Circuit court forms

Juvenile

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Number Form name Revised Mark/view
JC-1645
Petition for Adoption (Child/Adult)
Petition to the court requesting the court approve an adoption of a child or adult.

11/19/99 Form English
Form English
Summary English
JC-1646
Consent to Adoption
Form signed by child over 14 and an adult consenting to the adoption.

05/31/00 Form English
Form English
Summary English
JC-1647
Order on Petition for Adoption (Child/Adult)
Court order granting adoption petition.

11/16/12 Form English
Form English
Summary English
JC-1648
Priority Placement Order (Interstate Compact on the Placement of Children)
To specifically "court order" an interstate compact home study to allow placement of a child to another state.

08/23/12 Form English
Form English
Summary English
JC-1690
Petition in Juvenile Court for Temporary Restraining Order and/or Petition and Motion for Injunction Hearing (Child Abuse)
To petition the court for an order to restrain somebody from committing child abuse and to schedule a hearing on an injunction.

05/01/14 Form Spanish
Form English
Form Spanish
Form English
Summary English
JC-1691
Temporary Restraining Order and Notice of Injunction Hearing (Child Abuse)
Formal order of the court on the petition for a TRO and notice of hearing on an injunction.

05/01/14 Form Spanish
Form English
Form Spanish
Form English
Summary English
JC-1692
Injunction (Child Abuse)
Formal document granting injunction.

09/25/14 Form Spanish
Form English
Form Spanish
Form English
Summary English
JC-1693
Petition in Juvenile Court for TRO and/or Petition and Motion for Injunction Hearing (Harassment)
Petition in juvenile court initiating an action for a TRO/final injunction in harassment matters.

05/01/14 Form Spanish
Form English
Form Spanish
Form English
Summary English
JD-1700
Notice of Permanency Hearing
To give notice to all interested persons of the permanency hearing.

08/23/12 Form English
Form English
Summary English
JD-1701
Court Referral - Child/Juvenile (Law Enforcement Referral)
To refer a child/juvenile to intake, who may be delinquent, in need of protection or services or in violation of a civil law or ordinance, and to record the decision of the intake worker.

08/09/07 Form English
Form English
Summary English
JD-1702
Court Referral - Child/Juvenile (Non-Law Enforcement Referral)
To refer a child/juvenile to intake, who may be in need of protection or services, and to record the decision of the intake worker.

05/31/00 Form English
Form English
Summary English
JD-1704
Acknowledgement of Notice of Rights and Obligations
A written notice to be provided to the child/juvenile and parents of their basic rights and obligations as well as the possibility of disclosure of personal information to victims.

08/04/06 Form English
Form Spanish
Form English
Form Spanish
Summary English
JD-1705
Notice of Intake Inquiry
To provide written notification to juvenile and paren(s) that a referral has been made to intake, and to requst their presence at intake inquiry.

04/24/08 Form English
Form English
Summary English
JD-1707
Notice of Satisfaction of Obligations of Deferred Prosecution/Informal Dispo
To provide written notification to the child/juvenile and parent, guardian or legal custodian that obligations have been met and no petition may be filed nor citation issued based on the charges that were subject of the DPA or IDA.

05/31/00 Form English
Form English
Summary English
JD-1709
Juvenile Court Minutes
To take minutes in juvenile court.

08/23/12 Form English
Form English
Summary English
JD-1710
Temporary Physical Custody Request
To request that a child/juvenile be taken into custody and to record the decision of the juvenile intake worker concerning the custody decision.

10/11/07 Form English
Form English
Summary English
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 juvenile.

09/25/14 Form English
Form English
Summary Hmong
Summary English
JD-1712
Waiver of Participation in Physical Custody Hearing
To record the waiver of physical custody hearing by a child/juvenile or parent/guardian/legal custodian.

04/24/08 Form English
Form English
Summary English
JD-1715
Order Terminating Custody
To formally record the termination of a custody transfer.

11/19/99 Form English
Form English
Summary English
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.

08/04/06 Form English
Form Spanish
Form English
Form Spanish
Summary English
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.

05/31/00 Form English
Form English
Summary English
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.

08/09/07 Form English
Form Spanish
Form English
Form Spanish
Summary English
JD-1720
Summons
Formal notice to an individual to appear in court and respond to a citation or petition.

08/05/10 Form English
Form Spanish
Form English
Form Spanish
Summary English
JD-1724
Notice of Hearing (Juvenile)
To give notice to interested persons of the scheduling of court proceedings.

