Skip to content
LitigationForms
ME-921

Statement of Petition for Review of Admission

Wisconsin · Wisconsin Court System · Effective September 12, 2024

This form starts a court review process for admitting a minor to a treatment facility for mental health, developmental disabilities, or substance abuse. It asks the court to review the admission when the minor refuses consent or when the stay is expected to be long.

The court describes it as: Initiates the review of a voluntary admission of a minor to an approved inpatient treatment facility for the primary purpose of treatment for mental illness, developmental disabilities, alchoholism or drug abuse.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

Appeal

Stage: Appeal

This form is used when a minor needs to be admitted to an inpatient treatment facility, especially if the minor refuses consent or if the stay is expected to be longer than a certain time.

Prepared by the court or clerk.

Official instructions

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

Common questions

Who fills out this form?
A treatment director or a designee of the treatment director fills out this form. It is filed with the court.
What must be attached to this form?
A copy of the application for admission and any relevant professional evaluations must be attached to this form.
What happens after this form is filed?
The court must either approve the admission within five days of filing the Petition or hold a hearing within seven days of admission or an application for admission being executed.

Revision history

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

Related forms

  • FA-4104V

    Summons with Minor Children

    This form is a notice that tells a person they have been sued in court for divorce or legal separation when the couple has minor children. It informs the person that they must file a written response with the court within 20 days of receiving the notice.

    Word1 translation
  • FA-4105V

    Summons without Minor Children

    This form is a notice that tells one person (the respondent) that their spouse has started a legal case for divorce or legal separation. It informs the respondent about the case and what they need to do next.

    Word1 translation
  • FA-4108V

    Petition with Minor Children

    This form is used to start a case for divorce or legal separation when the person filing has minor children. It asks for detailed information about the filing person, the other party, the marriage, and all the minor children.

    Word1 translation
  • FA-4109V

    Petition without Minor Children

    This form is used to start a case for divorce or legal separation when the person filing does not have minor children. It asks the court for information about the filing person, the other party, the marriage, and any agreements already made.

    Word1 translation
  • FA-4110V

    Joint Petition with Minor Children

    This form is used when two people want to start a case together to ask the court for a divorce or legal separation when they have minor children. It asks for personal details, marriage history, and information about the children.

    Word1 translation
  • FA-4111V

    Joint Petition without Minor Children

    This form is used when two people are filing together to start a case for divorce or legal separation when they do not have any children under the age of 18. It asks for personal details, marriage information, and details about any previous marriages.

    Word1 translation
  • FA-4113V

    Response and Counterclaim

    This form is used by a person who is responding to a divorce or legal separation petition to reply to the claims made in the original petition. It allows the respondent to state whether they agree with the statements in the petition and to ask the court for certain orders, such as divorce or legal separation.

    Word
  • FA-4118V

    Civil Process Worksheet

    This form is a worksheet used to give information to a process server who will deliver legal papers to another person. It asks for details about the person to be served, like their address, job, and other identifying information.

    Word