Get Wi Gn-4340 2019-2026

The WI GN-4340 is the Notice of Transfer of Protective Placement form used in Wisconsin to notify relevant parties about a transfer of protective placement. This guide provides step-by-step instructions to help users fill out the form accurately and efficiently online.

Follow the steps to complete the form online

1. Click the ‘Get Form’ button to access the WI GN-4340 document and open it in your preferred editor.
2. Indicate whether the transfer is being executed by the guardian, a county department or agency, the Wisconsin Department of Health Services, or a protective placement facility.
3. Specify the nature of the transfer, selecting from options such as between protective placement units, between facilities, or from a unit to a medical facility while ensuring compliance with Chapter 51, Wisconsin Statutes.
4. If the transfer is non-emergency, provide the notice at least 10 days prior and obtain written consent from the guardian and, if necessary, the county department. Make sure to inform all relevant parties.
5. For emergency transfers, document justification for the lack of prior notice or consent, and share the notice with all involved parties as soon as possible, not exceeding 48 hours post-transfer.
6. Fill in the details for the specific time and date of the transfer, and identify both the transferor and transferee placement units, including their addresses and contact information.
7. Complete the section with the name and contact information of the representative initiating the transfer, including printed name, address, email, telephone number, and state bar number if applicable.
8. Review all entries for accuracy and completeness before saving changes, downloading, printing, or sharing the completed form as needed.

Ensure a smooth transfer process by completing your WI GN-4340 online today.