Fill and Sign the Wisconsin Guardian Litem Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE MATTER OF       Amended Order Appointing Guardian ad Litem ( Annual Review of Protective Placement)       Date of Birth Case No.       1. The above-named individual is protectively placed. 2. The above-named individual is currently placed at: Address and phone number:             3. The name and address of this individual’s guardian is: Name Address Phone Number                                                       4. The protective placement was last reviewed by the court on (date of last order)       . 5. The county department has filed the annual report of the review of the status of this individual and community plan, if applicable, with the court and has filed the Petition for Annual Review of Protective Placement for this individual. THE COURT ORDERS: 1. The appointment of the following attorney to act as guardian ad litem of the above-named individual: Name:       Address:       Phone Number:       2. The guardian ad litem shall: A. Review the county department’s annual report of the review of the status of this individual, the Annual Report on the Condition of the Ward and any other relevant reports on the individual’s condition and placement. B. Meet with the individual and contact the individual’s guardian and advise them orally and in writing of the procedure for review of protective placement, their rights in this proceeding, the contents of the annual report of the review of the status of this individual by the county department, and that a change in or termination of protective placement may be ordered by the court. C. Review the individual’s condition, placement, and rights with the guardian. D. Ascertain whether the individual wishes to exercise any of his or her rights. E. File the Report and Recommendation of the Guardian ad Litem (Annual Review) within 30 days of this order, by (date):       F. Other:       BY THE COURT: Circuit Court Judge/Court Commissioner       Name Printed or Typed       Date GN-4090, 10/06 Order Appointing Guardian ad Litem (Annual Review of Protective Placement) §§54.25 and 55.18(2), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material.