In the interest of




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STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY

For Official Use



IN THE INTEREST OF



Jane Doe,



Waiver of Immediate Notice

(Parental Consent/Abortion Waivers)




     

Date of Birth

a person under the age of 18.

Case No.      

1. I am the minor for whom a petition to waive parental consent has been filed.


2. I understand that I can waive my right to immediate notice of future hearings. If I waive my right

to immediate notice of future hearings, I will be given 24 hours notice of future hearings.


3. I want to have 24 hours notice of future hearings.
4. I waive my right to immediate notice of future hearings.










Signature of Minor (Sign as Jane Doe)




     

Date




JC-1622, 05/00 Waiver of Immediate Notice (Parental Consent/Abortion Waivers) §48.273(4)(b), Wisconsin Statutes

This form shall not be modified. It may be supplemented with additional material.




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