Fill and Sign the Physical Placement Form

PRINT in BLACK ink Enter the name of the county in which the original case was filed. STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use Check marriage or paternity. If paternity, enter initials of child. In re the Marriage Paternity of       , Enter your name, address, and daytime phone number. You are the Petitioner for this proceeding. Moving Party (You) :       First name Middle name Last name       Current Mailing Address                         City State Zip Daytime phone number Vs.On the far right, enter the original case number. Notice of Hearing and Motion to Enforce Physical Placement Order Case No.       Enter the name, address, and daytime phone number of the other party. Responding Party (Other Party) :       First name Middle name Last name       Current Mailing Address                         City State Zip Daytime phone number NOTICE OF HEARING Please take notice that a hearing on the attached motion shall be held: Before:       Circuit Court Judge/Circuit Court Commissioner Location:             Date:       Time:       a.m./p.m. Failure to appear could result in an order being issued granting the relief requested in the motion. A copy of this Notice and Motion shall be served on the other parent not less than 5 days prior to the hearing. If the moving party seeks to have you found in contempt of court for non-compliance with the judgment or court order, and if you are found in contempt of court, a jail sentence could be imposed. You therefore have the right to be represented by an attorney at this hearing. Unless good cause is shown, failure to appear with an attorney may be considered a waiver of that right. If you need help in this matter because of a disability, please call :       FA-609 Pro Se, 10/06 Notice of Hearing and Petition to Enforce Physical Placement Order §767.471, 801.11, 801.15(4) Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2For Court Use Only: The clerk will complete this section. MOTION TO ENFORCE PHYSICAL PLACEMENT ORDER Based upon the following: 1. I was awarded periods of physical placement of (name of children) by judgment or order of the Circuit Court or Family Court Commissioner of       County. A copy of the physical placement order is attached. 2. I have: A. had one or more period of physical placement denied by the responding party. B. had one or more period of physical placement substantially interfered with by the responding party. C. incurred a financial loss or expense as a result of the responding party’s intentional failure to exercise periods of physical placement, without adequate notice, under an order allocating specific times for the exercise of placement. 3. The facts explaining what happened are:       See attached I REQUEST THAT THE COURT ISSUE AN ORDER: 1. Granting additional periods of physical placement to replace those denied or interfered with. 2. Awarding reasonable costs and attorney fees. 3. Requiring the responding party return the child to me. 4. Changing the current order to specify the times for the exercise of periods of physical placement. 5. Finding the responding party in contempt. 6. Granting an injunction ordering the responding party to strictly comply with the judgment or order. 7. Requiring the responding party to pay me a sum of money sufficient to compensate for financial loss or expenses resulting from the responding party’s intentional and unreasonable failure to exercise periods of placement under an order allocating specific times. STOP! Take this document to a Notary Public BEFORE you sign it. After you have been sworn by a Notary Public, sign and print your name and date the document in front of the Notary Public. _____________________________________________ Signature       ________________________________________ Print or Type Name       ________________________________________ Date Have the Notary Public sign, date, and seal the document. Subscribed and sworn to before me on       _____________________________________________ Notary Public, State of Wisconsin My commission expires:       (Seal) FA-609 Pro Se, 10/06 Notice of Hearing and Petition to Enforce Physical Placement Order §767.471, 801.11, 801.15(4) Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2Check all that apply.Check all that apply. Enter facts explaining the problems you are experiencing.