Juvenile – Juvenile%20(Chapter%20938)

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Number Form name Revised Mark/view
FA-614
Order Relating to Paternity/Legal Custody/Physical Placement/Visitation/Child Support/Health Care Expenses
Order entering a family court order or modifying an existing family court order relating to paternity, legal custody, physical placement, visitation, child support or payment of health care expenses. Mandatory form.

06/02/2022 Form English
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Summary English
JD-1700
Notice of Permanency Hearing
To give notice to all interested persons of the permanency hearing.

09/08/2022 Form English
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JD-1703
Request for Custody by School Attendance Officer/Designation by School District Admin.
Request and order to take a truant into custody.

09/08/2022 Form English
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JD-1710
Temporary Physical Custody Request (Chapter 938)
To request that a juvenile be taken into physical custody in a Ch. 938 proceeding and to record the decision of the juvenile intake worker concerning the custody decision. Available in Spanish.

10/01/2021 Form English
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JD-1711
Order for Temporary Physical Custody (Secure/Non-Secure)
The formal order signed by the court directing the custody ordered by the court for a child/juvenile. Available in Spanish.

12/16/2022 Form English
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JD-1712
Waiver of Participation in Nonsecure Physical Custody Hearing
To record the waiver of participation in a nonsecure physical custody hearing by a child/juvenile or parent/guardian/legal custodian.

09/08/2022 Form English
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JD-1716
Notice of Rights and Obligations
A written notice to be provided to child/juvenile and parents of their basic rights and obligations as well as the possibility of disclosure or personal information to victims. Available in Spanish.

11/12/2020 Form English
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JD-1717
Order To Provide Statement of Income, Assets, Debts, and Living Expenses
Court order to parents to provide a statement of income, assets, debts and living expenses. This form is always required when it appears that a child/juvenile may be placed outside or his or her home in a court proceeding or when appropriate.

09/08/2022 Form English
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JD-1718
Statement of Income, Assets, Debts and Living Expenses
To provide financial information to the court. This form is always used when it appears that a child/juvenile may be placed outside of his or her home in a court proceeding or when appropriate. Available in Spanish.

09/08/2022 Form English
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JD-1720
Summons
Formal notice to an individual to appear in court and respond to a citation or petition. Available in Spanish. CCAP form.

05/02/2019 Form English
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JD-1721
Petition Under Ch 938 - Delinquency, Protection or Services, Civil Law/Ordinances
Formal request to invoke the court's jurisdiction to adjudicate a juvenile as delinquent, JIPS, or for a civil law or ordinance violation. Available in Spanish.

05/18/2023 Form English
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JD-1722
Petition for Waiver of Jurisdiction
Formal Request to waive the juvenile from juvenile court into adult court.

09/08/2022 Form English
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JD-1723
Order Waiving Juvenile Court Jurisdiction
Formal decision on the request to waive the juvenile from juvenile court into adult court. CCAP form.

09/08/2022 Form English
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JD-1724
Notice of Hearing (Juvenile)
To give notice to interested persons of the scheduling of court proceedings. CCAP form. Available in Spanish.

09/08/2022 Form English
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JD-1725
Notice to School Board
To give notice to the school board that a felony delinquency petition has been filed or dismissed, that a juvenile has been adjudicated delinquent, or that school attendance is a condition of a CHIPS, JIPS, or delinquency dispositional order. CCAP form.

05/18/2023 Form English
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JD-1729
Petition to Vacate Consent Decree and Waiver of Hearing
To Petition to Vacate Consent Decree and Waiver of Hearing.

09/08/2022 Form English
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JD-1730
Order on Petition Vacating Consent Decree and Reinstating Proceedings
To petition for termination of a consent decree and reinstate proceedings. CCAP form.

09/08/2022 Form English
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JD-1731
Petition for Examination or Assessment
To allow an interested person to request that the court order a physical, psychological, mental or developmental examination or AODA assessment.

09/08/2022 Form English
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JD-1732
Order for Examination or Assessment
To formally record for filing a court order for a physical, psychological, mental or developmental examination or AODA assessment. CCAP form.

09/08/2022 Form English
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JD-1733
Order Concerning Competency or Mental Responsibility Determination
Court order entered following determination of either incompetency or not responsible by reason of mental disease or defect.

09/08/2022 Form English
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JD-1734A
Consent of Child/Juvenile to Medical Services
To request court authorization, with child/juvenile's consent, for medical treatment.

09/08/2022 Form English
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JD-1734B
Medical Authorization
Court authorization, with child/juvenile's consent, for medical treatment.

09/08/2022 Form English
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JD-1735
Plea Questionnaire/Waiver of Rights (CHIPS and JIPS)
A child, juvenile, parent, guardian, legal custodian, or Indian custodian to complete to enter an admission or no contest plea in a child in need of protection or services (CHIPS) or juvenile in need of protection or services (JIPS). Available in Spanish.

11/21/2019 Form English
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JD-1736
Waiver of Right to Attorney(Child/Juvenile)
To formally record a waiver by a child/juvenile of his/her right to an attorney. Available in Spanish.

11/21/2019 Form English
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JD-1737
Plea Questionnaire/Waiver of Rights (Delinquency)
To provide a standard format for a juvenile to complete to enter a plea, waive rights and indicate an understanding of appeal rights. Available in Spanish.

11/21/2019 Form English
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JD-1738A
Request to Inspect Juvenile Court Records
To provide a standardized form for requesting access to juvenile court records, as well as providing a record of the request and a method for the juvenile clerk to indicate the records that were disclosed.

