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Juvenile Waiver of Rights Questionnaire

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Plea Questionnaire / Waiver of Rights (Delinquency)

JD-1737, 03/12 Plea Questionnaire/Waiver of Rights (Delinquency) §§938.23, 938.243 and 938.30, Wisconsin Statutes

This form shall not be modified. It may be supplemented with additional material.

Page 1 of 2

STATE OF WISCONSIN, CIRCUIT COURT, COUNTY

IN THE INTEREST OF

, Juvenile

Name

Plea Questionnaire/

Waiver of Rights

(Delinquency)

Case No.

I am the juvenile and I intend to plead to the delinquency charges as follows:

Charge/Statute Plea Charge/Statute Plea




I am years old. I am in/have completed the grade in school.

I understand the English language.

I understand the charge(s) to which I am pleading, including whether any charge is a felony.

I am currently receiving treatment for a mental illness or disorder.

I had any alcohol, medications, or drugs within the last 24 hours.

Constitutional Rights

I understand that by entering this plea, I give up the following constitutional rights:

I understand the rights that have been checked and give them up of my own free will.

Understandings

• I understand that the delinquency charge(s) to which I am pleading has/have elements that the State would have to prove beyond a reasonable doubt if I had a trial. These elements have been explained to me by my attorney or are as follows:

• I understand that if the judge accepts my plea, the judge will find me delinquent of the charge(s) to which I am pleading based upon the facts in the petition and/or as stated in court.

• I understand that the judge does not need to follow any plea agreement or recommendation. My attorney has explained the possible dispositions the judge could order.

Page 1 of 2

Plea Questionnaire/Waiver of Rights (Delinquency) Page 2 of 2 Case No.

JD-1737, 03/12 Plea Questionnaire/Waiver of Rights (Delinquency) §§938.23, 938.243 and 938.30, Wisconsin Statutes

This form shall not be modified. It may be supplemented with additional material.

Page 2 of 2

Understandings

• I understand that if one of the charges to which I am pleading is a felony, I will lose any right to possess a firearm or ammunition.

• I understand that if I am found delinquent for an act that if committed by an adult would be a violent felony, it is unlawful for me to possess body armor.

• I understand that if I am found delinquent based on a serious child sex offense, I cannot engage in an occupation or participate in a volunteer position that requires me to work or interact primarily and directly with children under the age of 16.

• I understand that if any charges are read-in as part of a plea agreement they have the following effects:

• Disposition – the judge may consider read-in charges in determining the disposition.

• Restitution – I may be required to pay restitution on any read-in charges.

• Future prosecution – the State cannot prosecute me for any read-in charges.

Voluntary Plea

I have decided to enter this plea of my own free will. I have not been threatened or forced to enter this plea. No promises have been made to me other than those contained in the plea agreement. The plea agreement will be stated in court or is as follows:

Juvenile’s Statement

I have reviewed and understand this entire document and any attachments. I have reviewed it with my attorney, if any. I have answered all questions truthfully and either I or my attorney checked the boxes. I am asking the court to accept my plea and find me delinquent.

Juvenile

Date

Attorney’s Statement (If applicable)

I am the attorney for the juvenile. I have discussed this document and any attachments with the juvenile. I believe the juvenile understands it and the plea agreement. The juvenile is making this plea knowingly, voluntarily and intelligently. I saw the juvenile sign and date this document.

Attorney

Date

JD-1737, 03/12 Plea Questionnaire/Waiver of Rights (Delinquency)
§§938.23, 938.243 and 938.30, Wisconsin Statutes

This form shall not be modified. It may be supplemented with additional material.

Page 2 of 2

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What the Juvenile Waiver of Rights Questionnaire Is

A Juvenile Waiver of Rights Questionnaire is a structured form used by juvenile justice practitioners to document a minor's understanding and voluntary relinquishment of certain procedural rights. It records the juvenile's capacity, the presence of legal counsel or guardian, specific rights being waived, and factual statements supporting a knowing and voluntary decision. The questionnaire helps courts determine whether a waiver meets legal standards for voluntariness and comprehension before accepting it into the record.

Why a Clear Questionnaire Matters in Juvenile Matters

A professionally prepared questionnaire creates a clear, contemporaneous record that courts use to evaluate voluntariness and consent. It reduces ambiguity about what rights were explained and whether the juvenile understood them.

Why a Clear Questionnaire Matters in Juvenile Matters

Who Typically Completes and Reviews This Questionnaire

The form is used by multiple stakeholders involved in juvenile proceedings and related services.

  • Juvenile and caregiver — juvenile answers items; caregiver provides consent where required and corroborates background.
  • Defense counsel and prosecutors — record counsel presence and advise court on voluntariness and competence findings.
  • Juvenile court staff — use questionnaire to inform judicial questioning and to create the official record.

Each participant has a distinct role to document competence, consent, or to provide legal safeguards.

