FORM SUMMARY Name of Form: Order terminating custody Form Number: JD-1715 Statutory Reference: §§48 and 938, Wisconsin Statutes Benchbook reference: Purpose of Form: To formally record the termination of a custody transfer Who Completes It: Court personnel for judge/court commissioner signature Distribution of Form: Original to court file, copy to parties Accompanying Forms: Generally none New Form/Modification: Modification; last update 7/96. Modifications: Added a file/date stamp area to upper left corner. Added a statement on the bottom indicating that the form shall not be modified. The caption has been modified to remove the line "a person under the age of 18" Comments: This form was requested by counties who needed a formal order terminating a legal custody or physical custody transfer. About this form: This form is the product of the Wisconsin Records Management Committee, a committee of the Director of State Court’s Office and a mandate of the Wisconsin Judicial Conference. If you have additional information that does not change the meaning of the form, attach it on a separate page. The form itself shall not be altered. Date: 11/19/99 Page 1 2001 © American LegalNet, Inc. For Official Use STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE INTEREST OF Order Terminating Custody Name Case No. Date of Birth On (date) the court transferred the legal custody physical custody of the child/juvenile to: IT IS ORDERED THAT this transfer of custody is terminated. BY THE COURT: Signature of Circuit Judge/Court Commissioner Name Printed or Typed Distribution: 1. Original to Court 2. Copies to Parties Date JD-1715, 11/99 Order Terminating Custody Chapters 48 and 938, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. 2001 © American LegalNet, Inc.