Adoption Forms

• Adoption Questionnaire: Adult
• Adoption Requirements: Adult

• Adoption Requirements: Agency
• Adoption Services Face Sheet
• Agency Voluntary Release

• Application to Establish Delayed Registration of Foreign Birth - DCH 0855
• Birth Family and Child History
• Finalization Hearing Information
• Miscellaneous Adoption Information
• Petition and Order for Authority to Amend Petition for Adoption - OC Form 812 AD
• Putative Father Instructions: Hearing to Identify Father and Determine or Terminate His Parental Rights
• Report on Appeals and Rehearings
• Temporary Placement Instructions
• Verification of Shared Information

Out of Court Release

• Out of Court Consent and Release Short Summary and Quick Check List
• Out of Court Release of Child by Parent
• Verified Declaration Regarding Paternity to Accompany Out-of-Court Release or Consent

• Adoption Services Face Sheet
• Adoption Requirements: Direct Placement
• Birth Family and Child History
• Consent Hearing Requirements
• Adoption Report Required to Established a New Michigan Birth Record - DCH 0854
• Application to Establish New Michigan Birth Record Following an Adoption - DCH 0855
• Finalization Hearing Information
• Petition and Order for Authority to Amend Petition for Adoption - OC Form 812AD
• Putative Father Instructions: Hearing to Identify Father and Determine or Terminate His Parental Rights
• Temporary Placement Instructions
• Miscellaneous Adoption Information
• Report on Appeals and Rehearings
• Verification of Shared Information

Out of Court Consent/Release

• Out of Court Consent and Release Short Summary and Quick Check List
• Out-of-Court Release of Child by Parent - PCA 354
• Out-of-Court Consent to Direct Placement Adoption by Parent - PCA 355
• Report on Request for Revocation of an Out-of-Court Consent
• Verified Declaration Regarding Paternity to Accompany Out of Court Release or Consent

Supplemental Father Information Sheet

• Father's Name and Whereabouts Known
• Father's Name Known, but Whose Whereabouts are Unknown
• Father's Identity and Whereabouts Unknown

• Adoption Requirements: Relative
• Adoption Questionnaire: Relative
• Fingerprint Information
• Physician's Report for a Child - Form 668; not insertable
• Physician's Report for Adoptive Applicant - Form 669; not insertable
• Physician's Report for an Infant Under the Age of One Year - Form 667; not insertable

• Adoption Requirements - State Wards
• Adoption Services Face Sheet
• Adoption Report Required to Establish New Michigan BC - DCH 0854
• Miscellaneous Adoption Information
• Petition and Order for Authority to Amend Petition
• Report on Appeals and Rehearings

• Adoption Requirements: Stepparent
• Adoption Questionnaire: Stepparents
• Fingerprint Information

• Petition and Order for Authority to Amend Petition - OCPC 812 AD
• Alternate Electronic Service Agreement
• Report on Appeals and ReHearings

The following links are directly to the forms on the DHS website.

• Adult Former Sibling Statement to Release Information to Adult Adoptee - FIA 1917
• Parent's Consent/Denial to Release Information to Adult Adoptee - FIA 1919
• Release of Information Authorization Adult Adoptee (Oakland County) - FIA 1920
• Request by Adult Adoptee for Identifying Information - FIA 1925

The below SCAO forms are completed with information appropriate for filing in Oakland County. To obtain the most recent revision of SCAO forms for use anywhere in the state, please visit the SCAO website.

• Appearance of Attorney/Guardian Ad Litem/Lawyer-Guardian Ad Litem - JC 07
• Petition for Adoption - PCA 301
• Petition for Direct Placement Adoption - PCA 301a
• Petition for Stepparent Adoption - PCA 301b
• Supplemental Petition and Affidavit to Terminate Parental Rights of Non-Custodial Parent - PCA 302
• Release of Child by Parent - PCA 305
• Consent to Adoption by Adoptee - PCA 307
• Consent to Adoption by Parent - PCA 308
• Petition for Hearing to Identify Father and Determine or Terminate His Rights - PCA 310
• Notice of Hearing to Identify Father and Determine or Terminate His Rights - PCA 311
• Order Terminating Rights of Father Without Release or Consent - PCA 312
• Petition to Issue Notice of Intent to Release or Consent - PCA 313
• Notice of Intent to Release or Consent - PCA 314
• Declaration of Inability to Identify/Locate Father - PCA 315
• Notice to Putative Father and Custody Statement - PCA 316
• Order Terminating Parental Rights after Release or Consent - PCA 318
• Order Placing Child After Consent - PCA 320
• Order Committing to Agency or Department - PCA 322
• Notice to Adopting Parents on Pending or Potential Appeal/Rehearing - PCA 325
• Statement of Parent/Guardian Authorizing Temporary Placement of Child for Adoption - PCA 329
• Statement of Parent/Guardian Transferring Physical Custody of Child for Adoption - PCA 330
• Statement of Child Placing Agency Transferring Physical Custody of Child for Adoption - PCA 331
• Statement of Prospective Adoptive Parent Transferring Physical Custody of Child for Adoption - PCA 332
• Statement of Nonresident Prospective Adoptive Parent Transferring Physical Custody of Child for Adoption - PCA 332a
• Follow up Report After Temporary Placement of Child for Adoption - PCA 333
• Statement to Accompany Release - PCA 338
• Statement to Accompany Consent in Direct Placement - PCA 339
• Statement of Identifying Information - PCA 340
• Final Order Allowing Fees and Costs - PCA 341
• Petition and Order to Appoint Confidential Intermediary - PCA 342
• Statement of Services Performed by Agency/Family Independence Agency - PCA 345
• Statement of Services Performed by Attorney - PCA 346
• Petitioner's Verified Accounting - PCA 347
• Supplement to Petitioner's Verified Accounting - PCA 347a
• Parent's or Guardian's Verified Accounting for Adoption Release or Direct Placement Consent - PCA 348