Fill and Sign the Do Not File This Form with the Court

Petitioner/Joint Petitioner A: Respondent/Joint Petitioner B : FA-4118V, 05/17 Civil Process W orksheet §§801.10, 801.11 and 801.14, W isconsin Statutes This form shall not be modified. It may be supplemented with additional mat erial. Page 1 of 2 Enter the name of the county in which this case is filed. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Enter the name of the petitioner. If joint petitioners, enter the name of Petitioner/Joint Petitioner A. IN RE: THE MARRIAGE OF Petitioner/Joint Petitioner A Name (First, Middle and Last) a nd Civil Process Worksheet Case No. Enter the name of the respondent. If joint petitioners, enter the name of Respondent/Joint Petitioner B. Respondent/Joint Petitioner B Name (First, Middle and Last) Enter the case number. Do not file this form with the court. Note: Complete this form and give it to the law enforcement agency or private process server to help locate and serve the necessary documents on the other party. Enter the following information for the person to be served. A. Party Information Name Address Address If you do not know an answer, write “unknown“ in the blank. City State & Zip Date of Birth Phone (day) Phone (evening) Phone (cell) Occupation Height Weight Hair Color Eye Color Race Enter any other physical characteristics that may assist identifying him/her. Gender Male Female Glasses Yes No Beard Yes No Mustache Yes No Other Identifying Characteristics: Enter the other party’s place of employment and the hours they are most likely to be there. B. Employer Information Employer Address Address City/State/Zip Phone Work Hours Petitioner/Joint Petitioner A: Respondent/Joint Petitioner B: Civil Process Worksheet Page 2 of 2 Case No. FA-4118V, 05/17 Civil Process W orksheet §§801.10, 801.11 and 801.14, W isconsin Statutes This form shall not be modified. It may be supplemented with additional mat erial. Page 2 of 2 C. Other Locations Check yes or no. Are there other locations this person can regularly be found? Yes No Name of Place If yes, enter the name and address for an alternate location and the days and times that they will likely be there. Address Address City/State/Zip Phone Possible Days/ Times D. Vehicle Describe the person’s vehicle. Make Model Year Color License Plate Number Unusual Characteristics E. Special Circumstances: Check yes, no, or I don’t know. Is the person to be served likely to have a violent reaction to the service? Yes No I don’t know Also identify any other habits, characteristics, or behaviors of which the server should be aware. Does this person normally carry any weapons? Yes No I don’t know Other: