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JD-1717

Order To Provide Statement of Income, Assets, Debts, and Living Expenses

Wisconsin · Wisconsin Court System · Effective September 8, 2022

This form is a court order that tells parents they must fill out and give the court a statement about their income, assets, debts, and living expenses. This is required if the court thinks a child might have to live outside of their home during the case.

The court describes it as: Court order to parents to provide a statement of income, assets, debts and living expenses. This form is always required when it appears that a child/juvenile may be placed outside or his or her home in a court proceeding or when appropriate.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

Judgment

Stage: Judgment

This form is used when a court believes a child or juvenile might need to be placed outside of their home while the case is ongoing.

Prepared by the court or clerk.

Official instructions

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

Common questions

Who needs to fill out this form?
The parent(s) are ordered to complete the attached statement of income, assets, debts and living expenses.
When must the parents provide the original statement?
The parents must provide the original statement to the juvenile court clerk at least five days before the date set for the dispositional hearing.
What kind of information does this form cover?
The form requires a statement about income, assets, debts, and living expenses, and also lists factors the court may consider when deciding support levels.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect September 8, 2022.

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