What is this form for?

This form is a court order that officially states the outcome of a hearing regarding a child who needs protection or services.

Who fills out this form?

The court fills out this form, as it is the final order from the judge.

Does filing this form involve a fee?

The provided text does not mention any filing fees for this form.

JC-1611T

Dispositional Order - Protection or Services with Termination of Parental Rights Notice (Chapter 48)

Wisconsin · Wisconsin Court System · Effective March 19, 2026

This form is a formal court order that details the final decision about a child who has been found to need protection or services. It records where the child is placed and includes notices about the possibility of losing parental rights.

The court describes it as: Formal order of the court detailing the disposition in a ch. 48 juvenile in need of protection or services with TPR warnings. CCAP form.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

Judgment

Start a case
Respond
Motions
Discovery
Hearing
Judgment
After judgment
Appeal

Stage: Judgment

This form is used after a dispositional hearing in a case involving a child who is in need of protection or services under Chapter 48 of Wisconsin law.

Prepared by the court or clerk.

Official instructions

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

Plain-language summary

Common questions

What is this form for?: This form is a court order that officially states the outcome of a hearing regarding a child who needs protection or services.
Who fills out this form?: The court fills out this form, as it is the final order from the judge.
Does filing this form involve a fee?: The provided text does not mention any filing fees for this form.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect March 19, 2026.

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