№ lp_1_15443
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Character count: 2837
File size: 31 KB
This is a legal declaration form used in small claims court for eviction based on noncompliance with a stipulation.
Year:
2026
Region / City:
Wisconsin
Subject:
Eviction procedure, noncompliance with stipulation
Document type:
Legal declaration
Authority / Organization:
Wisconsin Circuit Court
Author:
Plaintiff
Target audience:
Legal professionals, courts
Effective period:
Not specified
Approval date:
Not specified
Amendment date:
Not specified
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Jurisdiction:
State of Wisconsin
Court:
Circuit Court
County:
Wisconsin county of filing
Document type:
Court declaration
Case category:
Small claims
Case subject:
Money judgment non-eviction
Legal basis:
Stipulation for Dismissal (Non-Eviction)
Related form:
SC-5310VA/VB
Note:
Related form
SC-5420VA/VB
Parties:
Plaintiff(s) and Defendant(s)
Procedural stage:
Post-dismissal enforcement
Condition triggering filing:
Missed payment under stipulation
Relief requested:
Vacating dismissal and entry of judgment
Financial elements:
Settlement amount, payments made, balance owed, statutory costs and disbursements
Statement type:
Unsworn declaration under penalty of false swearing
Signature required:
Plaintiff
Notarization requirement:
Not required
Legal effect:
Entry of money judgment upon noncompliance
Year:
2020
Region / City:
USA
Topic:
Clinical Trials, Compliance, Noncompliance
Document Type:
Policy
Institution:
NIH, COMIRB
Author:
COMIRB
Target Audience:
Clinical researchers, IRB staff
Effective Date:
December 1, 2020
Revision Date:
August 18, 2016
Scope:
Clinical research trials, Compliance and Noncompliance Procedures
Note:
Year
Contextual description:
Report form for documenting noncompliance, protocol deviations, and complaints related to research studies, intended for use by the principal investigator and other study personnel.
Jurisdiction:
State of Wisconsin, Circuit Court
County:
[To be specified]
Case Type:
Small Claims – Eviction
Document Type:
Affidavit of Noncompliance
Parties:
Plaintiff(s) v. Defendant(s)
Subject Matter:
Noncompliance with Stipulation Agreement
Relief Requested:
Vacate dismissal, enter judgment of eviction, issue writ of restitution
Additional Relief:
Money judgment as specified in stipulation or hearing to determine amount
Execution Requirement:
Unsworn declaration under criminal penalty of false swearing
Signature Requirement:
Plaintiff signature without Notary Public
Attachment Requirement:
Proposed order must be attached
Year:
2010
Region:
Washington State, USA
Subject:
Health care coverage, Pharmacist services
Document type:
Formal complaint letter
Author:
Donald F. Downing, Licensed Pharmacist
Target audience:
Washington State Insurance Commissioner, Health plan regulators
Legal references:
RCW 48.43.045, WAC 284-43-205, RCW 48.43.005(4), RCW 18-64.011(11), WAC 246-863-100, WAC 246-864-110
Period covered:
1995–2010
Key issue:
Non-compliance of Regence BlueShield with state law regarding coverage of pharmacist-provided clinical services
Supporting evidence:
Example of provider enrollment rejection dated April 22, 2010
Year:
2026
Organization:
EFM Respite Care
Document Type:
Notice / Letter
Audience:
Respite care providers affiliated with EFM Respite Care
Purpose:
Inform provider of temporary inactivity due to noncompliance
Requirements:
Background check, CPR renewal, First Aid renewal, mandatory trainings, site visit
Deadline for compliance:
Specified in letter
Contact:
Agency representative listed in letter
Year:
2023
Region / City:
Florida
Topic:
Election Administration
Document Type:
Form
Organization / Institution:
Office of Elections Crimes and Security
Author:
Supervisors of Elections
Target Audience:
Election Officials, Supervisors of Elections
Period of Validity:
Ongoing
Approval Date:
09/2023
Date of Changes:
N/A
Year:
2024
Region / City:
Brooklyn Park, Minnesota
Topic:
Licensing Violation
Document Type:
Official Notice
Organization / Institution:
Department of Human Services
Author:
Brittany Raddatz
Target Audience:
Abdikarim Habib, Authorized Agent of Aziras Group Home LLC
Period of Validity:
September 28, 2022 - September 28, 2024
Approval Date:
May 31, 2024
Amendment Date:
May 6, 2024
Year:
2026
Region / City:
West Virginia
Topic:
Education, Taxpayer Transparency
Document Type:
Legislative Bill
Author:
Senators Taylor, Bartlett, Chapman, Helton, M. Maynard, Queen, and Rose
Target Audience:
Legislative members, county school boards, state auditors
Effective Date:
July 1, 2026
Date Introduced:
February 12, 2026
Date of Changes:
2026 Legislative Session
Purpose:
To amend §18-9-3a of the Code of West Virginia to improve financial transparency in school boards and require timely reporting.
