Fill and Sign the Certification by Prosecuting Agency Verifying Identity Theft or Mistaken Identity Wisconsin Form

Enter the name of the county in which the case is filed. STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use Enter the name of the plaintiff in that original case file. Plaintiff :       Name Vs. Certification by Prosecuting Agency Verifying Identity Theft or Mistaken Identity Case No.       Enter the name of the defendant in that original case file. Defendant :       First name Middle name Last name       Address       Date of BirthEnter the case number. I CERTIFY: 1. I am the prosecuting attorney (or the prosecuting attorney’s designee) for the above- captioned case. 2. The person named above was charged in this case but was not the real person who committed the offense(s.) This person was the victim of either identity theft or was charged as a result of mistaken identity. 3. I join the petition of the above-named person to have this case record removed from the online records of the Wisconsin Circuit Court Access. I understand that this will not remove the actual physical records from the Clerk of the Circuit Court. Signature of Prosecuting Attorney or Designee       Name Printed or Typed       Official Title       Date CV- Pro Se, 01/06 Affidavit verifying person’s status as a victim The mere fact that a case is dismissed or a person is found “not guilty” is not sufficient to file this petition. This petition can only be filed when the charge was a bona fide case of either identity theft or a mistake in charging.