CV-519, 02/11 Bench Warrant/Capias Failure to Provide Biological Specimen 247165.76(6)(b)(d), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 1 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY State of Wisconsin, Plaintiff, - vs - Respondent Name Address Date of Birth Bench Warrant/Capias Failure to Provide Biological Specimen Case No. TO ANY LAW ENFORCEMENT OFFICER: The respondent failed to appear in court for the purpose of contesting an order to provide a biological specimen or the respondent has otherwise failed to provide a biological specimen. The respondent shall be arrested and the sheriff in the county of the arrest may detain the respondent or use reasonable force to collect the biological specimen. If the respondent provides a biological specimen to the sheriff, the respondent shall be released and the sheriff shall inform the issuing Court and the petitioning district attorney that a biological specimen has been provided. DISTRIBUTION: 1. Court 2. District Attorney 3. Respondent/ A ttorney 4. Sheriff American LegalNet, Inc. www.FormsWorkFlow.com