Welcome to the Michigan Adoption Resource Exchange!

Complete this form when a child has been on HOLD for six months past the date of termination of parental rights. This form is to be submitted to the MARE office within 15 days of the six month date from termination. Click here to download PDF version.

* - Required Field
   
Child's Name: * Case Number: *
Date of Birth: format (00/00/0000) Permanent Custody Date: *
format (00/00/0000)
Date of Hold: format (00/00/0000)

Type of Hold -

*
 
Reason(s) for continuation of the hold: *
What is the plan for adoption placement? *
What is the projected timeline for adoption placement? *
Other pertinent information:

Registering Agency:
*

Adoption Worker:
*

Phone:
Format 000-000-0000

Email:
*

 


Michigan Adoption Resource Exchange
P.O. Box 980789 • Ypsilanti, MI 48197 • (800) 589-MARE
www.mare.org