CA-100, 05/18 Notice of Intent to Pursue Postdisposition or Appellate Relief 247247809.107(2)(bm) and 809.40(1m), Wisconsin Statutes STATE OF WISCONSIN, CIRCUIT COURT, COUNTY For Official Use ) ,) ) Plaintiff(s) ) ) - vs - ) ) Notice of Intent to Pursue Postdisposition or Appellate Relief * ) ,) ) Defendant(s) ) Case No. Notice is hereby given that (name of party filing appeal) , (address) , intends to pursue postdisposition or appellate relief from the final judgment or order entered on (date) in the circuit court for County, The Honorable (name of Judge) , presiding, case no. , wherein the court: [choose one] terminated parental rights OR denied the petition to terminate parental rights. The name and address of the appella . The appellant: [choose one] does OR does not request representation by the state public defender for purposes of postdispostion or appellate relief. If the appellant does not request representation by the state public defender, the appellant [choose one] will represent him/herself OR will be represented by retained counsel. If appellant has retained counsel, the name and address of retained counsel is: . Date: Signature of Party - REQUIRED (other than the State) Telephone Number Name Printed or Typed Address Signature of Filing Attorney (if applicable) Telephone Number Name Printed or Typed State Bar Number Address * For use in Termination of Parental Rights cases only. American LegalNet, Inc. www.FormsWorkFlow.com Notice of Intent to Pursue Postdisposition or Appellate Relief Page 2 of 2 CA-100, 05/18 Notice of Intent to Pursue Postdisposition or Appellate Relief 247247809.107(2)(bm) and 809.40(1m), Wisconsin Statutes This completed form must be filed with the clerk of the circuit court in which the judgment or order appealed from was entered. In addition, copies of this completed form must be served upon the following: 1. the person representing the interests of the public; 2. opposing counsel; 3. the guardian ad litem for the child who is the subject of the proceeding; 4. 5. any guardian and custodian appointed under 24748.427(3) or 24748.428(2). American LegalNet, Inc. www.FormsWorkFlow.com