Circuit court forms

Juvenile - Juvenile (Chapter 938)

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Number Form name Revised Mark/view
FA-614
Order Relating to Paternity/Legal Custody/Physical Placement/Visitation/Child Support/Health Care Expenses
Order entering a family court order or modifying an existing family court order relating to paternity, legal custody, physical placement, visitation, child support or payment of health care expenses. Mandatory form.

05/04/17 Form English
Form English
Summary English
GF-220
Adjudication and Prohibited Possession of Firearms and Day Care License Restriction Report
To notify the CIB that a juvenile, individual found incompetent, under a GN, or under protective placement/services has been prohibited from possessing a firearm.

08/18/11 Form English
Form English
Summary English
GF-221
Adjudication and Prohibited Possession of Firearms Cancellation Report
To notify the Crime Information Bureau when a previously imposed firearms restriction has been cancelled for a juvenile, individual found incompetent, or an individual under a guardianship or protective services or protective placement order.

08/05/10 Form English
Form English
Summary English
IW-1609
Statement of Active Efforts - Temporary Physical Custody Request - Indian Child Welfare Act
To provide information for the court to determine whether active efforts were made to prevent the breakup of the Indian family in cases subject to the Wisconsin Indian Child Welfare Act (WICWA).

09/12/13 Form English
Form English
Summary English
IW-1711
Order for Temporary Physical Custody (Secure/Nonsecure) - Indian Child Welfare Act
The formal order signed by the court directing the custody ordered by the court for a child/juvenile. CCAP form.

02/02/17 Form English
Form English
Summary English
IW-1716
Notice of Rights and Obligations - Indian Child Welfare Act
A written notice to be provided to child/juvenile and parents of their basic rights and obligations as well as the possibility of disclosure of personal information to victims.

02/02/17 Form English
Form English
Summary English
IW-1720
Summons - Indian Child Welfare Act
Formal notice to an individual to appear in court and respond to a citation or petition. Available in Spanish.

02/02/17 Form Spanish
Form English
Form Spanish
Form English
Summary English
IW-1721
Petition for Protection or Services (Chapter 938) - Indian Child Welfare Act
Formal request to invoke the court's jurisdiction to adjudicate the juvenile in need of protection or services under sec. 938.13(4), (6), (6m), or (7).

02/02/17 Form English
Form English
Summary English
IW-1724
Notice of Hearing (Juvenile) - Indian Child Welfare Act
To give notice to interested persons of the scheduling of court proceedings. CCAP form. Available in Spanish.

02/02/17 Form Spanish
Form English
Form Spanish
Form English
Summary English
IW-1740
Motion for Transfer to Tribal Court - Indian Child Welfare Act
Motion to transfer a proceeding involving an out-of-home placement of, or termination of parental rights to, an Indian child from a circuit court to a tribal court.

05/01/11 Form English
Form English
Summary English
IW-1741
Order on Motion for Transfer to Tribal Court - Indian Child Welfare Act
Written order of the Circuit Court to transfer a proceeding involving an out-of-home placement of or termination of parental rights to an Indian child from a Circuit Court to a tribal Court.

05/01/11 Form English
Form English
Summary English
IW-1746
Dispositional Order - Protection or Services (Chapter 938) - Indian Child Welfare Act
Formal order of the court detailing the disposition in a Ch. 938 juvenile in need of protection or services (JIPS) case (this does not apply to a Ch. 48 child in need of protection or services). CCAP form.

11/19/15 Form English
Form English
Summary English
IW-1754
Notice of Change in Placement (Out-of-Home to Out-of-Home/Out-of-Home to In-Home/In Home to In-Home) - Indian Child Welfare Act
To give notice to interested persons that a change in placement has taken or will take place.

09/29/16 Form English
Form English
Summary English
IW-1766
Request to Change Placement, Revise Dispositional Order, Extend Dispositional Order, Review Permenancy Plan, Terminate Dispositional Order - Indian Child Welfare Act
Request to the court to enter an order changing placement, revising the dispositional order, extending the dispositional order, reviewing the permanency plan and/or terminate the dispositional order.

