Structure
The Wisconsin FA-4111 form is an essential document for couples seeking a divorce or legal separation without minor children involved. This form requires both parties to provide their names, addresses, and dates of birth, along with the name of the county where the case is being filed. It is important to specify whether the filing is for divorce or legal separation, as this distinction affects the legal proceedings. The form also prompts joint petitioners to confirm residency requirements, ensuring that at least one spouse has lived in Wisconsin for a specified duration before filing. Additionally, the FA-4111 asks for information about any previous marriages and whether either party is currently on active military duty. Couples must disclose any existing agreements regarding spousal support or property division, and they are required to consent to the court's jurisdiction. The form emphasizes the importance of maintaining respect and fairness during the process, outlining prohibited actions that could lead to serious legal consequences. Completing the FA-4111 accurately is crucial, as it sets the stage for the legal proceedings to follow.
Form Example
PRINT in INK
Enter the name of the county in which you are filing this case.
Enter the wife’s name.
Enter the wife’s address.
On the far right, check divorce or legal separation.
Enter the husband’s name.
Enter the husband’s address.
Note: Leave case number blank; the clerk will add this.
STATE OF WISCONSIN, CIRCUIT COURT,
COUNTY
In RE: The marriage of
Joint
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For Official Use
Joint Petition
Without Minor Children
Legal
Case No.
Enter the wife’s date of birth [month, day, year].
For 2, 3 and 4, check yes or no.
Military personnel:
Please see Basic Guide to Divorce/Legal Separation.
Enter the husband’s date of birth [month, day, year].
For 2, 3 and 4, check yes or no.
Military personnel:
Please see Basic Guide to Divorce/Legal Separation.
A. We are providing the following information about the wife:
1.Date of birth
2.Immediately before filing this petition, the wife will have lived in this county for 30 days
or more. |
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Yes |
No |
3.Immediately before filing this petition, the wife will have lived in the state of Wisconsin for 6 months or more.
Yes |
No |
4.The wife is currently on active duty as a member of the Armed Forces of the United States of America or its allies.
Yes |
No |
B. We are providing the following information about the husband:
1.Date of birth
2.Immediately before filing this petition, the husband will have lived in this
county for 30 days or more.
Yes |
No |
3.Immediately before filing this petition, the husband will have lived in the state of Wisconsin for 6 months or more.
Yes |
No |
4.The husband is currently on active duty as a member of the Armed Forces of the United States of America or its allies.
Yes |
No |
§767.215, Wisconsin Statutes |
This form shall not be modified. It may be supplemented with additional material.
Page 1 of 4
Joint Petition – Without Minor Children |
Page 2 of 4 |
Case No. |
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Enter the date [month, day, year], city, and state in which you were married.
Check a or b. If b, explain why you are filing for a legal separation and not a divorce.
Check a or b. If b, enter the county and state in which it was filed, the case number assigned to it and check yes or no to indicate if the case has been dismissed.
Check yes or no. If no, respond to
If the wife had an additional previous marriage, respond to 5e- 5h.
C. We are providing the following marriage information:
1. We were married on (date)
2. We were married in (city) |
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3.We are filing for:
a.
Divorce: This marriage is irretrievably broken.
b.
Legal Separation: This marriage is broken and the reason we are requesting a legal separation and not a divorce is
4.Previous Actions
This is the first time that either my spouse or I have filed for divorce or legal separation from each other in Wisconsin or in any other state:
a.
Yes
b.
No: County
State Case No.
Has this case been dismissed? 
Yes 
No 5. This is the wife’s first marriage.
Yes |
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a. The wife was previously married to |
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b. The marriage was terminated by: |
divorce. |
death. |
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c. Date of the divorce or death |
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d. The divorce was granted in: |
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e. The wife was also previously married to |
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f. The marriage was terminated by: |
divorce. |
death. |
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g. Date of the divorce or death |
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h. The divorce was granted in: Name of court
CityState
If the wife had more than 2 previous marriages, repeat
Check yes or no. If no, respond to
If the husband had an additional previous marriage, respond to
6. This is the husband’s first marriage. |
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a. The husband was previously married to |
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b. The marriage was terminated by: |
divorce. |
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death. |
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c. Date of the divorce or death |
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d. The divorce was granted in: |
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e. The husband was also previously married to |
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f. The marriage was terminated by: |
divorce. |
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death. |
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g. Date of the divorce or death |
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h. The divorce was granted in: |
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If the husband had more than 2 previous marriages, repeat
§767.215, Wisconsin Statutes |
This form shall not be modified. It may be supplemented with additional material.
