Petitioner/Joint Petitioner A: Respondent/Joint Petitioner B: FA-4136V, 05/17 Petition for Appointment of Guardian ad LItem 247247767.407 and 891.39, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 Enter the name of the county in which this case is filed. STATE OF WISCONSIN , CIRCUIT COURT, COUNTY Check marriage or paternity. If paternity, enter initials of child. IN RE : T HE MARRIAGE OF PATERNITY OF Petitioner/Joint Petitioner A Name (First, Middle and Last) a nd Enter the name of Petitioner/Joint P etitioner A . Petition for Appointment of Guardian ad Litem Case No. Enter the name of R espondent/ J oint P et itioner B . Respondent/Joint Petitioner B Name (First, Middle and Last) Enter the case number. Check A, B or C. 1. I ask the court to appoint a guardian ad litem (GAL) for one or more of the minor children and believe it is appropriate now because: A. One of the parties in this action believes that an unborn child or one or more of the minor children born during the marriage is not a product of the marriage . If B, check 1 or 2. B. There is an ongoing legal custody or physical placement dispute between the parties that will require the appointment of a GAL because: 1) This matter has been referred to Family Court Services for mediation and that process has been unsuccessful. If 2, check a or b. If a, enter the name of the party who would be caused hardship and enter the reasons why. 2 ) This matter has not been referred for mediation because I believe that attendance at an initial session of mediation would: a. Cause undue hardship to because: If b, check 1, 2, or 3. b. Endanger the health or safety of one or both of the parties or the minor children because sufficient ev idence is available to show : 1. A party has engaged in abuse of the minor children, as defined in ch. 948 or 247 813.122 , Wis. Stat s . 2. There has been interspousal battery as described under ch. 940 Wis. Stat. , or domestic abuse as defined in 247 813.12 , Wis. Stat s . If C, enter the reasons why a GAL should be appointed now and not after mediation was attempted. 3. One or both parties has/have a significant problem with alcohol or drug abuse. C. There is good reason to appoint the GAL now rather than wait until mediation has been completed because: Enter the name, date of birth [month, day, year], of each child whom you believe needs a GAL appointed on his/her behalf. 2. The minor children in question include: Name of Minor C hild Date of B irth [Month, Day, Y ear] 3. Petitioner /Joint Petitioner A : Enter the requested information about Petitioner/ Joint Petitioner A in this case. Name Street Address City, State, Zip Phone [Day] [Evening] 4. Respondent/Joint Petitioner B: Enter the requested information about the Name Street Address American LegalNet, Inc. www.FormsWorkFlow.com Petitioner/Joint Petitioner A: Respondent/Joint Petitioner B: FA-4136V, 05/17 Petition for Appointment of Guardian ad Litem 247247767.407 and 891.39, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 Respondent/Joint Petitioner B in this case. City, State, Zip Phone [Day] [Evening] Check A or B . 5. Current Status: If B, enter the date [month, day, year] the GAL was appointed and the name of the GAL. A. A GAL has never been appointed for the minor children in the past. B. A GAL was appointed in the past on . . 6. I understand that the court may order one or both parties to pay guardian ad litem fees . If no objection is filed with the court within five ( 5 ) business days after this request is served on the other party or their attorney, I request that the court appoint an attorney admitted to practice law in this state to act as GAL for the minor children. If an objection is filed, I request a hearing be set on this petition. If you require reasonable accommodations due to a disability to participate in the court process, please call prior to the scheduled court date. Please note that the court does not provide transportation. Sign and print your name. Enter the date on which you signed your name. Note: This form does not need to be notarized. Signature Print or Type Name Dat e American LegalNet, Inc. www.FormsWorkFlow.com