02/02/17 Form English
Form English
Summary English
IW-1785A
Stipulation for Consent Decree (Out-of-Home Placement Only) - Indian Child Welfare Act
To record an agreement between the parties requiring certain actions or activities to be done in exchange for suspending formal proceedings. The court official approves the consent decree and orders the parties to comply with it.

09/29/16 Form English
Form English
Summary English
IW-1785B
Consent Decree (Out-of-Home Placement Only) - Indian Child Welfare Act
To record an agreement between the parties requiring certain actions or activities to be done in exchange for suspending formal proceedings. The court official approves the consent decree and orders the parties to comply with it.

09/29/16 Form English
Form English
Summary English
IW-1788
Order for Extension of Dispositional Order/Consent Decree (Out-of-Home Placement Only) - Indian Child Welfare Act
Order of the court extending a dispositional order or consent decree for correctional and out-of-home placements.

11/19/15 Form English
Form English
Summary English
IW-1789
Order for Change in Placement (In-Home to Out-of-Home Placement Only) - Indian Child Welfare Act
Order of the court for change in placement from the juvenile's/child's home to an out-of-home placement.

09/29/16 Form English
Form English
Summary English
IW-1790
Order for Change in Placement (Out-of-Home to Out-of-Home Placement Only) - Indian Child Welfare Act
Order of the court for change in placement from one out-of-home to another out-of-home placement.

09/29/16 Form English
Form English
Summary English
IW-1791
Permanency Hearing Order - Indian Child Welfare Act
To approve, disapprove, or revise the permanency plan. CCAP form.

02/25/16 Form English
Form English
Summary English
JC-1629
Order on Petition for Termination of Guardianship under 48.977(7), Wis. Stats.
Order to terminate guardianship under 48.977(7), Wis. Stats.

11/19/15 Form English
Form English
Summary English
JD-1700
Notice of Permanency Hearing
To give notice to all interested persons of the permanency hearing.

08/23/12 Form English
Form English
Summary English
JD-1701
Court Referral - Child/Juvenile (Law Enforcement Referral)
To refer a child/juvenile to intake, who may be delinquent, in need of protection or services or in violation of a civil law or ordinance, and to record the decision of the intake worker.

02/02/17 Form English
Form English
Summary English
JD-1702
Court Referral - Child/Juvenile (Non-Law Enforcement Referral)
To refer a child/juvenile to intake, who may be in need of protection or services, and to record the decision of the intake worker.

05/31/00 Form English
Form English
Summary English
JD-1703
Request for Custody by School Attendance Officer/Designation by School District Admin.
Request and order to take a truant into custody.

04/24/08 Form English
Form English
Summary English
JD-1704
Acknowledgement of Notice of Rights and Obligations
A written notice to be provided to the child/juvenile and parents of their basic rights and obligations as well as the possibility of disclosure of personal information to victims. Available in Spanish.

08/04/06 Form Spanish
Form English
Form Spanish
Form English
Summary English
JD-1705
Notice of Intake Inquiry
To provide written notification to juvenile and paren(s) that a referral has been made to intake, and to request their presence at intake inquiry.

04/24/08 Form English
Form English
Summary English
JD-1706
Deferred Prosecution Agreement
A written agreement outlining the conditions and obligations to be met in order to defer the filing of a petition to the court. Available in Spanish.

02/25/16 Form Spanish
Form English
Form Spanish
Form English
Summary English
JD-1707
Notice of Satisfaction of Obligations of Deferred Prosecution/Informal Disposition
To provide written notification to the child/juvenile and parent, guardian or legal custodian that obligations have been met and no petition may be filed nor citation issued based on the charges that were subject of the DPA or IDA. Available in Spanish.

05/31/00 Form Spanish
Form English
Form Spanish
Form English
Summary English
JD-1708
Notice to Victims (Juvenile Court Intake)
To notify the victims of their rights and options as required by state statutes.

05/31/00 Form English
Form English
Summary English
JD-1709
Juvenile Court Minutes
To take minutes in juvenile court. CCAP form.

08/23/12 Form English
Form English
Summary English
JD-1710
Temporary Physical Custody Request (Chapter 938)
To request that a juvenile be taken into physical custody in a Ch. 938 proceeding and to record the decision of the juvenile intake worker concerning the custody decision.