Page 2 of 4
Joint Petition – Without Minor Children |
Page 3 of 4 |
Case No. |
________________ |
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Check a or b. If b, write the names and dates of birth of all adult children born to the wife during the marriage.
D.We are providing the following information regarding our children:
1. a. 
No children were born to or adopted together by us before or during our
marriage.
b. 
All children, who are currently age 18 or older, born to the wife during the marriage include:
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Date of Birth |
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Check a or b. If a, attach a copy of the written agreement to this petition.
If you are requesting maintenance (spousal support) at this time, check yes. If not, check no.
2. To the best of our knowledge, the wife in this marriage:
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is currently pregnant. (An attorney [guardian ad litem] for the unborn child will |
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be required if the husband is not the father.) |
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is not currently pregnant. |
3.We have made written agreements or received orders from the court about some or all of the matters in this action such as maintenance (spousal support) or property division.
a.
Yes, and we have attached a copy of the written agreement to this Petition.
b.
No
We consent to jurisdiction and waive service of summons.
WE ASK THAT THE COURT:
1.Grant a judgment as requested.
2.Enter an order granting maintenance.
Yes |
No |
3. Enter other orders as it deems just and equitable.
ACTS PROHIBITED BY STATUTE
In accordance with § 767.117 Wis. Stats., neither joint petitioners to this divorce or legal separation action can participate in any of the following activities while this action is pending:
1.Harassing, intimidating, physically abusing or imposing any restraint on the personal liberty of the other party or a minor child of either of the parties.
2.Encumbering, concealing, damaging, destroying, transferring, or in any other way disposing of property owned by either or both of the parties, without the consent of the other party or an order of the court or the Circuit Court Commissioner, except in the usual course of business, in order to secure necessities or in order to pay reasonable costs and expenses of the action, including attorney fees.
A VIOLATION OF THE ABOVE PROHIBITIONS MAY RESULT IN PUNISHMENT FOR CONTEMPT, WHICH MAY INCLUDE MONETARY PENALTIES, IMPRISONMENT, AND OTHER SANCTIONS AS PROVIDED FOR IN SEC. 785.04 WIS. STATS.
These PROHIBITIONS apply until the action is dismissed, a final judgment in the action is entered, or the court orders otherwise.
§767.215, Wisconsin Statutes |
This form shall not be modified. It may be supplemented with additional material.
Page 3 of 4
Joint Petition – Without Minor Children |
Page 4 of 4 |
Case No. |
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The wife must sign and print her name.
She must enter the date on which she signed her name.
Note: This signature does not need to be notarized.
The husband must sign and print his name.
He must enter the date on which he signed his name.
Note: This signature does not need to be notarized.
Signature of Wife
Print or Type Name
Date
Signature of Husband
Print or Type Name
Date
§767.215, Wisconsin Statutes |
This form shall not be modified. It may be supplemented with additional material.
Page 4 of 4
Document Specs
| Fact Name | Fact Description |
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| Form Purpose | The FA-4111 form is used to file a joint petition for divorce or legal separation in Wisconsin. |
| Governing Law | This form is governed by §767.215 of the Wisconsin Statutes. |
| Filing County | The petitioner must enter the name of the county where the case is being filed. |
| Petitioners' Information | Both spouses must provide their names and addresses on the form. |
| Case Number | Leave the case number blank; the clerk will assign it upon filing. |
| Residency Requirements | Each spouse must confirm residency in the county for at least 30 days and in Wisconsin for at least 6 months. |
| Military Status | The form includes questions about whether either spouse is on active military duty. |
| Previous Marriages | Information about previous marriages must be provided, including termination details. |
| Children Information | The form asks whether any children were born to or adopted by the couple during the marriage. |
| Signature Requirement | Both spouses must sign the form, but notarization is not required. |
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