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SC-5510VB

Order on Eligibility to Receive or Receipt of Emergency Assistance (Small Claims)

Wisconsin · Wisconsin Court System · Effective November 2, 2017

This form is a court order that tells the court whether a defendant was found eligible or ineligible for emergency assistance in a small claims case. It records the court's decision regarding the defendant's emergency assistance status.

The court describes it as: Court order that defendant has been found eligible or ineligible or has received an Emergency Assistance grant. Voluntary form.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

Judgment

Stage: Judgment

This form is used after a statement about eligibility to receive or receive emergency assistance has been filed in a small claims case.

Prepared by the court or clerk.

Official instructions

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

Common questions

What is this form for?
This form is an order from the court about whether a defendant was found eligible or ineligible for emergency assistance in a small claims case.
Who fills out this form?
The form is an order issued by the court.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect November 2, 2017.

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