JD-1765, 04/08 Order Granting Temporary Extension 24724748.315(1), 48.315(2m), 48.365(6), 938.315(1), 938.315(2m) and 938.365(6), 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 Order Granting Temporary Extension Case No. THE COURT FINDS : 1. The request has been made to extend the dispositional order. 2. The dispositional order has not expired or been terminated. 3. The court is unable to conduct a hearing on the request prior to the expiration or termination of present order. 4. This extension will not result in delay of required out of home placement findings. THE COURT ORDERS : 1. The present O rder in this case is extended until: A . [D ate ] (a period of not more than 30 days) . OR B . the period of delay resulting from the following circumstance(s) has elapsed , plus an additional 30 days. The circumstance(s) causing the delay: Other legal actions concerning this person. Continuance granted at the request of or consent of the child/juvenile and counsel. Disqualification or substitution of judge, or transfer to another judge. Continuance granted at the request of the representative of the public. Imposition of a consent decree. Absence or unavailability of the child/juvenile. Any period of delay caused by an inability to provide notice to the child/juvenile. The child/juvenile is joined in a hearing with another child/juvenile for whom the time period has not expired. Juvenile court congestion or scheduling difficulties. 2. The request for extension shall be scheduled for a hearing as follows: Date Location (Include Room Number) Time DISTRIBUTION: 1. Court 2. Child/Juvenile/Attorney/Guardian ad Litem 3. Parents/Guardian/Legal Custodian/Indian Custodian 4. Foster Parents/Treatment Foster Parents (if any) 5. Social Worker/District Attorney/Corporation Counsel 6 . Tribe (if any) 7 . Other: American LegalNet, Inc. www.FormsWorkFlow.com