Notice to Department of Corrections of Actual Fees and Costs
Wisconsin · Wisconsin Court System · Effective May 2, 2019
This form is used to tell the Department of Corrections the total amount of fees and costs that need to be taken from a prisoner's trust fund account to pay back the county.
The court describes it as: To give notice to DOC of the total amount to be deducted from the prisoner's trust fund account to reimburse the county for the fees and costs not required by the court to be prepared by the prisoner.
Where this fits in a case
General & infoInformation / general use — not tied to one step of a case
This form is used when the court has already agreed to let someone proceed without paying all the fees and costs upfront.
Prepared by the court or clerk.
Official instructions
How-to guides published by the court for this form.
Common questions
- What is this form for?
- This form is for giving notice to the Department of Corrections about the total fees and costs that need to be taken from a prisoner's trust fund account to pay the county.
- Does the prisoner have to pay the fees?
- The form shows a calculation for the remaining amount to be paid, which may need to be sent to the court.
Revision history
No changes recorded since we started tracking this form on October 10, 2026. The current version took effect May 2, 2019.
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