JC-1665, 09/16 Order for Post-Termination of Parental Rights Change in Placement 24748.437, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE INTEREST OF Name Date of Birth Order for Post - Termination of Parental Rights Change in Placement Case No. The child is subject to a guardianship order under 24748.427(3m)(a)1.-4., (am), or (b), Wis. Stats. THE COURT FINDS: 1. A Notice of Post-Termination of Parental Rights Change in Placement was filed and A. The court has no objection to the change in placement. OR B. A hearing was held on [Date] , which is the effective date of this Order. fr-FR 2. As to the department or agency recommendation: A. The placement location recommended by the department or agency is adopted. OR B. After giving bona fide consideration to the recommendations of the department or agency and all parties, the placement location recommended is not adopted. 3. Reasonable efforts to place the child in a placement that enables the sibling group to remain together were made. not required because the child 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 or any of the siblings. 4. The child is subject to the Indian Child Welfare Act, and Placement has been made in accordance with the order of preference set forth in the Indian Child Welfare Act. OR There is good cause to depart from the order of placement preference in the Indian Child Child Welfare Act. Specify: . THE COURT ORDERS: The request for change in placement is 1. denied. 2. granted. American LegalNet, Inc. www.FormsWorkFlow.com JC-1665, 09/16 Order for Post-Termination of Parental Rights Change in Placement 24748.437, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 The child is placed at , and placement and care responsibility continues to be with the Department of Children and Families or the department in the county that has legal custody of the child, which continues to have primary responsibility for providing services. This Order shall remain in effect until: modified or terminated by further Order of this court; an Order is entered granting adoption of the child; OR an Order is entered transferring guardianship and custody of the child to an individual. A. The child has one or more siblings in out-of-home care and the child 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 and any siblings. 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 or any siblings. B. Other: THIS IS A FINAL ORDER FOR THE PURPOSE OF APPEAL. DISTRIBUTION: 1. Court 2. Child 3. Guardian/Legal Custodian 4. 5. Case Worker 6. Placement Provider 7. District Attorney /Corporation Counsel 8. Indian Custodian and Tribe (if any) 8. Other: American LegalNet, Inc. www.FormsWorkFlow.com