Juvenile – Indian Child Welfare Act (ICWA)

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Number Form name Revised Mark/view
GF-150
Uniform Child Custody Jurisdiction and Enforcement Act Affidavit
To meet the jurisdictional requirements of the Uniform Child Custody Jurisdiction Act.

11/21/2019 Form English
Form Spanish
Form English
Form Spanish
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IW-1501
Petition For Appointment of Guardian (Full/Limited/Temporary Guardianship) (48.9795, Wis. Stats.) ICWA
Petition For Appointment of Guardian (Full/Limited/Temporary Guardianship) (48.9795, Wis. Stats.) ICWA

11/16/2023 Form English
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IW-1530
Letters of Guardianship and Dispositional Order Appointing Guardian (Full/Limited/Temporary Guardianship) (48.9795, Wis. Stats.) ICWA
Letters of Guardianship and Dispositional Order Appointing Guardian (Full/Limited/Temporary Guardianship) (48.9795, Wis. Stats.) ICWA

11/16/2023 Form English
Form English
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IW-1605
Petition For Appointment of Guardian (48.977, Wis. Stats.) ICWA
Petition For Appointment of Guardian (48.977, Wis. Stats.) ICWA

11/16/2023 Form English
Form English
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IW-1606
Dispositional Order Appointing Guardian (48.977, Wis. Stats.) ICWA
Dispositional Order Appointing Guardian (48.977, Wis. Stats.) ICWA

09/08/2022 Form English
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IW-1608
Temporary Physical Custody Request (Chapter 48) - Indian Child Welfare Act
To request that a child or expectant mother be taken into temporary physical custody in a Chapter 48 proceeding and to record the decision of the juvenile intake worker concerning the custody decision.

11/16/2023 Form English
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IW-1609
Statement of Active Efforts - Indian Child Welfare Act
To provide information for the court to determine whether active efforts were made to prevent the breakup of the Indian family in cases subject to the Wisconsin Indian Child Welfare Act (WICWA).

11/21/2019 Form English
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IW-1610
Petition for Protection or Services (Chapter 48) - Indian Child Welfare Act
Formal request to invoke the court's jurisdiction to adjudicate a child in need of protection or services under Chapter 48.

11/16/2023 Form English
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IW-1611T
Dispositional Order - Protection or Services with Termination of Parental Rights Notice (Chapter 48) - Indian Child Welfare Act
Formal order of the court detailing the disposition in a Chapter 48 child in need of protection or services (CHIPS) case (This form should not be used in a Ch. 938 juvenile in need of protection or services).

11/16/2023 Form English
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IW-1630
Petition for Termination of Parental Rights - Indian Child Welfare Act
To initiate a proceeding to terminate the parental rights of a parent.

11/16/2023 Form English
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IW-1633
Summons - Termination of Parental Rights - Indian Child Welfare Act
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. CCAP form. Available in Spanish.

09/08/2022 Form English
Form English
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IW-1637
Consent to Termination of Parental Rights (Judicial) - Indian Child Welfare Act
Consent form signed by a parent before a judicial officer consenting to the termination of his or her parental rights to child.

09/08/2022 Form English
Form English
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IW-1638
Order Concerning Termination of Parental Rights (Voluntary) - Indian Child Welfare Act
Order formally indicating the court's decision on a petition to voluntarily terminate the parental rights of a parent.

12/16/2022 Form English
Form English
Summary English
IW-1639
Order Concerning Termination of Parental Rights (Involuntary) - Indian Child Welfare Act
Order formally indicating the court's decision on a petition to terminate the parental rights of a parent.

05/18/2023 Form English
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IW-1647
Order on Petition for Minor Child Adoption (Indian Child Welfare Act)
Order formally indicating the court's decision on a petition for minor child adoption.

09/08/2022 Form English
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IW-1649
Indian Child Adoptee Information (Indian Child Welfare Act)
Minor Indian child adoptee information.

11/02/2017 Form English
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IW-1700
Notice of Permanency Hearing (ICWA)
Notice of Permanency Hearing (ICWA)

09/08/2022 Form English
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IW-1711
Order for Temporary Physical Custody (Secure/Nonsecure) - Indian Child Welfare Act
The formal order signed by the court directing the custody ordered by the court for a child/juvenile. CCAP form.

05/30/2024 Form English
Form English
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IW-1716
Notice of Rights and Obligations - Indian Child Welfare Act
A written notice to be provided to child/juvenile and parents of their basic rights and obligations as well as the possibility of disclosure of personal information to victims.

