Fill and Sign the Petition Appointment Guardian Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE INTEREST OF       a person under the age of 18. Petition for Appointment of Guardian/ Notice of Hearing       Date of Birth Case No.       I state on information and belief that: 1. The petitioner is: the child. the child’s guardian ad litem. the child’s guardian. the child’s legal custodian. the child’s parent. the department. a county department. the person with whom the child is placed and who is nominated as the child’s guardian in this petition. the licensed child welfare agency assigned primary responsibility for providing services to the child under a court order or licensed to accept guardianship. a person representing the interests of the public under §48.09. a person with whom the child has resided who has acted as a parent. 2. Child’s Address       Father’s Name and Address Father is no longer living       Mother’s Name and Address Mother is no longer living       Guardian’s Name and Address       Legal Custodian’s Name and Address       3. The child was adjudicated in need of protection or services under §       on (date)       and has been placed, or continued in a placement, outside of his or her home pursuant to one or more court orders under §       . 4. The facts and circumstances which establish that the conditions specified under §48.977(2)(b)-(f) are met ar e:       See attached. 5. These proceedings are are not subject to the uniform child custody jurisdiction and enforcement act under ch. 822. 6. The child is is not may be subject to the federal Indian child welfare act. Tribe/address:       7. The person with whom the child is placed and nominated as the guardian of the child is       8. The person representing the interests of the public under §48.09 is       9. The agency primarily responsible for providing services to the child under a court order is       I request that (name)       be appointed guardian of the child. Signature of Petitioner Name Printed or Typed       Date       This case is scheduled for a plea hearing as scheduled below: NOTICE OF HEARING Date       Time       Location (Include Room Number)       Presiding Judge       Distribution: 1. Court-Original; 2. Parties JC-1605, 08/06 Petition For Appointment of Guardian/Notice of Hearing §§48.831 and 48.977, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material.