Approved SCAO OSM CODE: PET
STATE OF MICHIGAN PETITION CASE NO.
COUNTY OF WAYNE Permanent Custody
THIRD JUDICIAL CIRCUIT COURT Court to Consent PE
TITION NO.
FAMILY
DIVISION (PAGE 1 of 2)
1. In the matter
of: ________________________________________________ DOB: ______________________
2. The above named m
inor comes within the provisions of MCL 712A.2(b)(5).
A. A Guardianship Order was entered on ____________________________.
B. The parent
has neglected their child contrary to MCL 712A.2(b)(5) in the following manner:
1. The parent(s
), having the ability to support or assist in supporting the juvenile, has failed or neglected, without good
cause, to provide regular and substantial support for the juvenile for 2 years or more before the filing of the petition or,
if a support order has been entered, has failed to substantially comply with the order for 2 years or more before the
filing of the petition. MCL 712A.2(b)(5)(A).
2. The parent
(s), having the ability to visit, contact, or communicate with the juvenile, has regularly and substantially
failed or neglected, without good cause, to do so for a period of 2 years or more before the filing of the petition. MCL
712A.2(b)(5)(B).
An Order for Authority to Adopt was granted to the guardian(s) on:
The mother of the child is:
Her whereabouts is unknown
She does does not have a support order entered against her.
The father of the child is:
His whereabouts is unknown
signed an affidavit of parentage.
appear on the child(ren)’s birth certificate(s).
have a support order entered against him.
IT IS THEREFORE REQUESTED THAT:
1. The parental rights of the mother father
be terminated pursuant to MCL 712A.19b(3)(f) for these reasons:
A. The pare
nt(s), having the ability to support or assist in supporting the minor, has failed or neglected, without good
cause, to provide regular and substantial support for the minor for a period of 2 years or more before the filing of the
petition or, if a support order has been entered, has failed to substantially comply with the order for a period of 2 years or
more before the filing of the petition.
B. The parent
(s), having the ability to visit, contact, or communicate with the minor, has regularly and substantially failed
or neglected, without good cause, to do so for a period of 2 years or more before the filing of the petition.