Skip to content
LitigationForms
GN-4040

Petition for Protective Placement/Protective Services

Wisconsin · Wisconsin Court System · Effective November 19, 2021

This form is used to ask the court to order protective placement or protective services for an individual. It asks for information about the person, their living situation, and why protective measures are needed.

The court describes it as: To initiate a protective placement and/or protective services.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

Start a case

Stage: Start a case

This form is used when someone believes an individual needs protective placement or protective services, which involves filing with the court.

Usually filed by the person starting the case.

Official instructions

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

Common questions

Who files this form?
The form is filled out by the petitioner, who is filing the request with the court.
What does the form ask for?
It asks for details about the individual, the people involved, and the specific reasons why protective placement or services are needed.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect November 19, 2021.

Related forms