FORM SUMMARY Name of Form: Summons (Termination of Parental Rights) Form Number: JC-1633 Statutory Reference: §§48.42, Wisconsin Statutes Benchbook Reference: JV 13 Purpose of Form: To give notice to parents that a petition to terminate parental rights has been filed and to summons the parents to court for a hearing. Who Completes It: Petitioner, petitioner’s attorney, or court official. Distribution of Form: Original to court file, authenticated copies for service Accompanying Forms: The petition for termination of parental rights accompanies the summons when served. New Form/Modification: Modification, last update 11/99. Modifications: Changed signature line to allow summons to be signed by petitioner, petitioner’s attorney, or court official. Made minor language changes including language regarding contempt for nonappearance. Comments: None 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. I f 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: 10/20/00 American LegalNet, Inc. www.FormsWorkflow.com For Official Use STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Summons IN THE INTEREST OF (Termination of Parental Rights) Name Case No. Date of Birth To: A petition for the termination of parental rights to this child has been filed. You are summoned and required to appear on: NOTICE OF HEARING Date Time Location (Include Room Number) Presiding 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 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 need help in this matter because of a disability, please call: Signature Title Name Printed or Typed Date JC-1633, 10/00 Summons (Termination of Parental Rights) This form shall not be modified. It may be supplemented with additional material. §48.42, Wisconsin Statutes American LegalNet, Inc. www.FormsWorkflow.com