Verification of Date of Release to Extended Supervision 302.113(7m)
Wisconsin · Wisconsin Court System · Effective March 1, 2004
This form is used to confirm the date a person was released to extended supervision. It is filled out to support a request to change the rules of court-ordered extended supervision.
The court describes it as: To provide a mechanism for the Department of Corrections to verify the sentenced persons date of release to extended supervision when sentenced person files a petition to modify court-imposed conditions of extended supervision. DOC form.
Where this fits in a case
MotionsStage: Motions
This form is used when a person who has been sentenced to extended supervision files a request to change those court-ordered conditions.
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 for verifying the date a person was released to extended supervision.
- Who fills out this form?
- The form requires information from the Department of Corrections Representative and the Court.
- Can this form be changed?
- The form states that it shall not be modified, but it can be added to with extra material.
Revision history
No changes recorded since we started tracking this form on October 10, 2026. The current version took effect March 1, 2004.
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