Wisconsin Admission of Service Form

This form must be completed by the Defendant upon receipt of the copies of the divorce papers that the Petitioner filed with the court clerk’s office.Download

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P R IN T i n  B LA C K i n k 	
FA -4 11 9 P ro  S e, 1 0/0 6 A dm is sio n o f S erv ic e     § 8 01.1 0 (4 )(c ), W is co nsin  S ta tu te s 
T his  f o rm  s h all  n o t b e m od if ie d .  I t  m ay b e s u pple m en te d  w it h  a d dit io nal m ate ria l. 
P age 1  o f 1  	
E nte r t h e n am e o f t h e 
c o unty  i n  w hic h  t h is  c ase  
i s  f ile d . 	S TA TE  O F W IS C O NSIN , C IR CUIT  C O URT,  
          	
 C O UNTY	 
 	
  E nte r t h e n am e o f t h e 
p etitio n er.  I f j o in t 
p etitio n ers , e n te r t h e n am e 
o f t h e w if e . 
 	
   	
F or O ff ic ia l  U se  	
 	
    In  r e  t h e 	
 M arria g e   	 P ate rn it y  o f 	         	, 
  P etit io ner/J o in t P etit io ner-W if e : 
           
 	   F ir s t  n am e                                   M id dle  n am e                   L ast  n am e 
 
a nd 	
E nte r t h e n am e o f t h e 
r e sp ond en t.   I f j o in t 
p etitio n ers , e n te r t h e n am e 
o f t h e h usb an d.	
 	
E nte r t h e c ase  n u m ber. 	
R esp onden t/J o in t P etit io ner-H usb an d: 
              	
 	   F ir s t  n am e                                 M id dle  n am e                     L ast  n am e 
 	
 
A dm is sio n o f S erv ic e	
 
     
C ase  N o.        	
 	
 	
 
I h a ve  v o lu n ta rily  r e ce iv e d a  c o p y o f th e d ocu m ents  th at a re  c h eck e d b elo w : 
 	
  A uth entic a te d S um mons a nd P etit io n  
 
  O rd er t o  S how  C au se a n d A ffid av it  f o r T em pora ry  O rd er d ate d       	 	 
 	
  A  b la nk F in an cia l D is clo su re  S ta te m en t  
 
  R equ ir e m ent to  a tte n d p are nt e duca tio n   
 
  O rd er t o  A ppear 
 
  O th er:        	 
 	
  O th er:        	 
 	
  O th er:        	 
 
 	
  T he p arty  w ho i s  
v o lu nta rily  a ccep tin g t h e 
d ocu m en ts  m ust s ig n  a n d 
p rin t h is /h er n am e. 
 H e/s h e m ust e n te r t h e d ate  
o n w hic h  t h e A dm is sio n 
w as s ig n ed . 
 N ote : T his  s ig n atu re  d oes 
n ot n eed  t o  b e n ota riz ed . 	 
 	
 	                                                     S ig n atu re  
      	 	 
                                         N am e P rin te d o r T yp ed 	
      	 	 
                                                                                         D ate	
   	
     
 	
C hec k  t h e b ox  f o r e a ch   
d ocu m en t t h at i s  b ein g 
se rv ed .   
  I f o ne o f t h e d o cu m en ts  
i s  a n  O rd er t o  S how  
C au se , e n te r t h e d ate  
[ m onth , d ay , y ear]  t h e 
O rd er T o S ho w  C au se  
w as s ig n ed  b y a  c o urt 
o ffic ia l. 
 I f o th er, e n te r t h e n am e 
o f t h e d ocu m en t.