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ME-934

Petition for Examination 51.20(1)(ar) and (1)(av)

Wisconsin · Wisconsin Court System · Effective May 30, 2024

This form is used to ask the court to examine a person who is in a state prison because they are believed to be mentally ill and need treatment that is not available inside the prison.

The court describes it as: Initiates involuntary commitment proceedings of inmate of a state prison who is alleged to be mentally ill to receive outpatient treatment in prison or inpatient treatment at a state facility because appropriate treatment is not available in the prison.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

Start a case

Stage: Start a case

This form is used when someone believes an incarcerated person needs mental health treatment, either outpatient or inpatient, at a state facility because the prison cannot provide it.

Usually filed by the person starting the case.

Official instructions

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

Common questions

What is this form for?
This form asks the court to examine a person in a state prison who is believed to be mentally ill and needs treatment outside of the prison. Great care must be taken to include required reports with this filing.
Who fills out this form?
The form is filled out by the petitioner(s) who are making the request to the court.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect May 30, 2024.

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