Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY

In the matter of

Full name of child

NOTICE TO ADOPTING PARENTS ON
PENDING OR POTENTIAL
APPEAL/REHEARING

JIS CODE:  NPA

FILE NO.

   , adoptee

1. This notice is being given to you, the adopting parents, because this child is being placed with you

before the period specified for filing a petition for rehearing or claim of appeal has expired.

while a decision on a petition for rehearing or appeal as of right is pending.

2. You are notified that if a petition for rehearing or claim of appeal is or has been filed, an adoption will not be ordered until one

of the following occurs.

a. The petition for rehearing is granted, and at the rehearing the order terminating parental rights is not modified or set aside,

and subsequently the period for appeal as of right to the Court of Appeals has expired without an appeal being filed.

b. The petition for rehearing is denied and the period for appeal as of right to the Court of Appeals has expired without an appeal

being filed.

c. There is a decision of the Court of Appeals affirming the order terminating parental rights, the time to seek a rehearing in the
Court of Appeals has expired, no rehearing or motion for rehearing is pending in the Court of Appeals, and either of the
following apply.

i. The time for appeal to the Supreme Court has expired and no appeal is pending.

ii. The Supreme Court has affirmed the decision of the Court of Appeals or has denied leave to appeal, the time to seek
a rehearing in the Supreme Court has expired, and no rehearing or motion for rehearing is pending in the Supreme Court.

3. You are advised that if the appeal or rehearing results in the order terminating parental rights being set aside, any orders

entered that resulted in the placement with you shall be canceled.

I certify that on this date a copy of this notice was served on the adopting parents

personally.

by first-class mail.

CERTIFICATE OF SERVICE

Date

Signature of agency or Department of Health and Human Services representative/deputy clerk

Name (type or print)

Name of agency or Department of Health and Human Services

Do not write below this line - For court use only

PCA 325   (2/15)   NOTICE TO ADOPTING PARENTS ON PENDING OR POTENTIAL APPEAL/REHEARING

MCL 710.41