Here is the text we could read:
STATE OF MICHIGAN
CASE NO. and JUDGE
PROBATE COURT
COUNTY
ORDER OF INVESTIGATION AND NOTICE
OF HEARING ON GUARDIANSHIP OF
INDIAN CHILD
Court address
Court telephone no.
In the matter of
First, middle, and last name
1. The court has discovered that the minor listed above may be an Indian child.
2. A guardianship was ordered in this case on
Date
.
ORDER TO INVESTIGATE
The Michigan Department of Health and Human Services
Address
City, state, zip
Telephone no.
City, state, zip
Telephone no.
is appointed to investigate and to report to the court in accordance with MCL 700.5204(1).
4. The investigation shall include an inquiry into Indian tribal membership for the minor. If the minor is an Indian child, the
report shall contain the information required in MCL 712B.25(1).
5. The guardian shall cooperate with this investigation.
6. The investigation shall be completed and a report filed with the court no later than
Date (7 days before the hearing on the petition)
.
IT IS ORDERED:
3. For the guardianship of the minor,
Name (type or print)
ddress
A
Judge signature and date
(SEE SECOND PAGE FOR NOTICE OF HEARING)
Approved, SCAO
Form PC 688, Rev. 6/21
MCR 5.402(E)(5)
Page 1 of 2
JIS Code: ONH (Name and telephone no. of natural
parent or Indian custodian. State if
unknown.)
(Name and telephone no. of natural
parent or Indian custodian. State if
unknown.)
(Name and telephone no. of ICWA
Designated Tribal Agent. See list
here. State if unknown.)
(Use only if identity of parents,
custodian, or tribe is unknown.
If grandparent(s) are known, please
provide name(s) and date(s) of birth
on Personal Identifying Information
Form [MC 97a].)
Midwest Regional Director, Bureau of Indian Affairs
5600 West American Blvd., Suite 500
Norman Pointe II Building
Bloomington, MN 55437
(612) 725-4500
TAKE NOTICE:
1. The court has discovered that the minor may be an Indian child. The Indian Child Welfare Act and the Michigan Indian
Family Preservation Act may apply to this case.
2. A hearing regarding the guardianship of the minor will be held at the date, time, and location listed below:
Date and Time
Location
Judge
If you choose to attend this hearing and you require 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.
USE NOTE: This order and notice must be sent to the persons prescribed in MCR 5.125(A)(8), (C)(19), and (C)(25) in
accordance with MCR 5.109(1). A copy of the order and notice must also be mailed to the guardian by first-class mail.
Order of Investigation and Notice of Hearing on Guardianship of Indian Child
Page 2 of 2
(6/21)
Case No.
NOTICE OF HEARING OF GUARDIANSHIP PROCEEDINGS
TO:
PC 688, Order of Investigation and Notice of Hearing on Guardianship of Indian Child
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Identified Data Fields:
We have done our best to automaticly identify and name form fields according to our naming conventions.
When possible, we've used names tied to our question library. See e.g., user1_name.
If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.
Here are the fields we could identify.
stat_e_f_michiga_n_probat_cour_county was STATE OF MICHIGAN PROBATE COURT COUNTY (0.62 conf)court_address was Court address (0.42 conf)first_middle_last_name was First middle and last name (0.37 conf)signature_date was Date (1.00 conf)name_type_print was Name type or print (0.45 conf)department_health_services was The Michigan Department of Health and Human Services (0.41 conf)users1_address_line_one was Address (1.00 conf)address was Address_2 (0.35 conf)users1_address_line_two was City state zip (1.00 conf)telephone__1 was Telephone no (0.44 conf)city_state_zip was City state zip_2 (0.35 conf)telephone__2 was Telephone no_2 (0.45 conf)date_days_hearing_petition was Date 7 days before the hearing on the petition (0.35 conf)judge__1 was Judge (0.39 conf)text__1 was Text2 (0.35 conf)date_time was Date and Time (0.34 conf)location was Location (0.40 conf)text__2 was Text3 (0.35 conf)text__3 was Text4 (0.35 conf)text__4 was Text5 (0.35 conf)judge__2 was Judge2 (0.35 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
stat_e_f_michiga_n_probat_cour_countycourt_addressfirst_middle_last_namesignature_datename_type_printdepartment_health_servicesusers1_address_line_oneaddressusers1_address_line_twotelephone__1city_state_ziptelephone__2date_days_hearing_petitionjudge__1text__1date_timelocationtext__2text__3text__4judge__2
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