Fill and Sign the Dispositional Order Civil Law Ordinance Violation Wisconsin Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE INTEREST OF       Name Dispositional Order - Civil Law/ Ordinance Violation       Date of Birth Case No.       THE COURT FINDS: 1. A dispositional hearing was held on (date)       2. The child has violated a civil law or ordinance:       3a. The child alone is financially able to pay restitution of $       and/or a forfeiture of $       . 3b. The child is physically able to perform services for the victim and the victim agrees to accept such services. 3c. The custodial parent is financially able to pay reasonable restitution of $       and/or forfeiture of $       . 4. The violation is related to the use or abuse of alcoholic beverages or controlled substances:       5. Other:       THE COURT ORDERS AS A DISPOSITION IN THIS MATTER THE FOLLOWING: 1. Counseling:       2. Restitution: $       , to be paid: See restitution supplement.       Make repairs or provide services agreeable to the victim:       3. Forfeiture of $       to be paid:       4. Costs of (age 14 and over) $       , to be paid:       Failure to pay forfeiture/costs shall result in a suspension of the following license for       Motor vehicle operating privilege DNR, Ch. 29 license 5. Supervised work program:       6. Safety course or program:       7. DNR, Ch. 29 license suspension for:       8. Alcohol/drug abuse (AODA) dispositions: AODA assessment and, if recommended, an outpatient AODA program. Facility:       Date completed by:       AODA education program by:       9. Truancy disposition (in addition to any of the above): Operating privilege suspension:       days       Community service:       Supervised work program:       Home detention:       10. Other:        Person/agency responsible for services:        Order effective date of hearing; expiration date:       JD-1747 , 11/99 Dispositional Order - Civil Law/ Ordinance Violation §§938.342, 938.343, 938.344, 938.37, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Dispositional Order - Civil Law/ Ordinance Violation Page 2 of 2 Case No. BY THE COURT: Signature of Circuit Court Judge       Name Printed or Typed       Date JD-1747 , 11/99 Dispositional Order - Civil Law/ Ordinance Violation §§938.342, 938.343, 938.344, 938.37, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2