Fill and Sign the Status Conference Order 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. Enter the name of the petitioner. If joint petitioners, enter the name of the wife. In re the Marriage Paternity of:       Petitioner/Joint Petitioner-Wife:       First name Middle name Last name and Request for Status Conference 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. To: Name       Address       Address       City       State       Zip       I request a status conference in this case. The parties are required to attend the status conference, which is scheduled: Before:       Circuit Court Judge Location:             Date:       Time:       a.m./p.m. 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 Note: A copy of this request must be served by mail on all other parties. FA-4132 Pro Se, 10/06 Request for Status Conference §802.10, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 1For Court Use Only: The Clerk will complete this section.Enter the name and address of the other spouse/parent.