STATE OF WISCONSIN,CIRCUIT COURT, [TM1], CHILDREN'S DIVISION

In the Interest of: / ORDER FOR RETURN OF LEGAL CUSTODY TO COUNTY
[TM2], DOB:[TM3] / Court Number: [TM4]
WHEREAS, Wisconsin Statutes 48.43(5)(b) requires the Court to hold a hearing annually to review the permanency plan for [TM5];
WHEREAS, the Court has reviewed the annual report submitted by the Wisconsin Department of Health and Family Services under 48.43(5)(a);
WHEREAS, the Court has determined that the following requirements of 48.38(5)(c) have been met:
1. / That [TM6]remain at[TM7] until treatment is finished;
2. / That the agency is in compliance with the permanency plan;
3. / That the agency has made reasonable efforts to finalize the permanencyplan;
4. / That efforts to involve appropriate service providers have been made;
5. / That the permanencegoal of adoption is unlikely to be achieved;
6. / That there are unusual circumstances which will prevent the permanencegoal from being achieved; and
7. / If applicable (i.e., child over 15 years of age) that programs and services to prepare child for independent Living are satisfactory.
NOW THEREFORE, the court approved the permanency goals as submitted and that guardianship remains with the Wisconsin Department of Health and Family Services and custody return to [TM8] County Department of Human ServicesDepartment of Social ServicesJuvenile Court[TM9].
Dated this [TM10]stndrdth[TM11] day of JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember[TM12], [TM13]
Signed this [TM14]stndrdth[TM15] day ofJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember[TM16], [TM17] / BY THE COURT:
[TM18]Juvenile Court Judge

Order for Return of Legal Custody to County

CFS-2230 (01/2004)

[TM1]

1This field is pre-filled.

This field is editable on the template

The data can also be corrected as follows: the data can be changed in the Court 2 field on the Legal Documentation page.

[TM2]

This field is pre-filled.

This field is not editable on the template.

The data can be corrected as follows: the child’s Name can be changed in the First/Last Name fields on the Person Management page/Basic tab.

[TM3]

This field is pre-filled.

This field is not editable on the template.

The data can be corrected as follows: the child’s Birth Date can be changed in the Birth Date field on the Person Management page/Basic tab.

[TM4]

This field is pre-filled.

This field is not editable on the template.

The data can be corrected as follows: a change to the court number can be made on the Legal Documentation page. A new Court Number can be documented on the Legal Action page on the Legal Record page for the child.

[TM5]

This field is pre-filled.

This field is not editable on the template.

The data can be corrected as follows: a change in the Role name can be updated in the Document group box on the Legal Documentation page.

[TM6]

This field is pre-filled.

This field is not editable on the template.

The data can be corrected as follows: a change in the Role name can be updated in the Document group box on the Legal Documentation page.

[TM7]

This field is user-entered.

[TM8]

This field is user-entered.

[TM9]

This field is user-selected.

The values are: [Department of Human Services], [Department of Social Services], [Juvenile Court].

[TM10]

This field is user-entered.

[TM11]1

This field is user-entered.

[TM12]1

This field is user-selected.

[TM13]

This field is user-entered.

[TM14]

This field is user-entered.

[TM15]

1This field is user-selected.

[TM16]1

This field is user-selected.

[TM17]

This field is user-entered.

[TM18]

1This field is pre-filled.

This field is editable on the template

The data can also be corrected as follows: the county can be changed in the Court 2 field on the Legal Documentation page.