IW-1740, 05/11 Motion for Transfer to Tribal Court - Indian Child Welfare Act 24724748.028(3)(c) and 938.028(3)(c), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE INTEREST OF Name Date of Birth Motion for Transfer To Tribal Court Indian Child Welfare Act Case No. 1. I am the parent. Indian custodian. representative tribe. 2. This is an Indian child/juvenile custody proceeding involving an out-of-home placement of or termination of parental rights to an Indian child/juvenile. 3. I am requesting a transfer of the above-captioned case to the Tribal Court. 4. Other: Name of Attorney (if any) Signature Address Name Printed or Typed Address Telephone Number Bar Number Date DISTRIBUTION: 1. Court 2. Child/Juvenile and Attorney/Guardian ad Litem 3. Parents/Attorney 4. Guardian/Legal Custodian/Indian Custodian 5. Social Worker 6. District Attorney/Corporation Counsel 7. Tribe 8. Other: American LegalNet, Inc. www.FormsWorkFlow.com