GN-4130, 05/18 Findings and Order Terminating Protective Placement (Annual Review of Protective Placement) 24724755.08(1)(b), 55.12(3),(4),(5), 55.17(3)(c) and 55.18(3), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 A Petition for Annual Review of Protective Placement was filed. The court has ordered a summary hearing and a summary hearing has been held. After consideration of the reports and other documents on file, all factors required by the statutes, and such additional information presented; The court determined to order not to order additional information, and to appoint not to appoint adversary counsel. All requests for a full due process hearing of this Petition were withdrawn. THE COURT FINDS: 1. The ward continues to be incompetent. 2. The ward no longer meets the standards for protective placement. 3. The ward meets the standards for protective services because the ward has been determined to be incompetent, or is a minor who is alleged to have a developmental disability and on whose behalf a Petition for a Guardianship has been submitted; and as a result of developmental disability, degenerative brain disorder, serious and persistent mental illness, or other like incapacities, the ward will incur a substantial risk of physical harm or deterioration or will present a substantial risk of physical harm to others if protective services are not provided. THE COURT ORDERS: 1. Protective placement is terminated. The ward A. shall be transferred or discharged from the ward current residential facility within 60 days of this Order. The county department shall assist the residential facility with discharge planning for the ward including planning for proper residential living arrangements and the necessary support services for the ward. B. may remain in the current facility which is licensed for fewer than 16 beds. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF Name Date of Birth Amended Findings and Order Termi nating Protective Placement Order for Protective Services (Annual Review of Protective Placement) Case No. American LegalNet, Inc. www.FormsWorkFlow.com GN-4130, 05/18 Findings and Order Terminating Protective Placement (Annual Review of Protective Placement) 24724755.08(1)(b), 55.12(3),(4),(5), 55.17(3)(c) and 55.18(3), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 2. The county department or agency with which it contracts under 24755.02(2), Wis. Stats., or its designee shall provide protective services to the ward in the least restrictive environment and in the least restrictive manner consistent with the needs of the ward and the resources of the county department, including the limits of available state and federal funds, and county funds required to be appropriated to match state funds. 3. Other: THIS IS A FINAL ORDER FOR THE PURPOSE OF APPEAL IF SIGNED BY A CIRCUIT COURT JUDGE. DISTRIBUTION: 1. Court 2. Individual/Ward 3. 4. Corporation Counsel 5. 6. Guardian ad litem 7. 8. Facility in which the Individual resides 9. County Department of Human Services/Social Worker American LegalNet, Inc. www.FormsWorkFlow.com