08/23/12 Form English
Form Spanish
Form English
Form Spanish
Summary English
JD-1729
Petition to Vacate Consent Decree/Waiver of Hearing
Petition to Vacate Consent Decree and Waiver of Hearing

04/24/08 Form English
Form English
Summary English
JD-1730
Order on Petition Vacating Consent Decree and Reinstating Proceedings
To petition for termination of a consent decree and reinstate proceedings. To allow parties to waive a hearing on the petition. To order the termination of the consent decree and reinstate the proceedings.

04/24/08 Form English
Form English
Summary English
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.

08/09/07 Form English
Form English
Summary English
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.

11/17/11 Form English
Form English
Summary English
JD-1734
Medical Authorization
Court authorization, with child/juvenile's consent, for medical treatment.

05/31/00 Form English
Form English
Summary English
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) case.

03/09/12 Form English
Form English
Summary English
JD-1736
Waiver of Right to Counsel
To formally record a waiver by a child/juvenile of his/her right to an attorney.

12/01/04 Form English
Form Spanish
Form English
Form Spanish
Summary English
JD-1738
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.

05/01/14 Form English
Form English
Summary English
JD-1739
Authorization and Order to Open 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.

11/17/11 Form English
Form English
Summary English
JD-1748
Order Dismissing Petition
Formal order dismissing petition in juvenile court.

11/19/99 Form English
Form English
Summary English
JD-1753
Notice Concerning Grounds To Terminate Parental Rights
To provide the notice to a parent or expectant mother of the possible grounds for termination of parental rights when a child or expectant mother or juvenile is placed outside the home or a parent is denied visitation rights.

03/09/12 Form Hmong
Form Spanish
Form English
Form Hmong
Form Spanish
Form English
Summary English
JD-1754
Notice of Post-Disposition Change in Placement (Out of Home to Out of Home/Out of Home to In Home/In Home to In Home)
To give notice to interested persons that a change in placement has taken place.

08/23/12 Form English
Form English
Summary English
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.

04/24/08 Form English
Form Hmong
Form English
Form Hmong
Summary English
JD-1763
Public Defender Response/Order Concerning Recoupment
A formal response by the State Public Defender to the court concerning a parental request for an indigency determination.

11/19/99 Form English
Form English
Summary English
JD-1765
Order Granting Temporary Extension
To temporarily extend an unexpired dispositional order until a hearing can be held on a petition to extend.

04/24/08 Form English
Form English
Summary English
JD-1766
Request to Change Placement, Revise Dispo Order, Extend Dispo Order, Review Perm Plan
Request to court to enter an order changing placement, revising or extending dispo order, extending the dispo order and/or reviewing permanency plan.

09/25/14 Form English
Form English
Summary English
JD-1775
Order Terminating Dispositional Order
Formal order terminating the dispositional order.

05/31/00 Form English
Form English
Summary English
JD-1782
Order for Payment of Guardian ad Litem Fees and Expenses for Child/Juvenile
To order payment or reimbursement of guardian ad litem and expert witness fees and expenses for a child or juvenile under chapters 48 and 938.

08/23/12 Form English
Form English
Summary English
JD-1783
Stipulation and Order to Revise Dispositional Order
To stipulate and order to revise dispositional order.

08/23/12 Form English
Form English
Summary English
JD-1784
Consent Decree (In-Home Placement Only)
To record an agreement between parties requiring certain actions or activities to be done in exchange for suspending formal proceedings. The court approves the consent decree and orders parties to comply with it.

08/23/12 Form English
Form English
Summary English
JD-1785
Consent Decree (Out-of-Home Placement Only)
To record an agreement between the parties requiring certain actions or activities to be done in exchange for suspending formal proceedings. The court approves the consent decree and orders the parties to comply with it.

09/25/14 Form English
Form English
Summary English
JD-1786
Order for Revision of Dispositional Order
To revise dispositional order.

05/01/14 Form English
Form English
Summary English
JD-1787
Order for Extension of Dispositional Order or Consent Decree (In-Home Placement Only)
Court order extending a dispositional order or consent decree for in-home placement only.

05/09/13 Form English
Form English
Summary English
JD-1788
Order for Extension of Dispositional Order or Consent Decree (Out-of-Home Placement Only)
Order of the court extending a dispositional order or consent decree for correctional and certain out-of- home placement.

05/01/14 Form English
Form English
Summary English
JD-1789
Order for Change of Placement (In-Home to Out-of-Home Placement Only)
Court order for change of placement from the juvenile's/child's home to an out-of-home placement.

09/25/14 Form English
Form English
Summary English
JD-1790
Order for Change of Placement (Out-of-Home to Out-of-Home Placement Only)
Court order for change of placement from one out-of-home to another out-of-home placement.

05/01/14 Form English
Form English
Summary English
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