Skip to content
LitigationForms
ME-933

Revised Reimbursement Order (Chapter 51)

Wisconsin · Wisconsin Court System · Effective August 7, 2008

This form is a Revised Reimbursement Order that is used to officially state whether a person is considered indigent or not. It orders how much, if anything, the person must pay back for representation costs.

The court describes it as: Based on response of Public Defender office, indigency is determined and reimbursement ordered.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

Judgment

Stage: Judgment

This form is used after the state public defender has responded, and the court needs to issue a final order about reimbursement costs for representation.

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?
The form is an order issued by the court. It is based on the response of the state public defender.
What does this form decide about payment?
It decides if the person is indigent, partially indigent, or not indigent, and sets the amount and schedule for any required payments.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect August 7, 2008.

Related forms

  • FA-4126VA

    Stipulation for Temporary Order with Minor Children

    This form allows the people involved in a divorce or legal separation to write down an agreement about temporary issues. It covers things like who pays for support, how money is split, and how medical care for minor children will be handled.

    Word1 translation
  • FA-4126VB

    Temporary Order with Minor Children

    This form is used to create a temporary court order regarding minor children during a divorce or legal separation. It outlines temporary rules for the parents, such as rules about property, moving, and child support.

    Word1 translation
  • FA-4127VA

    Stipulation for Temporary Order without Minor Children

    This form lets the people involved in a divorce or legal separation write down an agreement about temporary issues. It asks the parties to agree on things like who gets to use the home, who pays for debts, and temporary support payments.

    Word1 translation
  • FA-4127VB

    Temporary Order without Minor Children

    This form is used to create a temporary order from the court that sets rules for the parties involved in a divorce or legal separation when there are no minor children. It records agreements on things like taxes, property handling, and who pays for certain expenses while the case is ongoing.

    Word
  • FA-4128VA

    Declaration to Show Cause and Request for Hearing for Temporary Order with Minor Children

    This form is used when people involved in a case cannot agree on temporary rules for things like money, living arrangements, or child care. It asks the court to schedule a hearing to make a temporary order.

    Word1 translation
  • FA-4128VB

    Order to Show Cause with Minor Children

    This form is an Order to Show Cause with Minor Children that asks the court to hold a hearing to decide if a temporary order should be put in place for the requests made in an attached document. It also lists rules that both parties must follow until the court makes a final decision.

    Word1 translation
  • FA-4129VA

    Declaration to Show Cause and Request or Hearing for Temporary Order without Minor Children

    This form is used when people who are separating cannot agree on temporary rules for things like money, property, or debts. It asks the court to schedule a hearing to make an official order about these temporary issues.

    Word
  • FA-4129VB

    Order to Show Cause without Minor Children

    This form is an Order to Show Cause without Minor Children that asks the court to hold a hearing to decide if a temporary order should be put in place for the relief requested. It requires both parties to appear in court on a specific date and time.

    Word