JC-1633, 05/18 Summons (Termination of Parental Rights) 24748.42, 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 Summons (Termination of Parental Rights) Case No. TO: A Petition for Termination of Parental Rights to this child has been filed. The provisions of the Indian Child Welfare Act do not apply. (For an Indian child, use the Indian Child Welfare Act version [IW-1633] of this form.) You are summoned and required to appear on: NOTICE OF HEARING Date Time Location (Include Room Number) Circuit Court Judge IF YOU FAIL TO APPEAR, the court may hear testimony in support of the allegations in the attached Petition and grant the request of the petitioner to terminate your parental rights. You have the right to have an attorney present. If you desire to contest the matter and cannot afford an attorney, the state public defender may appoint an attorney to represent you. If you fail to appear and the court terminates your parental rights, a notice of intent to pursue relief from the judgment must be signed and filed in the trial court within 30 days after the judgment is entered, in order to preserve the right to pursue such relief. If you require reasonable accommodations d ue to a disability to participate in the court process, please call prior to the scheduled court date. Please note that the court does not provide transportation. Name Printed or Typed Date American LegalNet, Inc. www.FormsWorkFlow.com