11/19/15 Form English
Form English
Summary English
JD-1711
Order for Temporary Physical Custody (Secure/Non-Secure)
The formal order signed by the court directing the custody ordered by the court for a child/juvenile. CCAP form.

02/02/17 Form English
Form English
Summary English
JD-1712
Waiver of Participation in Nonsecure Physical Custody Hearing
To record the waiver of participation in a nonsecure physical custody hearing by a child/juvenile or parent/guardian/legal custodian.

04/24/08 Form English
Form English
Summary English
JD-1716
Notice of Rights and Obligations
A written notice to be provided to child/juvenile and parents of their basic rights and obligations as well as the possibility of disclosure or personal information to victims. Available in Spanish.

08/04/06 Form Spanish
Form English
Form Spanish
Form English
Summary English
JD-1717
Order To Provide Statement of Income, Assets, Debts, and Living Expenses
Court order to parents to provide a statement of income, assets, debts and living expenses. This form is always required when it appears that a child/juvenile may be placed outside or his or her home in a court proceeding or when appropriate.

05/31/00 Form English
Form English
Summary English
JD-1718
Statement of Income, Assets, Debts and Living Expenses
To provide financial information to the court. This form is always used when it appears that a child/juvenile may be placed outside of his or her home in a court proceeding or when appropriate. Available in Spanish.

08/09/07 Form Spanish
Form English
Form Spanish
Form English
Summary English
JD-1720
Summons
Formal notice to an individual to appear in court and respond to a citation or petition. CCAP form. Available in Spanish.

08/05/10 Form Spanish
Form English
Form Spanish
Form English
Summary English
JD-1721
Petition Under Ch 938 - Delinquency, Protection or Services, Civil Law/Ordinances
Formal request to invoke the court's jurisdiction to adjudicate a juvenile as delinquent, JIPS, or for a civil law or ordinance violation.

05/04/17 Form English
Form English
Summary English
JD-1722
Petition for Waiver of Jurisdiction
Formal Request to waive the juvenile from juvenile court into adult court.

06/03/03 Form English
Form English
Summary English
JD-1723
Order Waiving Juvenile Court Jurisdiction
Formal decision on the request to waive the juvenile from juvenile court into adult court. CCAP form.

08/04/06 Form English
Form English
Summary English
JD-1724
Notice of Hearing (Juvenile)
To give notice to interested persons of the scheduling of court proceedings. CCAP form. Available in Spanish.

08/23/12 Form Spanish
Form English
Form Spanish
Form English
Summary English
JD-1725
Notice to School Board
To give notice to the school board that a felony delinquency petition has been filed or dismissed, that a juvenile has been adjudicated delinquent, or that school attendance is a condition of a CHIPS, JIPS, or delinquency dispositional order. CCAP form.

05/01/14 Form English
Form English
Summary English
JD-1729
Petition to Vacate Consent Decree and Waiver of Hearing
To Petition to Vacate Consent Decree and Waiver of Hearing.

04/24/08 Form English
Form English
Summary English
JD-1730
Order on Petition Vacating Consent Decree and Reinstating Proceedings
To petition for termination of a consent decree and reinstate proceedings. CCAP form.

04/24/08 Form English
Form English
Summary English
JD-1731
Petition for Examination or Assessment
To allow an interested person to request that the court order a physical, psychological, mental or developmental examination or AODA assessment.

08/09/07 Form English
Form English
Summary English
JD-1732
Order for Examination or Assessment
To formally record for filing a court order for a physical, psychological, mental or developmental examination or AODA assessment. CCAP form.

11/19/15 Form English
Form English
Summary English
JD-1733
Order Concerning Competency or Mental Responsibility Determination
Court order entered following determination of either incompetency or not responsible by reason of mental disease or defect.

02/02/17 Form English
Form English
Summary English
JD-1734A
Consent of Child/Juvenile to Medical Services
To request court authorization, with child/juvenile's consent, for medical treatment.

05/31/00 Form English
Form English
Summary English
JD-1734B
Medical Authorization
Court authorization, with child/juvenile's consent, for medical treatment.

05/31/00 Form English
Form English
Summary English
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