Order For Hearing And Screening (Stepparent Adoption)
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Order For Hearing And Screening (Stepparent Adoption) Form. This is a Wisconsin form and can be use in Circuit Court Statewide.
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Tags: Order For Hearing And Screening (Stepparent Adoption), JC-1643, Wisconsin Statewide, Circuit Court
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 14-16
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 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: 06/03/02
Page 1
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For Official Use
STATE OF WISCONSIN, CIRCUIT COURT,
COUNTY
Order for Hearing
and Screening
IN THE MATTER OF THE ADOPTION OF
(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 (location)
,
.
, at (time)
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.
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