Who fills out this form?

The form is for the person who served the documents to the corporation or LLC.

Do I need a Notary Public?

No, you do not have to take this document to a Notary Public if you provide an unsworn declaration.

SC-5110V

Declaration of Service of SC-500, Summons and Complaint Corporation or Limited Liability Company - Non-Eviction (Small Claims)

Wisconsin · Wisconsin Court System · Effective September 12, 2024

This form is used to tell the court that you served certain documents, specifically the Summons and Complaint, to a corporation or LLC in a small claims case. It asks you to provide details about how and when you gave the papers to the business or its representative.

The court describes it as: For a person who has served documents on (handed documents to) an officer, director, or managing agent of a corporation or LLC, or person in charge of the office, to give the necessary information concerning that service. Voluntary form.

Open the official PDFfrom Wisconsin Court System

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Stage: Start a case

This form is used when a person has served documents on an officer, director, or managing agent of a corporation or LLC in a small claims case.

Either party may file.

Official instructions

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

Plain-language summary

Common questions

Who fills out this form?: The form is for the person who served the documents to the corporation or LLC.
Do I need a Notary Public?: No, you do not have to take this document to a Notary Public if you provide an unsworn declaration.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect September 12, 2024.

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