Wisconsin > Statewide > Circuit Court > Divorce With Minor Children
Admission Of Service FA-4119 - Wisconsin
| Admission Of Service Form. This is a Wisconsin form and can be used in Divorce With Minor Children Circuit Court Statewide . |
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FORM SUMMARY Name of Form: Form Number: Admission of Service FA-4119 Statutory Reference: Benchbook Reference: Purpose of Form: §801.10(4)(c) FA-2 To provide a document by which a party can voluntarily accept service of documents without the need for formal service of process through a third person or agency. Pro Se person who wants to avoid formally serving documents will generally complete the document. The person who is voluntarily accepting service will sign it when she or he gets the documents. Original will be filed with the court after the person accepting the documents has signed it. A copy would normally be provided to the person who has signed the document. The documents for which service is being accepted. Modification; last update 01/06. Updated to comply with 2005 Wis. Act 443. None This form is the product of the Wisconsin Records Management Committee, a committee of the Director of State Court's Office. As a pro se form, its use is NOT mandatory but it is required to be accepted and distributed by the circuit courts of the State of Wisconsin. Who Completes It: Distribution of Form: Accompanying Forms: New Form/Modification: Modification: Comments: About this Form: Date: 10/05/2006 American LegalNet, Inc. www.FormsWorkflow.com PRINT in BLACK ink Enter the name of the county in which this case is filed. STATE OF WISCONSIN, CIRCUIT COURT, For Official Use COUNTY 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 Enter the name of the respondent. If joint petitioners, enter the name of the husband. and Respondent/Joint Petitioner-Husband: Admission of Service First name Middle name Last name Enter the case number. Case No. I have voluntarily received a copy of the documents that are checked below: Authenticated Summons and Petition Check the box for each document that is being served. Order to Show Cause and Affidavit for Temporary Order dated A blank Financial Disclosure Statement If one of the documents is an Order to Show Cause, enter the date [month, day, year] the Order To Show Cause was signed by a court official. If other, enter the name of the document. Requirement to attend parent education Order to Appear Other: Other: Other: The party who is voluntarily accepting the documents must sign and print his/her name. He/she must enter the date on which the Admission was signed. Note: This signature does not need to be notarized. Signature Name Printed or Typed Date FA-4119 Pro Se, 10/06 Admission of Service This form shall not be modified. It may be supplemented with additional material. Page 1 of 1 §801.10(4)(c), Wisconsin Statutes American LegalNet, Inc. www.FormsWorkflow.com
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