03/12/2020 Form English
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JD-1738B
Order on Request to Inspect Juvenile Court Records
To order access to juvenile court records, as well as providing a record of the request and a method for the juvenile clerk to indicate the records that were disclosed.

03/12/2020 Form English
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JD-1739A
Request and Authorization to Open Juvenile Court Records for Inspection
To provide a standardized form for authorization by certain parties to access child/juvenile court records, as well as providing a record of the request and a method for the juvenile clerk to indicate the records that were disclosed.

09/08/2022 Form English
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JD-1739B
Order on Request to Open Juvenile Court Records for Inspection
To provide a standardized form for authorization by a juvenile, parent, guardian, or legal custodian to access child/juvenile court records.

09/08/2022 Form English
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JD-1745
Dispositional Order (Delinquent)
Formal order of the court detailing the disposition in a delinquency case. Available in Spanish.

11/16/2023 Form English
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JD-1745T
Dispositional Order with Termination of Parental Rights Notice (Delinquent)
Formal order of the court detailing the disposition in a delinquency case. Form is available in Spanish.

11/16/2023 Form English
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JD-1746
Dispositional Order - Protection or Services (Chapter 938)
Formal order of the court detailing the disposition in a Ch. 938 juvenile in need of protection or services (JIPS) case. This does not apply to a ch. 48 child in need of protection or services. Available in Spanish.

11/16/2023 Form English
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JD-1746T
Dispositional Order - Protection or Services with Termination of Parental Rights Notice (Chapter 938)
Formal order of the court detailing the disposition in ch. 938 juvenile in need of protection or services (JIPS) case. This does not apply to a ch. 48 child in need of protection or services. Available in Spanish.

11/16/2023 Form English
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JD-1747
Dispositional Order - Civil Law/Ordinance Violation
Formal order of the court detailing the disposition in a civil law/ordinance case. Available in Spanish.

09/08/2022 Form English
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JD-1748
Order Dismissing Petition
Formal order dismissing petition in juvenile court.

09/08/2022 Form English
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JD-1749
Acknowledgement of Dispositional Conditions and Sanctions (Delinquency/JIPS)
Acknowledgement signed by a juvenile indicating an understanding of the sanctions available to the court for a violation of a dispositional order and the authority of the social worker to order a 72 hour hold. Available in Spanish.

09/08/2022 Form English
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JD-1750A
Request to Impose Stayed Delinquency Dispositional Order
To allow a juvenile to waive the right to a hearing when the supervising agency is asking to have the court lift a stay of a dispositional order.

09/08/2022 Form English
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JD-1750B
Order to Impose Stayed Delinquency Dispositional Order
Court's order to lift a stay of a dispositional order.

09/08/2022 Form English
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JD-1751
Teen Court Referral
To refer a juvenile to a teen court.

09/08/2022 Form English
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JD-1752
Notice of Right to Seek Postdisposition Relief (CHIPS and JIPS)
To provide parent notification of time limits for postdisposition relief. Available in Spanish.

09/08/2022 Form English
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JD-1753
Notice Concerning Grounds To Terminate Parental Rights
To provide notice to parent or expectant mother of the possible grounds for termination of parental rights when a child/expectant mother or juvenile is placed outside the home or a parent is denied visitation rights. Available in Spanish and Hmong.

11/21/2019 Form English
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Form Hmong
Form Hmong
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JD-1754
Notice of Change in Placement
To give notice to interested persons that a change in placement has taken place or will take place.

02/23/2023 Form English
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JD-1755
Notice to School District to Transfer Records
To notify the school district of the responsibility to transfer school records to a state institution or a secured residential care center for children and youth.

09/08/2022 Form English
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JD-1756
Acknowledgement of Dispositional Conditions and Sanctions (Habitual Truancy)
Acknowledgement signed by a juvenile indicating an understanding of the sanctions available to the court for a violation of a dispositional order and the authority of the social worker to order a 72 hour hold.

09/08/2022 Form English
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JD-1757
Notice of Right to Seek Postdisposition Relief
To inform juveniles after disposition that they have the right to seek postdisposition relief. To document that the juvenile's lawyer has counseled the defendant about seeking postdisposition relief. Available in Spanish and Hmong.

09/08/2022 Form English
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Form Hmong
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JD-1758
Notice of Intent to Enter Civil Judgment for Restitution, Forfeiture, or Surcharge
To give notice to the juvenile and the parent of the intent of the court to issue an order for judgment for unpaid restitution/forfeiture amounts.

02/23/2023 Form English
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JD-1759
Petition for Judgment Against Juvenile/Parent for Unpaid Restitution
To request that unpaid restitution be converted into a money judgment.

09/08/2022 Form English
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JD-1760
Petition for Judgment Against Juvenile/Parent for Unpaid Forfeiture/Surcharge
To request that an unpaid forfeiture be converted into a money judgment. Used to a representative of the public interest, the supervising agency, or the law enforcement agency which issued a citation to a juvenile.

02/23/2023 Form English
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JD-1761
Judgment for Unpaid Restitution/Forfeiture/Surcharge
written judgment against the juvenile or parent with custody for unpaid restitution and/or forfeiture. This judgment can be docketed and become a lien against the debtors.

02/23/2023 Form English
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JD-1762
Order for Recoupment of Costs of Legal Services
Court order directing the parents to reimburse the state for costs of legal services provided to a juvenile determination and court order based on that response. Available in Spanish and Hmong.

09/08/2022 Form English
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Form Hmong
Form Hmong
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