Fill and Sign the Guardian Ad Litem 497430909 Form

PRINT in BLACK ink Enter the name of the county in which this case is filed. STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use Check marriage or paternity. If paternity, enter initials of child. In RE: The marriage of paternity of:       Petitioner/Joint Petitioner-Wife:       First name Middle name Last name andEnter the name of the petitioner. If joint petitioners, enter the name of the wife. Petition for Appointment of Guardian ad Litem Case No.       Enter the name of the respondent. If joint petitioners, enter the name of the husband. Respondent/Joint Petitioner-Husband:       First name Middle name Last name Enter the case number. 1. I ask the court to appoint a guardian ad litem (GAL) for one or more of the minor children and believe it is appropriate now because: A. One of the parties in this action believes that the husband in this action is not the father of one or more of the minor children or the pregnant wife’s unborn child. B. There is an ongoing legal custody or physical placement dispute between the parties that will require the appointment of a GAL because: 1. This matter has been referred to Family Court Counseling Services for mediation and that process has been unsuccessful. 2. This matter has not been referred for mediation because I believe that attendance at an initial session of mediation would: a. Cause undue hardship to       because:       b. Endanger the health or safety of one or both of the parties or the minor children because sufficient evidence is available to show that: 1. A party has engaged in abuse of the minor children, as defined in ch. 948 or § 813.122 Wis. Stat. 2. There has been interspousal battery as described under ch. 940 Wis. Stat. or domestic abuse as defined in § 813.12 Wis. Stat. 3. One or both parties has/have a significant problem with alcohol or drug abuse. C. There is good reason to appoint the GAL now rather than wait until mediation has been completed because:       2. The minor children in question include: Name of child Date of birth                                                                                     FA-4136V, 01/08 Petition for Appointment of Guardian ad LItem §§767.407 and 891.39, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2Check A, B or C. If B, check 1 or 2. If 2, check a or b. If a, enter the name of the party who would be caused hardship and enter the reasons why. If b, check 1, 2, or 3. If C, enter the reasons why a GAL should be appointed now and not after mediation has been attempted. Enter the name, date of birth [month, day, year], of each child whom you believe needs a GAL appointed on his/her behalf. Petition for Appointment of Guardian ad LItem Page 2 of 2 Case No. ______________ 3. Mother: Name       Address       Address       City       State       Zip       Phone (day)       Phone (evening)       4. Father : Name       Address       Address       City       State       Zip       Phone (day)       Phone (evening)       5. Current Status: a. A GAL has never been appointed for the minor children in the past. b. A GAL was appointed in the past on       The GAL’s name was       6. I understand that there may be a cost to one or both parties for the guardian ad litem fees as ordered by the court. If no objection is filed with the court within 5 days after this request is served on the other party or his/her attorney, I request that the court appoint an attorney admitted to practice law in this state to act as GAL for the minor children. If an objection is filed, I request a hearing be set on this petition. If you need help in this matter because of a disability, please call :       Sign and print your name. Enter the date on which you signed your name. Note: This signature does not need to be notarized. Signature       Print or Type Name       Date FA-4136V, 01/08 Petition for Appointment of Guardian ad LItem §§767.407 and 891.39, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2Enter the requested information about the mother in this case. Enter the requested information about the father in this case. Check a or b. If b, enter the date [month, day, year] the GAL was appointed and the name of the GAL.