JD-1746, 11/18 Dispositional Order Protection or Services (Chapter 938) 247247938.78(2)(ag) and (aj), 938.34, 938.345, 938.355 and 938.396(2g)(m), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 4 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE INTEREST OF Name Date of Birth Amended Dispositional Order Protection or Services (Chapter 938) Case No. A Petition has been filed with the court. This dispositional hearing was held on [ Date ] , which is the effective date of this Order. THE COURT FINDS: 1. The juvenile is in need of protection or services because the juvenile is uncontrollable. habitually truant from home. habitually truant from school. a school dropout. o attend school rather than the failure of any other person . under the age of 10 and committed a delinquent act. determined to be not responsible by reason of mental disease or defect. determined to be not competent to proceed. 2. The provisions of the Indian Child Welfare Act do not apply . 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 juvenile is an Indian child. (For an Indian juvenile who is placed out - of - home, use the Indian Child Welfare Act version [IW - 1746] of this O rder.) 3. The juvenile is placed out of the home. A . Placement in the home at this time is is not contrary to the welfare of the juvenile and the community. B. Reasonable efforts to prevent removal were [ Complete one of the following ] made by the department or agency responsible for providing services as follows: made by the department or agency responsible for providing services, although an emergency situation resulted in immediate removal of the juvenile from the home as follows: required, but the department or agency responsible for providing services failed to make reasonable efforts. American LegalNet, Inc. www.FormsWorkFlow.com JD-1746, 11/18 Dispositional Order Protection or Services (Chapter 938) 247247938.78(2)(ag) and (aj), 938.34, 938.345, 938.355 and 938.396(2g)(m), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 4 C. Reasonable efforts to place the juvenile in a placement that enables the siblin g group to remain together were made. not required because the juvenile does not have siblings in out - of - home care. not required because it would be contrary to the safety or well being of the juv enile or any of the siblings. D . Permanency plan was not filed. filed and reasonable efforts to achieve the permanency goal of the permanency plan, including through an out - of - state placement if appropriate, w ere [ Complete one of the following only if a permanency plan was filed ] made by the department or agency responsible for providing services : not made by the department or agency respons ible for providing services. E . Parent #1 Parent #2 was present and was asked to provide the names and other identifying information of three adult relatives of the juvenile or other adult in dividuals whose home the parent requests the court to consider as placements for the juvenile, unless that information was previously provided. 4. As to the depa rtment or agency recommendation: A . The placement location recommend ed 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. 5. Pa rticipation in the Teen Court program will likely benefit the juvenile and the community and the juvenile has not successfully completed a Teen Court program in the two years before the date of the violation. 6. The rehabilitation and treatment/care of the juvenile cannot be accomplished by means of voluntary consent of the parent(s)/guardian, and the transfer of legal custody is necessary. 7. Restitution. A . The juvenile alone is fina ncially able to pay restitution of $ and/or a forfeiture of $ . B . The juvenile is physically able to perform services for the victim [U nder age 14, 40 hour limit ] and the victim agrees to accept such services. C . The custod ial parent(s) is financially able to pay reasonable restitution of $ and/or a forfeiture of $ . 8. The Statement of Guardian ad Litem was filed. 9. Other: THE COURT ORDERS: 1. The juvenile is placed under court jurisdiction. 2. Placement . In - home at . Expiration date of this order [Not to exceed 1 year] . Out - of - home at and into the placement and care responsibility of the department in the county where this order is issued, which has primary responsibility for providing services. Unless otherwise specified, the expirati on date of this order shall be the later of the following: One year from the date of this order; The date the juvenile reaches his or her 18 th birthday; American LegalNet, Inc. www.FormsWorkFlow.com JD-1746, 11/18 Dispositional Order Protection or Services (Chapter 938) 247247938.78(2)(ag) and (aj), 938.34, 938.345, 938.355 and 938.396(2g)(m), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 4 The date the juvenile is granted a high school or high school equivalency diploma or the dat e the juvenile reaches his or her 19 th birthday, whichever occurs first, if the juvenile is enrolled fulltime in a secondary school or vocational or technical equivalent and reasonably expected to complete the program prior to age 19; The date the juven ile is granted a high school or high school equivalency diploma or the date the juvenile reaches his or her 21 st birthday, whichever occurs first, if ALL of the following apply: The juvenile is a fulltime student in secondary school or vocational or tec hnical equivalent. An individualized education program is in effect for the juvenile. The juvenile or guardian, on behalf of the juvenile, agrees to this order. The juvenile is 17 years of age or older when this order is entered. OR Expiration date of this O rder : . 3. This is an out - of - home placement. The juvenile has one or more siblings in out - of - home care and the juvenile is not placed with all those siblings. The departm ent or agency shall make reasonable efforts to provide frequent visitation or other ongoing interaction between the juvenile and any siblings. is not required to provide for frequent visitation or other ongoing i nteraction because it would be contrary to the safety or well being of the juvenile or any siblings. 4. This is an out - of - home placement and the department or agency shall conduct a diligent search in order to locate and provide no tice as required by 247938.355(2)(cm), Wis. Stats., to all adult relatives of the juvenile , including the three adult relatives provided by the parents under 247938.335(6) Wis. Stats., no later than 30 days from the date of the removal from the home , unless the search was previously conducted and notice provided. 5. This is an out - of - home placement. If a permanency plan has been prepared, filed and is consistent with this order, this order contains the plan. Otherwise, a pe and shall be made part of this O rder. 6. Total restitution is $ . $ , [Under age 14, $250 limit] to be paid See restitution supplement Make repairs or provide services agreeable to the victim [Under age 14, 40 hour limit] The juvenile is in an out - of - home placement and receiving income; the juvenile shall pay % of that income for restitution. 7. Costs of $ , [Age 14 and over] to be paid . 8. Legal custody transferred to County Department of Human/Social Services. Other: 9. Conditions of supervision and/or r eturn. See attached 10. If the juvenile is placed outside of the home, the parent(s) shall provide a statement of income, assets, debts, and living expenses, to the county department or agency. A. The parent(s)/guardian shall contribute toward the expenses of custody/services in the amount of $ . to be determined by [ Agency ] . B . The amount of support to be p aid by the parent(s), guardian or trustee for the out - of - home placeme nt is $ or % of gross inc ome payable by