Step-by-Step: Completing the Questionnaire

Follow this sequence to collect required information, confirm understanding, and preserve an accurate record for court review.

  • 01
    Identify the Case: Enter case and juvenile identifiers before proceeding.
  • 02
    Explain Rights: Verbally read each right and confirm the juvenile heard the explanation.
  • 03
    Assess Capacity: Document comprehension checks, questions answered, and any impairments.
  • 04
    Sign and Date: Obtain signatures from juvenile, guardian if required, and recording official.

Typical Administrative Flow for the Questionnaire

This describes how the questionnaire moves from completion to court filing and inclusion in the official record.

  • Complete Form: Staff or counsel completes fields with juvenile present.
  • Review with Counsel: Defense counsel reviews for voluntariness and advises juvenile.
  • File with Court: Submit the completed questionnaire to the court clerk for inclusion in the file.
  • Judge's Finding: Judge reviews record and makes a voluntariness determination on the record.

Configuring a Digital Workflow for the Questionnaire

Set up field validation, signer order, and authentication to match your court's procedures before collecting electronic responses.

Field | Configuration Validation rules | Required; MM/DD/YYYY date format
Authentication Method Email plus SMS code or identity verification
Signer Order Juvenile first, then guardian, then attorney or officer
Audit Trail Settings Capture IP, timestamp, and action log for each signer
Retention Policy Assign retention per court rules and record category

Technical Considerations for Digital Completion

Ensure the eSubmission platform meets security, format, and accessibility expectations before use.

  • File Formats: PDF and DOCX supported
  • Integrations: Salesforce, NetSuite, Microsoft 365
  • Authentication: Email, SMS code, or higher

Key Timing Rules and Filing Expectations

Timeliness depends on local juvenile rules; complete and submit the questionnaire in advance of any waiver hearing whenever practicable.

Before First Hearing:

Complete the questionnaire before a judge accepts any waiver of rights.

Counsel Review Period:

Allow sufficient time for defense counsel to review answers prior to court.

Clerk Filing Window:

Submit to the clerk promptly; local filing procedures determine deadlines.

Retention Trigger:

Retention period calculation starts on filing or case disposition.

Time-Sensitive Rights:

Urgent matters require immediate documentation and expedited court notice.

Essential Sections of a Professional Questionnaire

A comprehensive form balances clear explanation, factual findings, and signature evidence to support a court's voluntariness determination.

Instructions

Plain-language directions for staff, counsel, and juvenile describing the questionnaire purpose, how items will be read aloud if needed, and steps for obtaining signatures and recording observations to ensure valid completion.

Rights Inventory

A checklist enumerating rights typically covered (e.g., right to counsel, right to remain silent, right to confront witnesses), with discrete boxes to indicate each right was explained and the juvenile's responses.

Capacity Assessment

Structured prompts and sample competency questions assessing understanding, ability to paraphrase rights, presence of cognitive or language barriers, and any accommodations provided during explanation.

Voluntariness Statements

Space for juvenile to state in their own words the reason for waiver and to confirm absence of threats or promises; include interviewer observations supporting voluntariness.

Consent and Authority

Fields to capture whether a guardian consented, whether counsel was present or waived, and the guardian's relationship and authority to consent under applicable law.

Signatures and Verification

Clear signature blocks for juvenile, guardian if required, counselor or attorney, and recording official, plus fields for dates, printed names, and method of identity verification used at signing.

Required Identifying and Case Data

Juvenile Name: Full legal name
Date of Birth: MM/DD/YYYY
Case Number: Court file identifier
Guardian Name: Full legal name
Counsel Present: Yes or No
Signature Method: In-person or electronic

Risks and Consequences of an Improper Questionnaire

Invalid Waiver: Court may find waiver invalid
Suppressed Statements: Statements may be excluded
Reopened Proceedings: Case may be reopened or appealed
Professional Liability: Counsel or staff may face sanctions
Privacy Breach: Protected juvenile data exposure
Record Rejection: Clerk may refuse filing

Common Mistakes When Preparing the Questionnaire

  • Failing to document who explained each specific right and how comprehension was verified leads to later claims that explanation was inadequate.
  • Recording only a signature without contemporaneous capacity observations or juvenile statements undermines the court's ability to assess voluntariness.
  • Allowing a guardian or officer to sign for the juvenile without documenting authority or statutory basis creates a gap in admissibility.
  • Using ambiguous language for rights or relying on checkboxes alone without narrative context often results in incomplete records.

eSignature Pricing Snapshot for Juvenile Waiver Workflows

Comparison of common eSignature features and starting prices for platforms often considered for public-sector or legal workflows; signNow is listed first per standard comparison format.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by vendor Varies by vendor Varies by vendor Varies by vendor
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Frequently Asked Questions and Practical Answers

Answers to common operational and legal questions about preparing, executing, and filing a Juvenile Waiver of Rights Questionnaire.


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