What is this form for?

This form is an order that the court issues when it finds that a person has not followed an order to take certain medication. It can order law enforcement to take the person into custody for medication. Great care must be taken when filling out this form.

The form itself is an order issued by the court, meaning the judge signs it. It is not a form that a regular person files to start something.

GN-4220

Order on Statement of Noncompliance with Order for Involuntary Administration of Psychotropic Medication

Wisconsin · Wisconsin Court System · Effective May 2, 2019

This form is an official court order that states a person has not followed an order to take certain medication. The court uses this to order that law enforcement take the person into custody and transport them to a facility for medication administration using physical restraint.

The court describes it as: Order on Statement of Noncompliance with Order for Involuntary Administration of Psychotropic Medication.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

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Stage: Judgment

This form is used when a court has already issued an order for involuntary medication, and the court finds that the person has significantly failed to follow that medication plan.

Prepared by the court or clerk.

Official instructions

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

Plain-language summary

Common questions

What is this form for?: This form is an order that the court issues when it finds that a person has not followed an order to take certain medication. It can order law enforcement to take the person into custody for medication. Great care must be taken when filling out this form.
Who files this form?: The form itself is an order issued by the court, meaning the judge signs it. It is not a form that a regular person files to start something.

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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