JC-1650, 05/18 Petition for an Order for Registration of a Foreign Adoption Order 24748.97, 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 a person under the age of 18 Date of Birth Petition for an Order for Registration of a Foreign Adoption Order Case No. UNDER OATH: I/we Petition the court for an Order Registering a Foreign Adoption Order, and state: 1. I/We, [Name(s)] , am an adoptive parent of the child. My address is: . My telephone number is: . 2. The child was admitted to the United States with an IR-3 or IH-3 visa issued by the U.S. citizenship and immigration services. 3. The child was admitted to the United States on [Date] . 4. All of the following requirements have been met: A. A home study was completed as required or recognized by this state and the home study recommends me as an adoptive parent; B. The required preadoption training has been completed; and C. I am receiving and will receive supervision from a licensed child welfare agency in the United States until the court enters an order registering the foreign adoption order and I have satisfied all preadoption training requirements. 5. The following information is attached: A. Evidence as to the date, place of birth, and parentage of the child; B. A certified or notarized copy of the final order of adoption entered by a court of the foreign jurisdiction and, if that final order is not in English, a certified translation or notarized copy of a certified translation of that final order; and C. Any other information necessary for the state registrar to prepare a certification of birth data for the child. 6. I/we request that the name of the child be changed to [First] [Middle] [Last] . State of County of Subscribed and sworn to before me on Notary Public/Court Official Name Printed or Typed My commission/term expires: Petitioner Name Printed or Typed Date State of County of Subscribed and sworn to before me on Notary Public/Court Official N ame Printed or Typed My commission/term expires: Petitioner Name Printed or Typed Date DISTRIBUTION: 1. Court 2. Other Adoptive Parent (if any) American LegalNet, Inc. www.FormsWorkFlow.com