SC-517, 11/17 Demand for Trial and Instructions (Small Claims) 247799.207(2), 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 the case was filed. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY name. Plaintiff(s) : [ Name s and Address es] First name Middle name Last name Address Address City State Zip See attached for additional plaintiffs. - vs - address. If there is more than one plaintiff, check the box and attach another sheet with their names and addresses. Enter the case number. Demand for Trial And Instructions ( Small Claims ) Case No. name . Defendant(s) : [Names and Addresses] First name Middle name Last name Address Address City State Zip See attached for additional defendants. address. If there is more than one defendant , check the box and attach another sheet with their names and addresses. NOTICE TO PARTIES: For 1, c heck one box. For 2, check e ither 2A or 2B and enter the appropriate date . If 2A , file with the court and mail to the other parties and attorney (if any) cop ies of this form within 10 calendar days of the oral decision . If 2B , file with the cour t and mail to the other parties and attorney (if any) copies of this form within 15 calendar days from the date a written decision was mailed. If you do not file a timely demand for trial, you have no right to a trial and no right to an appeal. 1. I am the plaintiff defendant in this small claims case . 2. Th is case was decided by a court commissioner as follows: A . Orally in court on [D ate ] . - OR - B . By a written decision mailed on [Date] . I demand a trial before a circuit court judge. I understand it is my responsibility to mail or deliver copies of this demand to all other parties and attorney (if any) and I must prove that I have done so . Sign and print your name. Enter the date on which you signed your name. Note : This signature does not need to be notarized. Signature of Party Date If an attorney is completing this form, enter your information. Attorney Name, Law Firm, Address, and Telephone Number Attorney's State Bar Number You must be able to prove you mailed copies to the other parties and attorney (if any) . After you mail a copy, y ou should file your proof of mailing with the Court as soon as possible. Proof of mailing may include a return receipt f or certified or registered mail; a post office certific ate of mailing, or a notarized Affidavit of M ailing (SC - 5130V) form . American LegalNet, Inc. www.FormsWorkFlow.com