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FA-4134V

Request for Court-Ordered Mediation

Wisconsin · Wisconsin Court System · Effective March 12, 2020

This form is used by a person who has disagreements about legal custody or where a child should live. It asks the court to order mediation, which is a process to help the people involved try to solve their problems.

The court describes it as: A party who is having problems concerning a legal custody or physical placement issue may use this form to request an order from the court that would require the parties to participate in mediation of those issues. Voluntary form.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

Motions

Stage: Motions

This form is used by a party who is having problems concerning a legal custody or physical placement issue and wants the court to require mediation to help solve those issues.

Either party may file.

Official instructions

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

Common questions

What is this form for?
This form is a request to the court to order mediation to help resolve problems with legal custody or physical placement. It is a voluntary form.
Do I need to file this form?
The form asks for signatures from the parties involved, and one party must send a copy of the request to the other party.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect March 12, 2020.

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