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Fill and Sign the Wisconsin Settlement Agreement Form

Fill and Sign the Wisconsin Settlement Agreement Form

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STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE MATTER OF THE CONDITION OF       Name of Subject Statement of Noncompliance with Settlement Agreement and Court Order       Date of Birth Case No.       Under oath I state that: 1. A Settlement Agreement approved by the court is still in effect. 2. Upon information and belief, the subject has failed to comply with the Settlement Agreement as follows:       I request that the court: 1. Schedule a hearing as follows: a. Probable Cause Hearing (within 72 hours of detention if detained or within a reasonable time if not). b. Final hearing (within 14 days of detention if detained or 30 days if not detained). 2. Order the detention of the subject at       pending further disposition. Name of Detention Facility Subscribed and sworn to before me on       Notary Public, State of Wisconsin My commission expires:       Signature – Corporation Counsel Name Printed or Typed       Telephone Number       Based on the above sworn statement, THE COURT ORDERS: 1. The subject shall appear at a Probable Cause Hearing Final Hearing held as follows: a. Date:       Time:       Location:       b. At a date and time to be determined after the subject has been taken into custody and detained. 2. The subject shall be served with this Statement and Order (and any attached papers). 3. Pending the hearing, the subject shall be: a. Detained at:       . Transportation to and from the court and the detention facility shall be provided by: The sheriff Other:       . b. Released under the following conditions:       If the subject fails to comply with the conditions, the subject shall be detained at       ME-909 , 12/02 Statement of Noncompliance with Settlement Agreement and Court Order §51.20(8)(bm), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Statement of Noncompliance with Settlement Agreement and Court Order Page 2 of 2 Case No. If you need help in matter because of a disability, please call:       BY THE COURT: Circuit Court Judge/Circuit Court Commissioner Distribution: 1. Court – Original 2. Subject 3. Subject’s Counsel 4. Corporation Counsel 5. County Dept. Monitoring Agreement 6. Treatment Facility/Provider 7. Detention Facility (if different)       Name Printed or Typed       Date ME-909 , 12/02 Statement of Noncompliance with Settlement Agreement and Court Order §51.20(8)(bm), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2

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