASE OR DIRECT PLACEMENT CONSENT DOB: FILE NO. In the matter of Full name of child , adoptee This accounting is a complete itemization of all money or things of value that I have been promised or have received or that have been paid on my behalf in connection with this release or consent. ITEM 1. Attorney Fees (itemized on other side of this form) ....................................................................................................................... 2. Travel Expenses (itemized on other side of this form) ................................................................................................................. 3. Medical, Hospital, Nursing, or Pharmaceutical Expenses (itemized on other side of this form) .................................. TOTAL $ $ $ $ $ $ $ 4. Counseling Services (itemized on other side of this form) .......................................................................................................... 5. Living Expenses (itemized on other side of this form) .................................................................................................................. 6. Other (itemized on other side of this form) ....................................................................................................................................... I REQUEST that the court approve these payments and promises. TOTAL I declare that this accounting and any attachments have been examined by me and that the contents are true to the best of my information, knowledge, and belief. Date Signature of parent or guardian Name (print or type) Address City State Zip Telephone no. CERTIFICATION BY PARENT/GUARDIAN OF UNEMANCIPATED MINOR PARENT I certify that I am the parent legal guardian of Name of parent of child , who is an unemancipated minor parent of the child. I have reviewed this accounting and agree with the information. Date Signature of parent/guardian Name of parent/guardian (print) Address City, state, and zip Signature of witness Name of witness (print) ORDER The above payments and promises are approved with the following exceptions, if any: Date PCA 348 (2/15) Judge Bar no. PARENT'S OR GUARDIAN'S VERIFIED ACCOUNTING FOR ADOPTION RELEASE OR DIRECT PLACEMENT CONSENT MCL 710.29(6), MCL 710.44(5) American LegalNet, Inc. www.FormsWorkFlow.com ITEMIZED ACCOUNTING OF PAYMENTS/PROMISES Instructions: The following are types of expenses that must be itemized. Each type of expense is explained. For each type, identify the type by number, list each expense in that type separately, total the amounts, and place the total under the same type number on the front of this form. If the space provided below is not adequate, make copies before writing any information on this form. For each payment or promise made to you or for you, write in the date, the amount, whether the payment was made to you or to someone else, and what the payment or promise was for. Type 1. Type 2. Type 3. Type 4. Type 5. Type 6. Attorney fees you had in connection with the adoption. Travel expenses you had in connection with the adoption. Medical expenses of the birth mother or child for the pregnancy or birth or any illness of the child, which were not covered by your health insurance or Medicaid. Counseling expenses for you or the child in connection with the adoption. Living expenses of the birth mother before the child's birth and for no more than six weeks after the birth. Other: list anything else that you have received, been promised, or which has been paid for you. TYPE NO. DATE AMOUNT NAME AND ADDRESS OF RECIPIENT PURPOSE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ American LegalNet, Inc. www.FormsWorkFlow.com
Related forms
-
Advice Of Rights After Order Terminating Parental Rights
Michigan/Statewide/Adoption/ -
Certificate Of Adoptive Information
Michigan/Statewide/Adoption/ -
Clerks Report To Prosecuting Attorney
Michigan/Statewide/Adoption/ -
Consent To Adoption By Agency Or Court
Michigan/Statewide/Adoption/ -
Consent To Adoption By Guardian
Michigan/Statewide/Adoption/ -
Consent To Adoption By Parent
Michigan/Statewide/Adoption/ -
Declaration Of Inability To Identify Or Locate Father
Michigan/Statewide/Adoption/ -
Followup Report After Temporary Placement Of Child For Adoption
Michigan/Statewide/Adoption/ -
Notice Of Hearing Termination Of Parental Rights
Michigan/Statewide/Adoption/ -
Notice Of Hearing To Identify Father And Determine Or Terminate His Rights
Michigan/Statewide/Adoption/ -
Notice Of Intent To Release Or Consent
Michigan/Statewide/Adoption/ -
Notice To Adopting Parents On Pending Or Potential Appeal Or Rehearing
Michigan/Statewide/Adoption/ -
Notice To Putative Father And Custody Statement
Michigan/Statewide/Adoption/ -
Order Committing To Agency Or Family Independence Agency
Michigan/Statewide/Adoption/ -
Order Following Hearing On Review Of Adoption Placement
