Fill and Sign the Wisconsin Release Form

For Official Use STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY State of Wisconsin, Plaintiff, -vs-       , Defendant Name INELIGIBLE VOTING NOTICE and ACKNOWLEDGEMENT Case No.       NOTICE This notice is to inform you that under Wisconsin State Statute 6.03(1)(b) you are ineligible to vote in any election until your civil rights are restored. Your civil rights will be restored when the Department of Corrections has determined that you have satisfied all sentences and terms of probation on all felony cases and you are absolutely discharged from the Wisconsin Department of Corrections. This will happen when you have completed all of your felony sentences, including any terms of parole, extended supervision or probation. ACKNOWLEDGMENT I understand that I may not vote in any election until all of my civil rights are restored, and I have completed all of my felony sentences, including any terms of parole, extended supervision or probation. Signature of Defendant       Date Distribution: Original – court file Copy – defendant CR-218, 10/06 Ineligible Voting Notice and Acknowledgment §6.03(1)(b), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material.