Fill and Sign the Hearing Temporary Order Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE INTEREST OF       Name Notice of Hearing - Temporary Restraining Order (Child Abuse)       Date of Birth Case No.       To the respondent: Name:       Address:       On the basis of the petition, the court finds reasonable grounds to believe that the respondent has engaged in, or based on prior conduct of the child and the respondent may engage in, abuse of (name)       , the child, whose date of birth is       . THE COURT ORDERS that a hearing for an injunction be held: Date       Time       Location       Presiding Judge       Failure to appear could result in an injunction being issued directing: a. That you avoid the child’s residence and/or any other premises temporarily occupied by the child now and in the future; b. that you avoid contacting or causing any other person to contact the child, unless certain conditions are met; and c. any other appropriate orders. Violation of an injunction issued at this hearing may result in your arrest and imposition of criminal penalties. THE COURT FURTHER ORDERS: 1. The respondent avoid the child’s residence and/or any premises temporarily occupied by the child. 2. The respondent avoid contacting or causing any person other than a party’s attorney to contact the child, unless petitioner consents in writing, and the court agrees the contact is in the best interests of the child. Contact means knowingly touching, meeting, communicating, or being in visual or audio contact with the child. 3. Service of this notice and order shall be made (time period)       prior to the hearing date. 4. If requested, the sheriff shall serve and assist in executing this temporary restraining order; other:       5. (Name)       is appointed guardian ad litem for the child. (A guardian ad litem is mandatory if the respondent is a parent of the child.) 6. Other:       THIS ORDER IS IN EFFECT UNTIL THE INJUNCTION HEARING IS HELD. Violation of this order shall result in immediate arrest, is punishable by imprisonment not to exceed 9 months or a fine not to exceed $1,000, or both, and payment of filing and service fees. If an injunction is issued, the judge or court commissioner must order the respondent not to possess a firearm while the injunction is in effect. This injunction is entitled to full faith and credit in every civil or criminal court of the United States or any other state, or Indian tribal courts (to the extent such tribal courts have personal jurisdiction over non- tribal members). JC-1691 , 06/03 Notice of Hearing - Temporary Restraining Order (Child Abuse) §§48.25(6) and 813.122, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Notice of Hearing - Temporary Restraining Order (Child Abuse) Page 2 of 2 Case No. If you need help in this matter because of a disability, please call:       BY THE COURT: Circuit Court Judge/Circuit Court Commissioner Distribution: 1. Original – Court; 2. Petitioner; 3. Respondent; 4. Law Enforcement       Name Printed or Typed       Date JC-1691 , 06/03 Notice of Hearing - Temporary Restraining Order (Child Abuse) §§48.25(6) and 813.122, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2