In the matter of 
 

TO:

	

	 	 	 	 	 ┌	 			 		

	

	 	 	 	 	 └	 	 	 	

before 

Name

at 

City, county, and state

 , adoptee                            
 adoptee is an Indian child

	┐

	┘

TAKE NOTICE: On  

Date

 at 

Time

 , in the 
 

Building                                                                      Address                                                              City                                                   State

will be held to determine the identity of the father of the child named above who was born 

 , 

 Title

Date

 to 

Mother’s name

 courtroom,

 a hearing

 ,

 ,

who has       
               
 

 signed or intends to sign a release or consent permanently giving up her parental rights to the child.
 joined with her spouse in a petition for adoption.

At the hearing the rights of the father shall be determined or terminated. YOUR FAILURE TO APPEAR AT THIS HEARING

SHALL CONSTITUTE A DENIAL OF YOUR INTEREST IN THE CUSTODY OF THE CHILD, WHICH SHALL RESULT IN THE

COURT’S TERMINATION OF YOUR PARENTAL RIGHTS TO THE CHILD.

If you choose to attend this hearing and you require special accommodations to use the court because of a disability or if you 
require a foreign language interpreter to help you fully participate in court proceedings, please contact the court immediately to 
make arrangements.

 

Deputy clerk

Date

Address

Attorney name and bar no./Agency/Michigan Department of Health and Human Services

City, state, zip                                                                                                Telephone no.

 

Do not write below this line - For court use onlyPCA 311 (6/17) NOTICE OF HEARING TO IDENTIFY FATHER AND DETERMINE OR TERMINATE HIS RIGHTSMCL 712B.9, MCL 712B.13(1)(b), MCR 3.801, MCR 3.802, MCR 3.803Approved, SCAO                                 JIS CODE: NIFSTATE OF MICHIGANJUDICIAL CIRCUIT - FAMILY DIVISIONCOUNTY NOTICE OF HEARING TOIDENTIFY FATHER AND DETERMINEOR TERMINATE HIS RIGHTSFILE NO.