SC-5510VB, 11/17 Order on Eligibility to Receive or Receipt of Emergency Assistance (Small Claims) 247799.40(4), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional materials. Enter the name of the county in which this case was filed. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Enter the Plaintiff( s ) name . Plaintiff(s): - vs - Defendant(s): Amended Order on Eligibility to Receive or Receipt of Emergency Assistance (Small Claims) Case No. Enter the Defendant( s ) name . Enter the eviction case number. Based on the Statement on Eligibility to Receive or Receipt of Emergency Assistance of the defendant(s) filed on [Date] , THE COURT ORDERS: The eviction proceedings may proceed and stay is lifted because 1. the defendant is ineligible for emergency assistance. 2. the defendant received emergency assistance. 3 . Other: DISTRIBUTION: 1. Court 2. Parties American LegalNet, Inc. www.FormsWorkFlow.com