Looking for a Wisconsin Circuit Court Forms And Templates? Download it for free!

STATE OF WISCONSIN, CIRCUIT COURT,

For Official Use

Enter the name of the

county in which the case

with the address

COUNTY

information is filed.

Enter the name of the

Petitioner/Plaintiff:

petitioner or plaintiff in

that original case file.

First name

Middle name

Last name

Vs.

Petition, Affidavit and

Order concerning

Respondent/Defendant:

Enter the name of the

Removal of Address

respondent or defendant in

Information from Online

that original case file.

Records

First name

Middle name

Last name

Enter the case number.

Case No.

UNDER OATH I STATE:

Check if this IS or IS

NOT a criminal case.

This is NOT a criminal case and I am one of the parties in this case.

Please Note: There must

be an actual, demonstrated

This IS a criminal case and I am not the defendant in this case.

threat of physical or bodily

harm to you, a family

I am requesting that my street and city address information be removed from the online record of

member, or a member of

this case on the Wisconsin Circuit Court Access website. I have not made a similar request to

your household. Merely

another judge concerning this case file that has been denied.

being a member of a group

or employment category

The reason for my request is that there is a demonstrated potential of physical or bodily harm or

that has experienced

threat of such harm to me, a family member or a member of my household if that address

threats in the past is not

information is available on the internet website maintained by the Wisconsin Court System. At

sufficient.

this time I believe the person who may want this information does not know my current address.

The basis for my belief that there is a demonstrated threat of physical or bodily harm or threat is:

Check 1 or 2.

Another person has been charged with or convicted of an offense relating to

If 1, answer question a,

battery, domestic abuse, sexual assault, or stalking in which myself, a family

b, and c. When

member, or a member of household is a victim. I have a reasonable basis for

answering question d,

believing that this person continues to be a threat.

provide detailed

a. Name of person who has been charged:

information concerning

b. County in which other case is filed:

why you believe there is

a current threat of

c. Case number of other case:

physical or bodily harm.

d. The reason why I believe this person is a continuing threat is:

If 2, provide detailed

information concerning

who the person is, what

See attached

the person has done,

when this occurred, and

Another person has made actual threats against the physical safety of myself, a family

why this is a threat to

member, or a member of my household but that person has not been charged or convicted

you, a family member, or

of such an offense at this time. The facts supporting this belief are:

another person in your

household.

If you need more room,

attach an additional

See attached

sheet.

GF-183, 08/07 Petition, Affidavit and Order concerning Removal of Address Information from Online Records

This form shall not be modified. It may be supplemented with additional material.

Page 1 of 2

Form Gf-183 - Petition, Affidavit And Order Concerning Removal Of Address Information From Online Records

Related Articles

Related forms

Related Categories