Circuit court forms

Juvenile - Indian Child Welfare Act (ICWA)

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Number Form name Revised Mark/view
GF-150
Uniform Child Custody Jurisdiction and Enforcement Act Affidavit
To meet the jurisdictional requirements of the Uniform Child Custody Jurisdiction Act.

10/05/06 Form English
Form English
Summary English
IW-1608
Temporary Physical Custody Request (Chapter 48) - Indian Child Welfare Act
To request that a child or expectant mother be taken into temporary physical custody in a Chapter 48 proceeding and to record the decision of the juvenile intake worker concerning the custody decision.

02/02/17 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-1610
Petition for Protection or Services (Chapter 48) - Indian Child Welfare Act
Formal request to invoke the court's jurisdiction to adjudicate a child in need of protection or services under Chapter 48.

02/02/17 Form English
Form English
Summary English
IW-1611
Dispositional Order - Protection or Services (Chapter 48) - Indian Child Welfare Act
Formal order of the court detailing the disposition in a Chapter 48 child in need of protection or services (CHIPS) case (this form should not be used in a Chapter 938 juvenile in need of protection or services). CCAP form.

11/19/15 Form English
Form English
Summary English
IW-1630
Petition for Termination of Parental Rights - Indian Child Welfare Act
To initiate a proceeding to terminate the parental rights of a parent.

02/02/17 Form English
Form English
Summary English
IW-1633
Summons - Termination of Parental Rights - Indian Child Welfare Act
To give notice to parents that a petition to terminate parental rights has been filed and to summons the parents to court for a hearing. CCAP form. Available in Spanish.

02/02/17 Form Spanish
Form English
Form Spanish
Form English
Summary English
IW-1637
Consent to Termination of Parental Rights (Judicial) - Indian Child Welfare Act
Consent form signed by a parent before a judicial officer consenting to the termination of his or her parental rights to child.

09/12/13 Form English
Form English
Summary English
IW-1638
Order Concerning Termination of Parental Rights (Voluntary) - Indian Child Welfare Act
Order formally indicating the court's decision on a petition to voluntarily terminate the parental rights of a parent.

02/25/16 Form English
Form English
Summary English
IW-1639
Order Concerning Termination of Parental Rights (Involuntary) - Indian Child Welfare Act
Order formally indicating the court's decision on a petition to terminate the parental rights of a parent.

02/25/16 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-1783A
Consent to Delegation of Powers under 48.979, Wis. Stats. of an Indian Child
To consent to delegation of powers under sec. 48.979 of an Indian child.

05/01/14 Form English
Form English
Summary English
IW-1783B
Certificate to Delegation of Powers under 48.979, Wis. Stats. of an Indian Child
To certify to delegation of powers under sec. 48.979 of an Indian child.

05/01/14 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
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