DECLARATION OF INABILITY TO
IDENTIFY/LOCATE FATHER

JIS CODE:  DIL

FILE NO.

Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY

In the matter of

Full name of child

City, county, and state

2. The father of my child

is

Name (type or print)

cannot be identified for the following reasons:

1. I am the mother of the adoptee named above who was born out of wedlock on

   , adoptee

  at

Date

    .

.

3. The father's address or location is not known and cannot be determined.  I have made the following reasonable attempt(s) to locate

him:

(State  specifically  what  attempts  you  made;  provide  names  and  addresses  if  known.)

I declare that this declaration has been examined by me and that its contents are true to the best of my information, knowledge, and
belief.

Attorney name (type or print)

Bar no.

Name (type or print)

Date

Signature of petitioner

Address

Attorney signature

Address

City, state, zip

Telephone no.

City, state, zip

Telephone no.

Do not write below this line - For court use only

PCA 315   (2/15)   DECLARATION OF INABILITY TO IDENTIFY/LOCATE FATHER

MCL 710.22(d), MCL 710.36, MCL 710.37,
MCR 3.801, MCR 3.802(B)



Declaration of Inability to Identify/Locate Father

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Michigan state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

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About This Form:

• Sourced from www.courts.michigan.gov/adoptions-court-forms (2023-03)
• Page(s): 1
• Fields(s): 23
• Average fields per page: 23
• Reading Level: Grade 7
• LIST Grouping(s): ES-02-00-00-00, ES-00-00-00-00.

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