FORM SUMMARY Name of Form: Order for Adoption Form Number: JC-1647 Statutory Reference: §§48.91, 48.94, ch. 882, Wisconsin Statutes Benchbook Reference: JV 14 Purpose of Form: Court order granting adoption petition. Who Completes It: Party seeking adoption or court. Distribution of Form: Original to court, copies to adoptive parent. Accompanying Forms: Generally none. New Form/Modification: Modification, last update 08/06. Modifications: Added Indian Child Welfare Act (ICWA) language and references. Comments: Readoption is used for foreign adoptions where with a child is adopted in a foreign country and must be adopted in this country. About this form: 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. Date: 04/24/2008 Page 1 American LegalNet, Inc. www.FormsWorkflow.com COUNTY STATE OF WISCONSIN, CIRCUIT COURT, IN THE INTEREST OF For Official Use Order for Adoption Child Adult Name Case No. Date of Birth THE COURT FINDS: , is 1. The petitioner, (name): a relative. a stepparent. the proposed adoptive parent(s) with whom the child has been placed. 2. The child has lived with the petitioner since (date) does 3. The guardian does not . consent to this adoption. 4. The recommendation and written report of (Agency) has been filed. 5. The child is suitable for adoption. The petitioner is a fit and proper person of reputable standing in the community with the ability to maintain and support this child. The adoption is in the best interests of the child. 6. All legal requirements concerning this adoption readoption have been met. 7. The adoptive parent(s) has requested that the birth certificate not be changed. 8. The child is subject to the Indian Child Welfare Act and: a. Placement has been made in accordance with the order of preference set forth in the Indian Child Welfare Act. OR b. There is good cause to depart from the order of placement preference in the Indian Child Welfare Act: (For adult adoptions, this is the only finding necessary.) 9. This is an adult adoption. It is in the best interests of the persons involved and all legal requirements have been met. . The petitioner’s name is THE COURT ORDERS: 1. The Petition for Adoption is granted. 2. The name of this person shall be changed to 3. The birth certificate for this person shall shall not be changed. THIS IS A FINAL JUDGMENT/ORDER FOR PURPOSES OF APPEAL. BY THE COURT: Signature of Circuit Court Judge Distribution: 1. Court - Original 2. Adoptive Parent(s) 3. Tribe (if any) Name Printed or Typed Date JC-1647, 04/08 Order for Adoption – Child/Adult §§48.91 and 48.94, Chapter 882, Wisconsin Statutes; 25 U.S.C. §1915. This form shall not be modified. It may be supplemented with additional material. American LegalNet, Inc. www.FormsWorkflow.com