IW-1788, 11/15 Order for Extension of Dispositional Order/Consent Decree (Out-of-Home Placement Only) Indian Child Welfare Act 24724748.365, 48.32(2)(c), 938.365, and 938.32(2)(c), 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 Order for Extension of Dispositional Order Consent Decree (Out - of - Home Placement Only) Indian Child Welfare Act Case No. THE COURT FINDS: 1. A Request for Extension of Dispositional Order Consent Decree has been filed with the court. 2. A. There was no objection to the request for extension of the consent decree. B. A hearing on the request was held on [Date] , which is the effective date of this Order. 3. The child/juvenile is placed out of his or her home. 4. The allegations of the request(s) were not proven. 5. The allegations of the request(s) were proven and the court adopts them as findings of fact. 6. Reasonable efforts to achieve the permanency goal of the permanency plan, including through an out-of-state placement if appropriate, were [Complete one of the following] made by the department or agency responsible for providing services as follows : not made by the department or agency res ponsible for providing services . 7. Reasonable efforts to place the child/juvenile in a placement that enables the sibling group to remain together were made. not required because the child/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 child/juvenile or any of the siblings. 8. Active efforts were were not made to provide remedial services and rehabilitation programs designed to prevent the breakup of the Indian family. See attached Statement of Active Efforts (IW-1609) American LegalNet, Inc. www.FormsWorkFlow.com IW-1788, 11/15 Order for Extension of Dispositional Order/Consent Decree (Out-of-Home Placement Only) Indian Child Welfare Act 24724748.365, 48.32(2)(c), 938.365, and 938.32(2)(c), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 9. The parent(s) who appeared in court have been orally advised of the applicable grounds for termination of parental rights (TPR) and the conditions that are necessary for a safe return to the home or a restoration of visitation rights. Written TPR Warnings are attached. Conditions for return/visitation are part of this order or attached. 10. Other: THE COURT ORDERS: 1. The request(s) for extension is denied. 2. The request(s) for extension is granted. A. Unless otherwise specified, the expiration date of this order shall be the later of the following: One year from the date of this order; The date the child/juvenile reaches his or her 18th birthday; The date the child/juvenile is granted a high school or high school equivalency diploma or the date the child/juvenile reaches his or her 19th birthday, whichever occurs first, if the child/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 child/juvenile is granted a high school or high school equivalency diploma or the date the child/juvenile reaches his or her 21st birthday, whichever occurs first, if ALL of the following apply: The child/juvenile is a fulltime student in secondary school or vocational or technical equivalent. An individualized education program is in effect for the child/juvenile. The child/juvenile or guardian, on behalf of the child/juvenile, agrees to this order. The child/juvenile is 17 years of age or older when this order is entered. OR Expiration date of this order . B. Continued supervision by Dept. of Corrections, Div. of Juvenile Corrections. Expiration date of this order [Not to exceed 1 year] . C. Continued placement in a Type 2 residential care center for children and youth. Expiration date of this order [Not to exceed 1 year] . D. All conditions of the dispositional order/consent decree remain in effect, except as modified: 3. The child/juvenile has one or more siblings in out-of-home care and the child/juvenile is not placed with all those siblings. The department or agency shall make reasonable efforts to provide frequent visitation or other ongoing interaction between the child/juvenile and any siblings. is not required to provide for frequent visitation or other ongoing interaction because it would be contrary to the safety or well being of the child/juvenile or any siblings. 4. Other: THIS IS A FINAL ORDER FOR THE PURPOSE OF APPEAL. DISTRIBUTION: 1. Court 2. Child/Juvenile/Attorney/Guardian ad Litem 3. Parents/Guardian/Indian Custodian 4. Legal and/or Physical Custodian/Attorney (if any) 5. Social Worker 6. Foster Parent/Treatment Foster Home (if any) 7 District Attorney/Corporation Counsel 8. Tribe 9. Other: American LegalNet, Inc. www.FormsWorkFlow.com