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GN-4070

Notice of Initial Placement by Appropriate Board or Designated Agency

Wisconsin · Wisconsin Court System · Effective November 21, 2019

This form is used by a board or agency to tell the court where a person who needs protection (a ward) has been placed initially. It provides details about the placement location and the type of facility.

The court describes it as: For the appropriate board or designated agency to notify the court where the ward is protectively placed in the intial placement.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

Start a case

Stage: Start a case

This form is used when an appropriate board or designated agency is placing a ward in a protective location and needs to notify the court about that placement.

Prepared by the court or clerk.

Official instructions

How-to guides published by the court for this form.

Common questions

Who fills out this form?
The form is for the appropriate board or designated agency to fill out. It is not filled out by the ward or their family.
What information does this form require?
It requires the name and date of birth of the ward, the date of placement, and the full address and contact information for the placement unit.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect November 21, 2019.

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