Michigan/Statewide/Adoption/ -
Order Of Adoption (Alternative Format Suitable For Framing)
Michigan/Statewide/Adoption/ -
Order Of Adoption
Michigan/Statewide/Adoption/ -
Order Placing Child (Step Parent Adoption)
Michigan/Statewide/Adoption/ -
Order Placing Child After Consent
Michigan/Statewide/Adoption/ -
Order Terminating Parental Rights After Release Or Consent
Michigan/Statewide/Adoption/ -
Order Terminating Rights Of Father Without Release Or Consent
Michigan/Statewide/Adoption/ -
Order Terminating Rights Of Non Custodial Parent
Michigan/Statewide/Adoption/ -
Parents Or Guardians Verified Accounting For Adoption Release Or Direct Placement Consent
Michigan/Statewide/Adoption/ -
Petition And Order For Approval Of Confidential Intermediary Fee
Michigan/Statewide/Adoption/ -
Petition And Order For Release Of Information From Confidential Intermediary And Court
Michigan/Statewide/Adoption/ -
Petition By Parent Or Guardian For Return Of Child And Ex Parte Order
Michigan/Statewide/Adoption/ -
Petition For Adoption
Michigan/Statewide/Adoption/ -
Petition For Adoption Information And Order
Michigan/Statewide/Adoption/ -
Petition For Direct Placement Adoption
Michigan/Statewide/Adoption/ -
Petition To Determine Custody Of Child Temporarily Placed For Adoption
Michigan/Statewide/Adoption/ -
Petition To Issue Notice Of Intent To Release Or Consent
Michigan/Statewide/Adoption/ -
Petitioners Verified Accounting
Michigan/Statewide/Adoption/ -
Release Of Child By Parent
Michigan/Statewide/Adoption/ -
Statement Of Identifying Information
Michigan/Statewide/Adoption/ -
Statement Of Parent Or Guardian Authorizing Temporary Placement Of Child For Adoption
Michigan/Statewide/Adoption/ -
Statement Of Prospective Adoptive Parent Transferring Physical Custody Of Child For Adoption
Michigan/Statewide/Adoption/ -
Statement Of Services Performed By Attorney
Michigan/Statewide/Adoption/ -
Statement To Accompany Consent In Direct Placement
Michigan/Statewide/Adoption/ -
Statement To Accompany Release
Michigan/Statewide/Adoption/ -
Petition For Hearing To Identify Father And Determine Or Teminiate His Rights
Michigan/Statewide/Adoption/ -
Statement Of Nonresident Prospective Adoptive Parent Transferring Physical Custody Of Child For Adoption
Michigan/Statewide/Adoption/ -
Request For Confidentiality
Michigan/Statewide/Adoption/ -
Advice Of Rights After Order Terminating Parental Rights (Indian Child)
Michigan/Statewide/Adoption/ -
Release Of Indian Child By Parent
Michigan/Statewide/Adoption/ -
Petition And Order For Delayed Registration Of Foreign Birth
Michigan/Statewide/Adoption/ -
Supplement To Petitioners Verified Accounting
Michigan/Statewide/Adoption/ -
Supplemental Petition To Terminate Rights Of Noncustodial Parent
Michigan/Statewide/Adoption/ -
Addendum A To Verified Declaration About Paternity
Michigan/1 Statewide/Adoption/ -
Addendum B To Verified Declaration About Paternity
Michigan/1 Statewide/Adoption/ -
Addendum C To Verified Declaration About Paternity
Michigan/1 Statewide/Adoption/ -
Petition For Stepparent Adoption
Michigan/1 Statewide/Adoption/ -
Verified Declaration About Paternity
Michigan/1 Statewide/Adoption/ -
Notice Of Adoption Proceedings Concerning An Indian Child
Michigan/Statewide/Adoption/ -
Release Of Child By Guardian
Michigan/Statewide/Adoption/ -
Consent To Adoption By Adoptee
Michigan/Statewide/Adoption/ -
Consent By Parent To Adoption Of Indian Child
Michigan/Statewide/Adoption/ -
Statement Of Parent Or Guardian Transferring Physical Custody Of Child For Adoption
Michigan/Statewide/Adoption/ -
Statement Of Child Placing Agency Transferring Physical Custody Of Child For Adoption
Michigan/Statewide/Adoption/ -
Petition And Order To Appoint Confidential Intermediary
Michigan/Statewide/Adoption/ -
Petition For Rescission Of Adoption And Order
Michigan/Statewide/Adoption/ -
Out Of Court Release Of Child By Parent
Michigan/Statewide/Adoption/ -
Out Of Court Consent To Direct Placement Adoption By Parent
Michigan/Statewide/Adoption/ -
Ex Parte Motion For Alternate Service (Stepparent Adoption)
Michigan/Statewide/Adoption/ -
Ex Parte Order For Alternate Service (Stepparent Adoption)
Michigan/Statewide/Adoption/ -
Petition For Guardian Authority To Release For Or Consent To Adoption
Michigan/Statewide/Adoption/ -
Order Regarding Guardian Authority To Release For Or Consent To Adoption
Michigan/Statewide/Adoption/ -
Release Of Child By Child Placing Agency
Michigan/Statewide/Adoption/ -
Order Authorizing Foster Care Funding After Release
Michigan/Statewide/Adoption/ -
Order To Determine Custody Of Child Temporarily Placed For Adoption
Michigan/Statewide/Adoption/ -
Final Order Allowing Fees And Costs
Michigan/Statewide/Adoption/ -
Statement Of Services Performed By Agency Or Family Independence Agency
Michigan/Statewide/Adoption/
Form Preview
Contact Us
Success: Your message was sent.
Thank you!