Approved,  SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY

MOTION OBJECTING TO
DNA IDENTIFICATION PROFILE OR
BLOOD / TISSUE TYPING SUMMARY REPORT

FILE NO.

In the matter of

Full name of child

1. On

Date

of the newborn child named above.

          , a surrendered newborn child

, I received a DNA identification profile or summary report regarding my parentage

2. My specific objections to the DNA identification profiling and or the summary report are:

Foundation testimony is needed for admission of the DNA identification profile or summary report because:

Other proof of authenticity or accuracy is needed for admission of the DNA identification profile or summary report because:
(specify  reasons)

3. I REQUEST the court to conduct a hearing to determine the admissibility of the DNA identification profile or summary report.

I declare that this motion has been examined by me and that its contents are true to the best of my information, knowledge, and belief.

Attorney  signature

Signature of petitioner

Attorney  name  (type  or  print)

Bar no.

Name (type or print)

Date

Address

Address

City, state, zip

Telephone no.

City, state, zip

Telephone no.

Do not write below this line - For court use only

MCL 712.11, MCL 722.716
CCFD 05   (9/11)   MOTION OBJECTING TO DNA IDENTIFICATION PROFILE OR BLOOD / TISSUE TYPING SUMMARY REPORT



Motion Objecting to DNA Identification Profile or Blood/Tissue Typing Summary Report

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Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

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About This Form:

• Sourced from www.courts.michigan.gov/safe-delivery-newborn (2023-03)
• Page(s): 1
• Fields(s): 18
• Average fields per page: 18
• Reading Level: Grade 9
• LIST Grouping(s): Unknown

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