Fill and Sign the Injunction Harassment Wisconsin Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use Injunction (Harassment)Petitioner:       Date of Birth:       -VS- Respondent:       Address:             Case No.       Respondent’s Date of Birth       Sex       Race       Height       Weight       Hair color       Eye color       THE COURT FINDS: 1. The petitioner has filed a petition alleging harassment. 2. The petitioner has served upon the respondent a copy of the temporary restraining order and notice of the time for a hearing on the issuance of the injunction. The respondent had an opportunity to be heard. This court has personal and subject matter jurisdiction. 3. There are reasonable grounds to believe that the respondent has engaged in harassment with intent to harass or intimidate the petitioner. 4. There is is not clear and convincing evidence that the respondent may use a firearm to cause physical harm to another or to endanger public safety. THE COURT ORDERS: 1. The respondent cease or avoid the harassment of petitioner. 2. The respondent avoid the residence and any premises temporarily occupied by the petitioner/victim. 3. The respondent is specifically prohibited from doing the following: (List specific prohibited conduct.)       4. (The firearms restriction can be ordered only if the court has made the finding in #4, above, "that the respondent may use a firearm to cause physical harm to another or to endanger public safety.”) The respondent is prohibited from possessing a firearm until the expiration of this injunction. Possession of a firearm is a Class G Felony punishable by a fine not to exceed $25,000 or imprisonment not to exceed 10 years, or both. A respondent may retain a firearm only if the respondent is a peace officer and only to the extent required by the peace officer's employer. The respondent shall immediately surrender any firearm(s) that he or she owns or has in his or her possession to: the sheriff of this county. the sheriff of the county in which the respondent resides:       . another person:       . Name and Address 5. Other:       THIS INJUNCTION SHALL BE EFFECTIVE UNTIL       Not to exceed 4 years CV-407 04/06 Injunction (Harassment) §813.125, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Injunction (Harassment) Page 2 of 2 Case No. Violation of this order shall result in immediate arrest and is punishable by imprisonment not to exceed 90 days or a fine not to exceed $1,000, or both, and payment of filing and service fees. 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). The respondent was present in DISTRIBUTION: court and personally served with 1. Original - Court a copy of this order. 2. Petitioner 3. Respondent 4. Law Enforcement BY THE COURT: Circuit Court Judge/Circuit Court Commissioner       Name Printed or Typed       Date CV-407 .draftfinal 04/06 Injunction (Harassment) §813.125, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2