JC-1606, 05/19 Dispositional Order Appointing Guardian (Chapter 48) 24724748.623, 48.831 and 48.977, Wisconsin Statutes; 25 U.S.C. 2471915. 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 a person under the age of 18 Date of Birth Amended Dispositional Order Appointing Guardian (Chapter 48) Case No. THE COURT FINDS: 1. a. The child has no living parent and adoption is is not in the best interests of the child. OR b. The child has living parent(s): [N ames ] 2. The child has been adjudged to be in need of protection or services under 247 , Wis. Stats., and has been placed, or continued in placement, outside his or her home pursuant to one or more court orders under 247 , Wis. Stats . 3. The person nominated as the guardian of the child is a person with whom the child has been placed and it is likely that the child will continue to be placed with that person for an extended period of time or until the child attains the age of 18. Name Address Phone 4. period of time or until the child attains the age of 18. 5. It is not in the best interests of the child that a petition to terminate parental rights be filed with respect to the child. 6. The parent(s) is/are refusing, neglecting or unable to carry out the duties of a guardian. 7. The agency primarily res ponsible for providing services has made reasonable efforts to return the child to his/her home, but reunification and further reunification ikely or contrary to the best interests of the child. would be removal or to return the child to his/her home under 24748.355(2d)(b)1. to 5., Wis. Stats. American LegalNet, Inc. www.FormsWorkFlow.com JC-1606, 05/19 Dispositional Order Appointing Guardian (Chapter 48) 24724748.623, 48.831 and 48.977, Wisconsin Statutes; 25 U.S.C. 2471915. This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 8. The court has jurisdiction under Ch. 822, Wis. Stats. 9. It is is not rson be appointed guardian with full powers enumerated under 24748.023, Wis. Stats. powers limited to: 1 0 . T he determinations made under 24748.623(1) , Wis. Stats., that the guardian is eligible to receive monthly subsidized guardianship payments are confirmed. The person named as the successor guardian is: Name Address Phone 11. An inquiry has been made on the record to each participant in this proceeding as to whether the participant knows or has reason to know that the child is an Indian child . a. The child is not subject to the federal Indian Child Welfare Act. b. The child is subject to the federa l Indian Child Welfare Act, AND placement has been made in accordance with th e 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 Welfare Act: THE COURT ORDERS: The P etition is 1. DENIED and this matter is dismissed. 2. GRANTED and [ Name] is appointed guardian with full powers enu merated under 24748.023, Wis. Stats . powers limited to: 3. Other: THIS IS A FINAL ORDER FOR THE PURPOSE OF APPEAL. DISTRIBUTION: 1. Court 2. Parties 3. Tribe (if any) American LegalNet, Inc. www.FormsWorkFlow.com