1. You have the right to appeal
  a. any order removing your child(ren) from your care and custody.
  b. an initial order of disposition following adjudication. This appeal may include any issues leading to disposition, including 
 

    any errors in the adjudicatory process.

2. If you cannot afford to hire an attorney for an appeal of right, the court will appoint one for you.

3. If you cannot pay for the transcripts necessary for your appeal, the court will pay for them.

4. You may be barred from challenging the assumption of jurisdiction or the removal of your child(ren) from your care and 
  custody in an appeal from an order terminating parental rights if you do not timely file an appeal under MCR 3.993(A)(1), 
  3.993(A)(2), or a delayed appeal under MCR 3.993(C).

5. You may challenge the continuing exercise of the court’s jurisdiction over your child(ren) by filing a motion for rehearing, 
  or by filing an application for leave to appeal with the Michigan Court of Appeals.

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Respondent’s name (type or print) 

USE NOTE: This form is used when removing a child, accepting a plea, after a trial verdict, and upon entry of an order of disposition. For advice of rights 
after terminating parental rights, use form JC 44. If termination of parental rights occurs at initial disposition, the court must provide both JC 44 and JC 111.

STATE OF MICHIGANJUDICIAL CIRCUIT - FAMILY DIVISIONCOUNTYADVICE OF RIGHTSREGARDING APPEAL(CHILD PROTECTIVE PROCEEDINGS)CASE NO.PETITION NO.JUDGECourt address                     Court telephone no.     Approved, SCAOForm JC 111, Rev. 8/19MCL 712A.21, MCR 3.965, MCR 3.967, MCR 3.971, MCR 3.972, MCR 3.973, MCR 3.974, MCR 3.992, MCR 3.993Page 1 of 1