Petitioner/Joint Petitioner A: Respondent/Joint Petitioner B: FA-4132V, 05/17 Request for Status Conference 247802.10, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 1 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. Enter the name of the P etitioner/ J oint P etitioner A. IN R E : T HE MARRIAGE PATERNITY OF Petitioner/Joint Petitioner A Name (First, Middle and Last) and Request for Status Conference Case No. Enter the name of the Respondent/Joint P etitioner B. Respondent/Joint Petitioner B Name (First, Middle and Last) Enter the case number. Enter the name and address of the other spouse/parent . To: Name Address Address City State Zip I request a status conference in this case for the following reason(s): Sign and print your name. Enter the date on which you signed your name. Note: This signature does not need to be notarized. Signature Print or Type Name Date Note: A copy of this request must be served by mail on all other parties. American LegalNet, Inc. www.FormsWorkFlow.com