Wisconsin > Statewide > Circuit Court > Juvenile
Priority Placement Order (Interstate Compact On The Placement Of Children) JC-1648 - Wisconsin
| Priority Placement Order (Interstate Compact On The Placement Of Children) Form. This is a Wisconsin form and can be used in Juvenile Circuit Court Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. Calendar No. FORM SUMMARY : Name of Form: -against- : Priority Placement Order (Interstate Compact on the Placement JUDICIAL SUBPOENA Plaintiff(s) of Children) : : Form Number: Statutory Reference: JC-1648 §§48.988, Wisconsin Statutes : : Benchbook. Reference: . . . . . . . . . . . . . . . .Defendant(s) . . . . . . . .......... .......... .......... Purpose of Form: To specifically "court order" an interstate compact home study to allow placement of a child to another state. Initiating county/agency Original to court file, copy sending agency (Compact Administrator of the sending state) THE PEOPLE OF THE STATE OF NEW YORK Who Completes It: TO Distribution of Form: GREETINGS: Accompanying Forms: Completed form ICPC 100-A and supporting documentation, with WE COMMAND YOU, that all business and status ofbeing laid aside, placement. of you attend before notice of the priority excuses the request for you and each , the Honorable at the Court located at County of New Form/Modification: New form. in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a of Health and action on the part of the witness in this Family Services (DHFS) requested a Comments: The Department form to specifically "court order" an interstate compact home study to allow placement of a child to another state. For questions Your failure to comply regardingsubpoena is punishable as a contempt of court and will make you liable to with this use of this form, contact ICPC coordinators Lynn Lehr at 608/266-8501 or Kathy maximum penalty of $50 the party on whose behalf this subpoena was issued for a Gerber at 608/267-2075. and all damages sustained as a result of your failure to comply. About this form: This form is the product of the Wisconsin Records Management Witness, Honorable Committee, a committee of the Director ofone of Court's Officethe a , State the Justices of and Court in County, mandate of the Wisconsin Judicial Conference. day of , 20 If you have additional information that does not change the meaning of the form, attach it on a separate page. The form (Attorney must sign above and type name below) itself shall not be altered. Attorney(s) for Office and P.O. Address Date: 06/03/02 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 1 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : STATE OF WISCONSIN, CIRCUIT COURT, IN THE INTEREST OF Index No. For Official Use : Calendar No. COUNTY : JUDICIAL Plaintiff(s) (Interstate Compact on the SUBPOENA -againsta person under the age of 18. Placement of Children) Priority Placement Order : : : Case No. Date of Birth THE COURT FINDS: 1. The child is within the jurisdiction of this court. Defendant(s) : .... . .. ....... 2. (Name) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . is .the .proposed.placement resource in the receiving state of and is a relative of the child as set forth in Article VIII(a) of the Interstate Compact on the Placement of Children (Compact). 3. The placement is not for licensed foster family approved care or adoption, and the child is not located in the THE PEOPLE OF THE STATE OF NEW YORK receiving state in violation of the Compact. 4. The child qualifies for a priority placement under "Priority Regulation No. 7" of the Compact by meeting one or TO more of the following requirements: a. The child is under two years of age. b. The child has spent a substantial amount of time in the home of the proposed placement resource. c. The child is in an emergency shelter (specify): d. A properly GREETINGS: completed standard (non-priority) compact request has been received by the receiving state. The Wisconsin Compact Office has not received a written response within 30 business days. 5. If a home study and case plan are approved by the receiving state,being laid aside,would noteach of you attend before WE COMMAND YOU, that all business and excuses this placement you and be contrary to the best interest of the child. , the Honorable at the Court THE COURT ORDERS: 1. located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and authorized to be the sending agency for the the part of the terms of the County is give evidence as a witness in this action on child under the Compact adopted by §48.988, Wisconsin Statutes, and designates and directs the County Department of Health and Human Services or any receiving state agency to complete, carry out and effectuate all obligations and responsibilities of the sending agency under the Compact. 2. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to County, subpoena was state for a maximum penalty of $50 and all damages the party on whose behalf thisor any receivingissued agency, shall immediately commence proceduressustained as a necessary for priority placement of the child with the placement resource indicated above. result of your failure to comply. Witness, Honorable , one of the Justices of the 3. Within two business days the court shall provide a copy of this order to the authorized sending agency. 4. Within three business days of receipt of this order, the sending agency shall transmit a copy of this order, a Court in County, day of , to completed form ICPC 100-A, and supporting documentation20 the Compact Administrator of the sending state with notice of the priority status of this request for placement. 5. The Compact Administrator of the sending state and all other persons to whom Article VII of the ICPC applies shall comply with Regulation 7 and shall fully implement the procedures (Attorneyrequest for priority placement. for the must sign above and type name below) 6. The receiving state shall comply with Priority Regulation No. 7 and provide the completed home study to the State of Wisconsin Compact Administrator within 30 days of receipt. Attorney(s) for Circuit Court Address and Phone Number BY THE COURT: Office and P.O. Address Distribution: 1. Original - Court 2. Sending agency Circuit Court Judge Name Printed or Typed JC-1648, 06/02 Priority Placement Order (Interstate Compact on the Placement of Children) Telephone No.: Facsimile No.
|
|||||||
