Last updated: 1/14/2011
Request And Order For Court Appointed Attorney Or Guardian Ad Litem For Waiver Of Parental Consent {PC 118}
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Description
Approved, SCAO STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION COUNTY REQUEST AND ORDER FOR COURT-APPOINTED ATTORNEY/ GUARDIAN AD LITEM FOR WAIVER OF PARENTAL CONSENT FILE NO. In the matter of the petition of Initials , a minor, for waiver of parental consent for an abortion REQUEST 1. The minor requests the appointment of for a waiver of parental consent for an abortion. an attorney a guardian ad litem to assist her in proceedings Date Initials of minor/Signature of next friend ORDER 2. Date of hearing: IT IS ORDERED: 3. Name of attorney/guardian ad litem (type or print) Address City, state, zip Telephone no. Bar no. Judge: Bar no. is appointed attorney guardian ad litem to represent the minor on her petition for waiver of parental consent for an abortion. Date Judge Notice: · The minor must contact the attorney or guardian ad litem within the next 24 hours. · The attorney or guardian ad litem must consult with the minor within the next 48 hours and must ensure the confidentiality of proceedings at all times. · The hearing on the petition will be held within 72 hours after the petition is filed. Do not write below this line - For court use only PC 118 (9/10) REQUEST AND ORDER FOR COURT-APPOINTED ATTORNEY / GUARDIAN AD LITEM FOR WAIVER OF PARENTAL CONSENT MCL 722.904(2), MCR 3.615 American LegalNet, Inc. www.FormsWorkFlow.com