Committee Referral:
Education Committee
Year:
2026
Region / City:
Rockwall, Texas
Topic:
Eviction procedures and legal process
Document type:
Legal petition
Organization / Institution:
Justice Court, Precinct Three
Author:
Judge Mark Russo
Target Audience:
Landlords, property managers, and legal representatives
Effective period:
Not specified
Approval date:
Not specified
Modification date:
Not specified
Note:
Year
Subject:
Eviction, Small Claims
Document Type:
Legal Agreement
Target Audience:
Legal professionals, plaintiffs, defendants
Year:
2023
Region / City:
Milwaukee County
Topic:
Eviction Process
Document Type:
Filing Instructions
Agency / Organization:
Milwaukee County Courthouse
Author:
Not specified
Target Audience:
Individuals filing eviction complaints
Period of validity:
Ongoing
Approval Date:
Not specified
Amendment Date:
Not specified
Contextual Description:
Instructions for filing eviction summons and complaints, detailing forms required, fees, and procedures for service in Milwaukee County.
Note:
Year
Region / City:
Colorado
Topic:
Eviction Notice
Document Type:
Legal Notice
Target Audience:
Tenants
Context:
Legal notice informing the tenant of the termination of tenancy for various reasons, including demolition, repairs, landlord use, sale, or refusal to renew the lease under reasonable terms.
Year:
2026
Region / City:
Colorado, USA
Legal Basis:
Colorado Revised Statutes § 13-40-106
Document Type:
Eviction Notice
Recipient:
Tenant and occupants
Landlord:
(as indicated in the document)
Premises Address:
(as indicated in the document)
Rent Amount:
(as indicated in the document)
Time to Cure:
3–30 days depending on lease type or CARES Act applicability
Special Provisions:
Right to mediation for qualifying tenants under SSI, SSDI, or Colorado Works Program
Signatures:
Landlord/Property Manager, Agent/Attorney
Service Method:
Personal delivery or posting at premises
Year:
[DATE]
Region / City:
New York
Topic:
Eviction Procedure
Document Type:
Legal Notice
Organization / Institution:
Landlord
Target Audience:
Tenant
Effective Period:
[LEASE PERIOD]
Approval Date:
[DATE]
Date of Changes:
[DATE]
Year:
2025
Region / city:
Sheikh Jarrah, East Jerusalem
Topic:
Forced eviction, human rights
Document type:
Urgent action appeal
Organ / institution:
Amnesty International
Author:
Amnesty International
Target audience:
Individuals advocating for human rights, legal professionals
Period of validity:
Until June 6, 2026
Date of approval:
February 2025
Date of changes:
None
Context:
Call to action to halt the forced eviction of Saleh Diab and his family from Sheikh Jarrah, highlighting their legal and personal struggle against settler violence and Israeli court rulings.
Year:
Not specified
Region / city:
Lubbock County, Texas
Subject:
Eviction Case
Document Type:
Legal Petition
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Legal professionals, tenants, landlords
Effective Period:
Not specified
Date of Approval:
Not specified
Date of Amendments:
Not specified
Context:
Legal petition for eviction from rented premises, listing various grounds including unpaid rent and lease violations.
Note:
Year
Subject:
Eviction, Property Disposal
Document Type:
Court Order
Authority / Institution:
State of Wisconsin, Circuit Court
Target Audience:
Legal professionals, law enforcement
Context:
Legal document used to instruct law enforcement officers to carry out eviction and property removal in accordance with a court judgment.
Note:
Date
Year:
20____
Region / City:
___________________ County, Texas
Subject:
Eviction process
Document type:
Legal document
Issuing authority:
Justice Court
Author:
Plaintiff
Target audience:
Legal professionals, defendants, court personnel
Effective period:
____________________
Date of approval:
______________________
Date of amendments:
______________________