PRINT in BLACK ink Enter the name of the county in which the original case was filed. Mark marriage or paternity. If paternity, enter initials of child. For Official Use STATE OF WISCONSIN, CIRCUIT COURT, COUNTY In re the Marriage Paternity of _____________ Petitioner/Joint Petitioner: Enter the name, address, and daytime phone number of the petitioner or joint petitioner from the original case file. First name Middle name Last name Current Mailing Address City State Zip Daytime phone number Vs. Respondent/Joint Petitioner: Enter the name, address, and daytime phone number of the respondent or joint petitioner from the original case file. Mark if the State of Wisconsin is a party or not. If you are unsure, you may call your local Child Support Agency. Request to Reschedule First name Middle name Last name Current Mailing Address Case No. City State Zip Daytime phone number The State of Wisconsin (Child Support Agency) is is not a party to this action. This request is to reschedule the hearing Before: Provide the court date information. Circuit Court Judge Location: Date: Time: a.m./p.m. For the following reasons: Provide the reasons for making this request. See Attached Indicate whether you and the other party agree to this request. If not, follow the instructions on the right. All parties agree and have all signed this request. I have not made this request of the other party(s). I am making this request alone and will be sending a copy to the other party(s) under the five-day rule. I understand that if an objection is filed, the hearing will automatically proceed as previously scheduled. I/We understand that • This request does not guarantee that the above court date will be rescheduled, • Any adjournment, whether requested by one or all parties, is made at the court’s discretion, and • If the parties do not receive a response from the court granting this request the hearing will proceed as previously scheduled. Request to Reschedule Page 1 of 2 WCCSH Rev. 8/20/09 American LegalNet, Inc. www.FormsWorkFlow.com Petitioner must sign, print and enter the date on which he/she signed. Signature Print or Type Name Note: This signature does not need to be notarized. Date IF in agreement, the respondent must sign, print and enter the date on which he/she signed. Signature Print or Type Name Note: This signature does not need to be notarized. Date State of Wisconsin, Child Support Agency If the State is a party and in agreement with your request, the Child Support Agency in your county must sign. Authorized Signature Print or Type Name Title Date For Court Use Only: The Clerk will complete this section. ORDER The Court orders that the above request be: Denied: The hearing will proceed as previously scheduled. Granted: The hearing as been rescheduled as indicated on the attached Notice of Hearing: BY THE COURT: For Court Use Only Circuit Court Judge/Circuit Court Commissioner Print or Type Name Date Request to Reschedule Page 2 of 2 WCCSH Rev. 8/25/09 American LegalNet, Inc. www.FormsWorkFlow.com