Acceptance Of Appointment (Juvenile Guardian) {JC 92}

Approved, SCAO JIS CODE: AOT STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION CASE NO. ACCEPTANCE OF APPOINTMENT (JUVENILE GUARDIAN) Court telephone no. COUNTY Court address 1. In the matter of name, alias(es), DOB 2. I have been appointed juvenile guardian of the child named above. 3. I accept the appointment, submit to personal jurisdiction of the court, will not delegate my authority, and agree to file reports and to perform required duties. Date Signature of juvenile guardian Name (type or print) Address City, state, zip Date of birth Telephone no. Do not write below this line - For court use only JC 92 (6/09) ACCEPTANCE OF APPOINTMENT (JUVENILE GUARDIAN) American LegalNet, Inc. www.FormsWorkFlow.com MCL 700.5215, MCR 3.979(B), (E)