JD-1770, 08/06 Short Term Detention Pending Investigation / As a Consequence 247247938.355(6d) and 938.534(1)(b)2, 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 Short Term Detention Pending Investigation As a Consequence Case No. 1. The juvenile is subject to a current dispositional order having been adjudicated: delinquent JIPS for 2. The dispositional conditions and possible sanctions, and the authority to take the juvenile into custody and hold without a hearing for up to 72 hours: were explained to the juvenile by the court at the dispositional hearing. were acknowledged in writing by the juvenile. 3. I believe the juvenile: may have violated one or more of the terms of the dispositional order and should be taken into custody while the alleged violation and the appropriateness of a sanction is being investigated. has violated a condition of the dispositional order. is on aftercare and may have violated a condition of the aftercare status and should be taken into custody while the alleged violation and the appropriateness of revoking the juvenile's aftercare status is being investigated. has violated a condition of the aftercare order. 4. The juvenile being held as a consequence has been advised that he or she has the right to make a written or oral statement concerning the possible placement. The juvenile has declined to make a statement. The juvenile's statement is attached. 5. The juvenile is to be taken into custody and held as follows: in juvenile detention (delinquency only) at in the juvenile portion of the county jail (delinquency only) at in non-secure custody (delinquency or JIPS) at 6. Transportation to the facility shall be provided by Return transportation shall be provided by 7. The juvenile was taken into custody on [Date] at [Time] a.m. p.m. and the juvenile must be released 72 hours after this date and time unless the court conducts a hearing and orders the hold continued. DISTRIBUTION: 1. Court 2. Case Worker 3. Facility 4. Facility Transporter Signature Name Printed or Typed Date American LegalNet, Inc. www.FormsWorkFlow.com