STATE OF WISCONSIN CIRCUIT COURT CIVIL DIVISION/SMALL CLAIMS ______________________________________ ______________________________________ ______________________________________ WAUKESHA COUNTY Notice of Request for De Novo Review of Motion Plaintiff(s) name and address Case #____________________ ______________________________________ ______________________________________ ______________________________________ Defendant(s) name and address ____________________________________________________________________________________________ PLEASE TAKE NOTICE that the above named (choose one) requests a review of the motion which was held on ___________________________________ before Court Commissioner _____________________________________________________. Dated this _________ day of ______________, ______. _____________________________ (choose one) ___________________________________ Phone number including area code ************************* 1. Request for De Novo Review must be made within ten (10) days of oral decision or fifteen (15) days from the date of mailing of a written decision resulting from the motion. 2. The party making this request must file the original Notice of Request for De Novo Review of Motion with the Clerk of Courts Office, Room C167 and mail a copy of the “Notice” to opposing attorney/party. Proof of such mailing is the responsibility of the party seeking the review. 3. Upon timely filing of the Notice of Request for De Novo Review, the assigned court shall mail a Notice of Hearing for the next scheduled activity to all parties. M:\CIVIL\SMALL CLAIMS\FORMS\Request for DeNovo Review.doc Revised 1/00, 6/04 American LegalNet, Inc. www.FormsWorkFlow.com