JD-1753, 05/18 Notice Concerning Grounds to Terminate Parental Rights 24724748.356, 48.415 and 938.356, 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 Concerning Grounds To Terminate Parental Rights Case No. Your parental rights can be terminated against your will under certain circumstances. A list of potential grounds to terminate your parental rights is given below. Those that are check-marked may be most applicable to you, although you should be aware that if any of the others also exist now or in the future, your parental rights can be taken from you. Abandonment. Any of the following must be proven by evidence that: You have left your child without provision for care or support: and neither parent has been found for 60 days. in a place or manner that exposes your child to substantial risk of great bodily harm or death. You have failed to visit or communicate with your child for: three months or longer after your child has been placed, or continued in a placement, outside your home by a court order. six months or longer after leaving your child with any person, and you know or could discover the whereabouts of your child. A court of competent jurisdiction previously has found that when your child was under one year of age: your child was abandoned, pursuant to 24748.13(2), Wis. Stats., or a comparable state or federal law. you intentionally abandoned the child in a place where the child may suffer because of neglect, in violation of 247948.20, Wis. Stats., or a comparable state or federal law. Continuing Need of Protection or Services. As proven by evidence that: A court placed, or continued in a placement, your child outside your home after a judgment that your child is in need of protection or services under 24724748.345, 48.357, 48.363, 48.365, 938.345, 938.357, 938.363, or 938.365, Wis. Stats., and: The agency responsible for the care of your child has made a reasonable effort to provide the services ordered by the court; Your child has been outside your home for a cumulative total period of six months or longer under a court order; and You have failed to meet the conditions established for the safe return of your child to your home. If your child has been placed outside of your home for less than 15 of the most recent 22 months, there is substantial likelihood you will not meet these conditions as of the date on which the child will have been placed outside the home for 15 of the most recent 22 months. [Not including any period your child was a runaway from the out-of-home placement or was residing in a trial reunification home] A court has adjudicated your child in need of protection or services on three or more occasions, under 24748.13(3), (3m), (10) or (10m), Wis. Stats. and: In connection with these adjudications, the court has placed your child outside your home pursuant to a court order containing this notice, and You caused the conditions that led to each of the out-of-home placements. Continuing Need of Protection or Services (Unborn child). As proven by evidence that: A court placed you [as an expectant mother], or continued you in a placement, outside your home after a judgment that your unborn child is in need of protection and services under 24724748.345 and 48.347, Wis. Stats. The agency responsible for the care of you and your unborn child has made a reasonable effort to provide the services ordered by the court; Your child stayed outside your home for a cumulative total period of six months or longer under a court order; [Not including time spent outside the home as an unborn child] You have failed to meet the conditions established for the safe return of your child to your home; and, There is a substantial likelihood that you will not meet these conditions within the 9-month period following the fact-finding hearing under 24748.424, Wis. Stats. American LegalNet, Inc. www.FormsWorkFlow.com JD-1753, 05/18 Notice Concerning Grounds to Terminate Parental Rights 24724748.356, 48.415 and 938.356, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 Failure to Assume Parental Responsibility. As proven by evidence that: You are or may be a parent of a child. You have not had a substantial parental relationship with the child. Continuing Parental Disability. As proven by evidence that: You are presently an inpatient at a hospital as defined in 24750.33(2)(a),(b) or (c), Wis. Stats., a licensed treatment facility as defined in 24751.01(2), Wis. Stats., or state treatment facility as defined in 24751.01(15), Wis. Stats., on account of mental illness as defined in 24751.01(13)(a) or (b),Wis. Stats., or developmental disability as defined in 24755.01(2) or (5), Wis. Stats. You have been an inpatient for at least two of the last five years before a petition to terminate parental rights is filed. Your condition is likely to continue indefinitely. Your child is not being provided with adequate care by a parent, guardian, or relative who has legal custody of your child. Continuing Denial of Periods of Physical Placement or Visitation. As proven by evidence that: You have been denied periods of physical placement by a court order in an action affecting the family, or have been denied visitation by an order under 24724748.345, 48.363, 48.365, 938.345, 938.363, or 938.365, Wis.Stats. At least one year has elapsed since the order denying periods of physical placement or visitation was issued and the court has not subsequently modified its order so as to permit you periods of physical placement or visitation. Child Abuse. As proven by evidence that: You show a pattern of physically or sexually abusive behavior which is a substantial threat to the health of the child who is the subject of the petition; and that: You have caused death or injury to a child or children resulting in a felony conviction. A child has previously been removed from your home by the court under 24748.345, Wis. Stats., after an adjudication that the child is in need of protection or services under 24748.13(3) or (3m), Wis. Stats. Relinquishment. As proven by evidence that: A court of competent jurisdiction has found pursuant to 24748.13(2m), Wis. Stats., that you have relinquished custody of your child under 24748.195(1), Wis. Stats., when the child was 72 hours old or younger. Incestuous Parenthood. As proven by evidence that: You are related, either by blood or adoption, to your child's other parent in a degree of kinship closer than 2nd cousin. Homicide or Solicitation to Commit Homicide of Parent. As proven by evidence that: You have been convicted of the intentional or reckless homicide of the other parent, or solicitation to commit intentional or reckless homicide of the other parent, in violation of 247247940.01, 940.02 or 940.05, 939.30, Wis. Stats., or a comparable state or federal law. Parenthood as a Result of Sexual Assault. As proven by evidence that: You are or may be the father of a child. The child was conceived as the result of a sexual assault in violation of 247247940.225(1),(2) or (3), 948.02(1) or (2), or 948.025 or 948.085, Wis. Stats., which you committed against the child's mother during a possible time of conception. Commission of a Felony Against a Child. As proven by evidence that: You have been convicted of a serious felony as defined in 24748.415(9m)(b), Wis. Stats., against one of your children. You have committed child trafficking in violation of 247948.051 or a comparable state or federal law involving any child. Prior Involuntary Termination of Parental Rights to Another Child. As proven by evidence that: Your child has been adjudicated to be in need of protection or services under 24748.13(2),(3) or (10), Wis. Stats. or your child was born after a petition for termination of parental rights under 24748.415(10), Wis. Stats., was filed in which a sibling of your child is the subject. In the three years prior to the child being adjudicated in need of protective services as specified in 24748.415(10)(a), or in the case o