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Order For Hearing And Screening (Stepparent Adoption) JC-1643 - Wisconsin
|Order For Hearing And Screening (Stepparent Adoption) Form. This is a Wisconsin form and can be used in Adoption Circuit Court Statewide .||
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FORM SUMMARY Name of Form: Order for Hearing and Screening (Stepparent Adoption) Form Number: JC-1643 Statutory Reference: 48.88(2)(c), Wisconsin Statutes Benchbook Reference: JV 14-10 Purpose of Form: Court order directing a single-interview screening for stepparent adoption. Who Completes It: Court Distribution of Form: Original to court file, copy to person conducting the screening. Accompanying Forms: Generally none. New Form/Modification: New form. Modifications: Comments: This form is used for stepparent adoptions only. For adoptive placement and adoptions, see form JC-1641, Order for Hearing and Investigation (Adoptive Placement/Adoption). About this form: This form is the product of the Wisconsin Records Management Committee, a committee of the Director of State Courts Office and a mandate of the Wisconsin Judicial Conference. If you have additional information that does not change the meaning of the form, attach it on a separate page. The form itself shall not be altered. Date: 06/03/02 Page 1 <<<<<<<<<********>>>>>>>>>>>>> 2 For Official Use STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF THE ADOPTION OF Order for Hearing and Screening (Stepparent Adoption) Name Case No. Date of Birth A petition for adoption of this person has been filed by (name) . THE COURT ORDERS: 1. Agency name: Agency address: Agency phone: shall conduct a single-interview screening and file a report with the court by (date) . 2. The hearing shall be held on (date) , at (time) , at (location) . 3. Petitioner shall give notice of the hearing by mailing a copy of this order to interested persons. If you need help in this matter because of a disability, please call: BY THE COURT: Circuit Court Judge/Circuit Court Commissioner Name of Attorney Name Printed or Typed Address Date Telephone Number Bar Number Distribution: 1. Original court 2. Person conducting screening JC-1643, 06/02 Order for Hearing and Screening (Stepparent Adoption) 48.88(2)(c), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material.