Who fills out this form?

The form is a court order, meaning the court fills it out after a hearing. It is titled 'Dispositional Order.'

What does this form deal with?

It deals with a child found to be in need of protection or services under Chapter 48 and includes information about the child's placement and parental rights.

Does filing this form involve a fee?

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

IW-1611T

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

Wisconsin · Wisconsin Court System · Effective March 19, 2026

This form is a formal court order that decides what happens to a child who is in need of protection or services under Chapter 48. It documents the court's findings regarding the child's placement and can include a notice about ending parental rights.

The court describes it as: Formal order of the court detailing the disposition in a Chapter 48 child in need of protection or services (CHIPS) case (This form should not be used in a Ch. 938 juvenile in need of protection or services).

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 Chapter 48 case involving a child who needs protection or services.

Prepared by the court or clerk.

Official instructions

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

Plain-language summary

Common questions

Who fills out this form?: The form is a court order, meaning the court fills it out after a hearing. It is titled 'Dispositional Order.'
What does this form deal with?: It deals with a child found to be in need of protection or services under Chapter 48 and includes information about the child's placement and parental rights.
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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