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JD-1791, 02/18 Permanency Hearing Order §48.38 and 938.38, W isconsin Statutes This form shall not be modified. It may be supplemented with additional mater ial. Page 1 of 3 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY For Official Use IN THE INTEREST OF Name Permanency Hearing Order Date of Birth Case No. A request for hearing was filed with the court and notice was given to all interested part ies. A hearing was held on [Date] , which is the effective date of this order. THE COURT REVIEWED THE PERMANENCY PLAN FILED BY THE AGENCY AND FINDS: 1. The provisions of the Indian Child W elfare Act do not apply. (For an Indian child, use the Indian Child Welfare Act version (IW-1791) of this form.) 2. A. The permanency goal for the child/juvenile has been to return to the home. adoption. placement with a guardian. permanent placement with a fit and willing relative. placement in some other planned permanent living arrangement that includes an appropriate, enduring relationship with an adult (if 16 years or older). B. This goal continues to be is no longer appropriate. 3. A . The concurrent permanency goal for the child/juvenile has been to return to the home. adoption. placement with a guardian. permanent placement with a fit and willing relative. placement in some other planned permanent living arrangement that includes an appropriate, enduring relationship with an adult (if 16 years or older). B. This goal continues to be is no longer appropriate. 4. It is is not appropriate for the child/juvenile to have a concurrent permanency goal. 5. The permanency plan has or has not been complied with as follows: complied with not complied with agency service provider Parent 1 [Name] Parent 2 [Name] child/juvenile child/juvenile’s guardian [if any] Comments: 6. The placement of the child/juvenile continues no longer continues to be necessary, safe , and appropriate. Placement in a planned permanent living arrangement is the best permanency goal for the chil d/juvenile at this time. It continues not to be in the best interests of the child/juvenile to be returned home or place d for adoption, with a guardian, or with a fit and willing relative. The reasons for these findings are: 7. Adequate efforts have have not been made to involve the appropriate service providers in meeting the special needs of the child/juvenile and his or her parent(s). Permanency Hearing Order Page 2 of 3 Case No. JD-1791, 02/18 Permanency Hearing Order §48.38 and 938.38, W isconsin Statutes This form shall not be modified. It may be supplemented with additional mat erial. Page 2 of 3 8. Sufficient progress has has not been made in eliminating the causes for the child’s/juvenile’s out -of -home placement and toward returning the child/juvenile safely to his or her home or toward obtaining a permanent placement for the child/juvenile. 9. The child/juvenile has been placed outside of his or her home in a foster home, group hom e, residential care center for children and youth, or shelter care facility for 15 of the most recent 22 months. The permanency plan is appropriate. not appropriate because it fails to sufficiently address the circumstances which preve nt the child/juvenile from being returned safely to the home; being placed safely in the home of a fit and willing relative; having a petition for involuntary termination of parental rights filed on behalf of the c hild/juvenile; being placed for adoption; being placed with a guardian; being placed in some other planned permanent living arrangement that includes an appr opriate, enduring relationship with an adult (if 16 years or older). 10 . The child/juvenile is likely to be returned home, placed for adoption, placed with a gu ardian, placed with a fit and willing relative, or placed in some other planned permanent living arrangement that i ncludes an appropriate, enduring relationship with an adult by [Date] . 11 . Reasonable efforts to achieve the permanency goal of the permanency plan, including thro ugh an out-of-state placement if appropriate, were made by the department or agency responsible for providing services. not made by the department or agency responsible for providing services. 12 . Reasonable efforts to place the child/juvenile in a placement that enables the sibling grou p to remain together were made. not required because the child/juvenile does not have siblings in out- of-home care. not required because it would be contrary to the safety or well being of the child/juvenile or any of the siblings. 13 . The child/juvenile has a permanency goal of placement in a planned permanent living arr angement, and the agency has taken the following steps, including consulting with the child/juveni le, to ascertain whether the child/juvenile has regular, ongoing opportunities to engage in age or developmentally appropriate activities and to ensure that the caregiver is applying the reasonable and prudent parent standard to decisi ons concerning participation in those activities: 14 . The child/juvenile is subject to an order that terminates at age 21 or is under a voluntary transition to independent living agreement. A. The transition to independent living plan is is not appropriate. B. Sufficient progress has has not been made by the child/juvenile toward the transition to successful adulthood. C. The transition to independent living plan has or has not been complied with as follows: complied with not complied with agency service provider child/juvenile child/juvenile’s guardian [if any] Comments: Permanency Hearing Order Page 3 of 3 Case No. JD-1791, 02/18 Permanency Hearing Order §48.38 and 938.38, W isconsin Statutes This form shall not be modified. It may be supplemented with additional mat erial. Page 3 of 3 THE COURT ORDERS: 1. The permanency goal for the child/juvenile remains is changed to return to the home. adoption. placement with a guardian. permanent placement with a fit and willing relative. placement in some other planned permanent living arrangement that includes an appropriate, enduring relationship with an adult (if 16 years or older). 2. The concurrent permanency goal for the child/juvenile remains is changed to return to the home. adoption. placement with a guardian. permanent placement with a fit and willing relative. placement in some other planned permanent living arrangement that includes an appropriate, enduring relationship with an adult (if 16 years or older). 3. The parent(s) who appeared in court have been orally advised of the applicable ground s for termination of parental rights (TPR) and the conditions that are necessary for a safe return to the home or a restoration of visitation rights. Written TPR Warnings are attached. Conditions for return/visitation are part of this order or attached. 4. The child/juvenile has one or more siblings in out- of-home care and the child/juvenile is not placed with all those siblings. The department or agency shall make reasonable efforts to provide frequent visitation or other ongoing interaction between the child/juvenile and any siblings. is not required to provide for frequent visitation or other ongoing interaction because it wou ld be contrary to the safety or well being of the child/juvenile or any siblings. 5. Other: 6. The department or agency shall file a new permanency plan with the court by [Date] . 7. The department or agency shall file a request to change placement with the court by [Date] . THIS IS A FINAL ORDER FOR PURPOSE OF APPEAL IF SIGNED BY A CIRCUIT COURT JUDGE. DISTRIBUTION: 1. Court 2. Child/Juvenile and Attorney 3. Parents/Guardian 4. Legal and/or Physical Custodian/Attorney (if any) 5. Social Worker 6. Guardian ad Litem 7 District Attorney/Corporation Counsel 8. Placement Location 9. Court Appointed Special Advocate 10. Other BY THE COURT: Circuit Court Judge Circuit Court Commissioner Name Printed or Typed Date