JD-1801, 02/18 Notice and Request for Trial Reunification Extension or Revocation 24724748.358 and 938.358 Wisconsin Statutes 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 Name Date of Birth Notice and Request for Trial Reunification Extension of Trial Reunification Revocation of Trial Reunification Case No. Name Address Name Address Guardian, Legal/Physical Custodian , Foster Parent Address Other Address I REQUEST THE COURT : 1. Order a trial reunification effective [Date] , which is at least ten (10) days after the notice was filed with the court . The trial reunification is in the best interests of the child/juvenile because: . See attached . See attached Name an d address of proposed trial reunification home: . The proposed length of the trial reunificati on [not to exceed 90 days] : . If you do not object, the trial reunification may be granted without a court hearing. If you object to the trial reunification , a written objection must be filed with the court within ten (10) days of the filing of this request. If you file a written objection, a hearing will be schedule d within 30 days of the trial reunification request. 2. Extend the current trial reunification . [Total period for a trial reunification and any extensions may not exceed 150 days.] Date trial reunification expires: . Date trial reunification should be extended to: . The trial reunification continues to be in the best interests of the child/juvenile because: See attached If you do not object, the trial reunification may be extended without a court hearing. If you object to the trial reunification being extended , a written objection must be filed with the court within ten (10) days of the filing of this request. If you file a written objection, a hearing will be schedule d. 3. Revoke the current trial reunification. Specify in detail the reasons the current trial reunification is no longer in the best interests of the child/juvenile: See attached If you do not object, the trial reunification may be revoked without a court hearing. If you object to the trial reunification being revoked , a written objection must be filed with the court within ten (10) days of the filing of American LegalNet, Inc. www.FormsWorkFlow.com JD-1801, 02/18 Notice and Request for Trial Reunification Extension or Revocation 24724748.358 and 938.358 Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 this request. If you file a written objection, a hearing will be schedule d. DISTRIBUTION: 1. Court 2. Child/Juvenile and Attorney 3. Parents/Guardian/Legal Custodian/Attorney (if any) 4. Social Worker 5. Physical Custodian/Foster Parent 6. District Attorney/Corporation Counsel 7. Guardian ad Litem 8. Court Appointed Special Advocate 9. Tribe 10 . Other: Signature Name Printed or Typed Date American LegalNet, Inc. www.FormsWorkFlow.com