Approved, SCAO

STATE OF MICHIGAN

PROBATE COURT
COUNTY
CIRCUIT COURT - FAMILY DIVISION

In the matter of

WAIVER/CONSENT

JIS CODE:  WAC

FILE NO.

1. I am interested in the matter as

.

2. I waive notice of the hearing and consent to the application/petition for

Nature of application/petition and name of applicant/petitioner

3. I waive notice of the hearing concerning

 Nature of hearing

       .

, and I declare that I have received a copy of this application/petition.

Attorney name (type or print)

Bar no.

Name (type or print)

Address

City, state, zip

Telephone no.

City, state, zip

Telephone no.

Date

Signature

Address

NOTE: Do not use for waivers pursuant to MCL 700.3310.

Do not write below this line - For court use only

PC 561   (9/07)   WAIVER/CONSENT

MCL 700.1402, MCR 5.104(B)



Waiver/Consent

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About This Form:

• Sourced from www.courts.michigan.gov/conservatorship-protected-individuals (2023-03)
• Page(s): 1
• Fields(s): 21
• Average fields per page: 21
• Reading Level: Grade 5
• LIST Grouping(s): CO-00-00-00-00, CO-07-00-00-00.

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