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FA-4123V

Publication Declaration of Mailing

Wisconsin · Wisconsin Court System · Effective September 12, 2024

This form is a declaration used when someone is publishing a Summons. It asks the person signing to state that they also mailed a copy of the Summons and Petition to the respondent's last known address.

The court describes it as: To provide a declaration to be signed by the person who is publishing a Summons that an authenticated copy of the Summons and Petition has also been mailed to the last known address of the respondent. Voluntary form.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

Hearing

Stage: Hearing

This form is used when a person needs to show the court that they followed rules for publishing a Summons, which means they are proving they sent the required papers to the respondent's last known address.

Either party may file.

Official instructions

How-to guides published by the court for this form.

Common questions

Who signs this form?
The person who is publishing the Summons signs this document. You do not need a Notary Public if you provide an unsworn declaration.
What does this form prove?
It proves that the person signing mailed a copy of the Summons and Petition to the respondent's last known address, in addition to the publication.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect September 12, 2024.

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