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Order For Change Of Placement (In Home To Out Of Home Placement Only) JD-1789 - Wisconsin
| Order For Change Of Placement (In Home To Out Of Home Placement Only) Form. This is a Wisconsin form and can be used in Juvenile Circuit Court Statewide . |
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For Official Use STATE OF WISCONSIN, CIRCUIT COURT, IN THE INTEREST OF COUNTY Order for Change of Placement Name (In-home to Out-of-home Placement Only) Case No. Date of Birth A request for change of placement was filed. The hearing on the request was held on (Date) THE COURT FINDS: 1. The allegations of the request were not proven. 2. The allegations of the request were proven and the court adopts them as findings of fact. a. The child/juvenile is not subject to the Indian Child Welfare Act. (For an Indian child, use the Indian Child Welfare Act version IW-1789 of this order.) b. The child/juvenile is placed out of the home. 1. Placement in the home at this time is , which is the effective date of this order. is not contrary to the child's/juvenile's welfare. 2. Reasonable efforts to prevent removal were (Complete one of the following) made by the department or agency responsible for providing services. made by the department or agency responsible for providing services, although an emergency situation resulted in immediate removal of the child/juvenile from the home. not required under §48.355(2d), Wis Stats., required, but the department or agency responsible for providing services failed to make reasonable efforts. 3. Reasonable efforts to place the child/juvenile in a placement that enables the sibling group to remain together were made. not required because the child/juvenile does not have siblings in out-of-home care. not required because it would be contrary to the safety or well being of the child/juvenile or any of the siblings. 4. As to the department or agency recommendation: a. The placement location recommended by the department or agency is adopted. OR JD-1789, 11/11 Order for Change of Placement (In-home to Out-of-home Placement Only) Page 1 of 3 §§48.357 and 938.357, Wisconsin Statutes American LegalNet, Inc. www.FormsWorkFlow.com This form shall not be modified. It may be supplemented with additional material. Order for Change of Placement (In-home to Out-of-home Placement Only) Page 2 of 3 Case No. b. After giving bona fide consideration to the recommendations of the department or agency and all parties, the placement location recommended is not adopted. 5. The mother father was present and was asked to provide the names and other identifying information of three adult relatives of the child/juvenile or other adult individuals whose home the parent requests the court to consider as placements for the child/juvenile, unless that information was previously provided. 6. The juvenile committed an act that a. would be punishable by a sentence of 6 months or more if committed by an adult, the juvenile is a danger to the public and in need of restrictive custodial treatment, and placement in the serious juvenile offender program is not appropriate. b. made the juvenile eligible for placement in the serious juvenile offender program. 7. Other: THE COURT ORDERS: 1. The request for change of placement is denied. 2. The request for change of placement is granted. a. The child/juvenile is placed out-of-home at and into the placement and care responsibility of the county department, which has primary responsibility for providing services. Department of Children and Families, which has primary responsibility for providing services. Bureau of Milwaukee Child Welfare, which has primary responsibility for providing services. Expiration date of this order shall be the later of One year from the date of this order, or th The date the child/juvenile reaches his or her 18 birthday, or th The date the child/juvenile reaches his or her 19 birthday if the child/juvenile is enrolled fulltime in a secondary school or vocational or technical equivalent and reasonably expected to complete the program prior to age 19. OR Expiration date of this order . b. Transportation to the new placement shall be provided by . c. The child/juvenile has one or more siblings in out-of-home care and the child/juvenile is not placed with all those siblings. The department or agency shall make reasonable efforts to provide frequent visitation or other ongoing interaction between the child/juvenile and any siblings. The department or agency is not required to provide for frequent visitation or other ongoing interaction because it would be contrary to the safety or well being of the child/juvenile or any siblings. d. The department or agency shall conduct a diligent search in order to locate and provide notice as required by §48.357(2v)(d) or §938.357(2v)(d) to all adult relatives of the child/juvenile, including the three adult relatives provided by the parents under §48.357(1)(c)2m. or §938.357(1)(c)2m. no later than 30 days from the date of the child's/juvenile's removal from the home, unless the search was previously conducted and notice provided. e. The parent(s) shall contribute toward the expenses of custody/services in the amount of $ . to be determined by (Agency) f. The amount of support to be paid by the parent(s), guardian or trustee for the out-of-home placement is $ or % of gross income payable by wage assessment. to be set by the child support agency. The support obligation begins on the date of placement. g. All provisions of the dispositional order not changed by this order remain in full force and effect. JD-1789, 11/11 Order for Change of Placement (In-home to Out-of-home Placement Only) Page 2 of 3 §§48.357, and 938.357, Wisconsin Statutes. American LegalNet, Inc. www.FormsWorkFlow.com This form shall not be modified. It may be supplemented with additional material. Order for Change of Placement (In-home to Out-of-home Placement Only) Page 3 of 3 Case No. h. The parent(s) who appeared in court have been orally advised of the applicable grounds for termination of parental rights (TPR) and the conditions that are necessary for a safe return to the home or a restoration of visitation rights. Written TPR Warnings are attached. i. Other: THIS IS A FINAL ORDER FOR PURPOSES OF APPEAL. DISTRIBUTION: 1. Original - Court 2. Child/Juvenile/Attorney/Guardian ad Litem 3. Parents/Guardian 4. Legal and/or Physical Custodian/Attorney (if any) 5. Social Worker 6. Foster Parent (if any) 7. District Attorney/Corporation Counsel 8. Other: BY THE COURT: Circuit Court Judge Name Printed or Typed Date JD-1789, 11/11 Order for Change of Placement (In-home to Out-of-home Placement Only) Page 3 of 3 §§48.357, and 938.357, Wisconsin Statutes. American LegalNet, Inc. www.FormsWorkFlow.com This form shall not be mo
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