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Waiver Of Participation In Nonsecure Physical Custody Hearing JD-1712 - Wisconsin
|Waiver Of Participation In Nonsecure Physical Custody Hearing Form. This is a Wisconsin form and can be used in Juvenile Circuit Court Statewide .||
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FORM SUMMARY Name of Form: Form Number: Statutory Reference: Benchbook Reference: Purpose of Form: Waiver of Participation in Nonsecure Physical Custody Hearing JD-1712 §§48.21(3)(am), 938.21(2)(am), 938.21(3)(am), Wisconsin Statutes JV 4 To record the waiver of participation in a nonsecure physical custody hearing by a child/juvenile or parent/guardian/legal custodian Completed by intake worker/social worker, signed by appropriate child/juvenile or parent/guardian/legal custodian. Original to court, copy to parents, child, counsel, district attorney/corporation counsel Generally none Modification, last revision 06/03. Added Indian Child Welfare Act (ICWA) language and references. This form is intended to be used in both chapter 48 and chapter 938 proceedings. There is no separate form number for chapter 48. This form is the product of the Wisconsin Records Management Committee, a committee of the Director of State Court's 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. Who Completes It: Distribution of Form: Accompanying Forms: New Form/Modification: Modifications: Comments: About this form: Date: 04/24/2008 Page 1 American LegalNet, Inc. www.FormsWorkflow.com For Official Use STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE INTEREST OF Waiver of Participation in Nonsecure Physical Custody Hearing Name Case No. Date of Birth I am the juvenile: 1. involved in this proceeding, alleged to be delinquent, and held in nonsecure custody. 2. involved in this proceeding, alleged to be a habitually truant from home, and held in nonsecure custody. 3. under age 10, involved in this proceeding, alleged to have committed a delinquent act, and held in nonsecure custody. I am the parent/guardian/legal custodian/Indian custodian of the: 1. child in need of protection or services involved in this proceeding who is being held in a nonsecure custodial placement. 2. juvenile in need of protection or services involved in this proceeding who is being held in a nonsecure custodial placement because: · the parent or guardian signed the petition requesting jurisdiction; · the juvenile is habitually truant from school; · the juvenile is a school dropout; or · the juvenile is not responsible for a delinquent act by reason of mental disease or defect. The child/juvenile is held at: I understand that I: · have the right to attend the hearing in court on whether this placement should continue. · have the right to have an attorney at such a hearing if I am the juvenile charged. · am giving up my right to participate in a hearing at this time, but I also understand that I can request a hearing on placement at any future time for good cause. I am waiving the right to participate in a nonsecure physical custody hearing. Signature of Juvenile Signature of Parent/Guardian/Legal Custodian/Indian Custodian Name Printed or Typed Name Printed or Typed Date Date Distribution: 1. Court - Original 2. District Attorney/Corporation Counsel 3. Parents/Guardian/Legal Custodian/Indian Custodian 4. Child/Juvenile 5. JD-1712, 04/08 Waiver of Participation in Nonsecure Physical Custody Hearing Page 1 of 1 §§48.21(3)(am), 938.21(2)(am), 938.21(3)(am), Wisconsin Statutes American LegalNet, Inc. www.FormsWorkflow.com This form shall not be modified. It may be supplemented with additional material.