11/12/2020 Form English
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IW-1720
Summons - Indian Child Welfare Act
Formal notice to an individual to appear in court and respond to a citation or petition. Available in Spanish.

05/02/2019 Form English
Form Spanish
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IW-1721
Petition for Protection or Services (Chapter 938) - Indian Child Welfare Act
Formal request to invoke the court's jurisdiction to adjudicate the juvenile in need of protection or services under sec. 938.13(4), (6), (6m), or (7).

11/16/2023 Form English
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IW-1724
Notice of Hearing (Juvenile) - Indian Child Welfare Act
To give notice to interested persons of the scheduling of court proceedings. CCAP form.

11/16/2023 Form English
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IW-1740
Motion for Transfer to Tribal Court - Indian Child Welfare Act
Motion to transfer a proceeding involving an out-of-home placement of, or termination of parental rights to, an Indian child from a circuit court to a tribal court.

09/08/2022 Form English
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IW-1741
Order on Motion for Transfer to Tribal Court - Indian Child Welfare Act
Written order of the Circuit Court to transfer a proceeding involving an out-of-home placement of or termination of parental rights to an Indian child from a Circuit Court to a tribal Court.

09/08/2022 Form English
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IW-1746T
Dispositional Order - Protection or Services with Termination of Parental Rights Notice (Chapter 938) - Indian Child Welfare Act
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.)

11/16/2023 Form English
Form English
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IW-1754
Notice of Change in Placement (Out-of-Home to Out-of-Home/Out-of-Home to In-Home/In-Home to In-Home) - Indian Child Welfare Act
To give notice to interested persons that a change in placement has taken or will take place.

05/30/2024 Form English
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IW-1766
Request to Change Placement / Revise Dispositional Order - Indian Child Welfare Act
Request to the court to change placement or revise the dispositional order.

05/30/2024 Form English
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IW-1783A
Consent to Delegation of Powers under 48.979, Wis. Stats. of an Indian Child
To consent to delegation of powers under sec. 48.979 of an Indian child.

09/08/2022 Form English
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IW-1783B
Certificate to Delegation of Powers under 48.979, Wis. Stats. of an Indian Child
To certify to delegation of powers under sec. 48.979 of an Indian child.

09/08/2022 Form English
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IW-1785A
Stipulation for Consent Decree (Out-of-Home Placement Only) - Indian Child Welfare Act
To record an agreement between the parties requiring certain actions or activities to be done in exchange for suspending formal proceedings. The court official approves the consent decree and orders the parties to comply with it.

09/08/2022 Form English
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IW-1785B
Consent Decree (Out-of-Home Placement Only) - Indian Child Welfare Act
To record an agreement between the parties requiring certain actions or activities to be done in exchange for suspending formal proceedings. The court official approves the consent decree and orders the parties to comply with it.

11/16/2023 Form English
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IW-1788
Order for Extension of Dispositional Order/Consent Decree (Out-of-Home Placement Only) - Indian Child Welfare Act
Order of the court extending a dispositional order or consent decree for correctional and out-of-home placements.

09/08/2022 Form English
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IW-1788T
Order for Extension of Dispositional Order or Consent Decree with Termination of Parental Rights Notice (Out-of-Home Placement Only) - Indian Child Welfare Act
Order of the court extending a dispositional order or consent decree for correctional and out-of-home placements.

09/08/2022 Form English
Form English
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IW-1789T
Order for Change in Placement with Termination of Parental Rights Notice (In-Home to Out-of-Home Placement Only) - Indian Child Welfare Act
Order of the court for change in placement from the juvenile/child's home to an out-of-home placement.

09/08/2022 Form English
Form English
Summary English
IW-1790T
Order for Change in Placement with Termination of Parental Rights Notice (Out-of-Home to Out-of-Home Placement Only) - Indian Child Welfare Act
Order of the court for change in placement from one out-of-home to another out-of-home placement.

11/16/2023 Form English
Form English
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IW-1791
Permanency Hearing Order - Indian Child Welfare Act
To approve, disapprove, or revise the permanency plan. CCAP form.

09/08/2022 Form English
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IW-1791T
Permanency Hearing Order with Termination of Parental Rights Notice - Indian Child Welfare Act
To approve, disapprove, or revise the permanency plan.

09/08/2022 Form English
Form English
Summary English
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