Bench Warrant Civil
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Bench Warrant Civil Form. This is a Wisconsin form and can be use in Circuit Court Statewide.
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Tags: Bench Warrant Civil, GF-165, Wisconsin Statewide, Circuit Court
For Official Use
COUNTY
STATE OF WISCONSIN, CIRCUIT COURT,
Case Caption:
Bench Warrant
Civil
Case No.
Name of Person
Person’s Address
Person’s Home Phone Number
Person’s Date of Birth
Person’s Work Number
(
Person’s Cell Phone Number
(
Alias Name(s)
(
)
Sex
Race
)
Driver’s License Number
)
Weight
Height
Eye Color
Hair Color
Other Identifying Characteristics
TO ANY LAW ENFORCEMENT OFFICER:
Arrest and deliver to the sheriff the above named person because this person
failed to appear in court as required:
Date of court appearance:
Type of court appearance:
failed to
.
all of the following conditions:
any
This person may be released upon completion of
Completing the attached Order for Financial Disclosure and Financial Disclosure Statement, SC-506.
Agreeing to appear at a future supplementary examination at a time and place to be determined by the
judgment creditor.
.
Paying the amount owed on the judgment $
Paying the statutory sheriff’s fees.
Paying other costs $
.
Performing the following conditions as authorized by the court: (All conditions under this section must be
specifically authorized by the court.)
Other:
If the person posts the total amount due and is released, the law enforcement agency shall inform the court and
district attorney of any new court date.
BY THE COURT:
Geographic restriction:
Within county of ORI
Statewide
Within adjacent counties of ORI
Other: ____________________
Circuit Court Judge/Court Commissioner
Name Printed or Typed
Date
GF-165, 10/10 Bench Warrant Civil
§§54.62(8), 785.04 and 857.09, Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
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