Fill and Sign the Please Specify Petitioners Relationships to Respondentdefendant Form

CV-403 , 05/16 Temporary Restraining Order and Notice of Injunction Hearing (TRO – Domestic Abuse) §813.12, W isconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Amended Temporary Restraining Order (Temporary Order of Protection) and Notice of Injunction Hearing (Domestic Abuse - 30709) Case No. PETITIONER Name of Petitioner (First, Middle, Last ) Date of Birth of Petitioner -VS - RESPONDENT/DEFENDANT Respondent/Defendant has access to weapon(s). Type of weapon(s): Location of weapon(s): Weapon(s) were involved in an incident [past or present ] involving the petitioner . THE COURT FINDS: Findings are on the following page(s) of this temporary restraining order. THE COURT ORDERS: Orders are on the following page(s) of this temporary restraining order. THIS TEMPORARY RESTRAINING ORDER SHALL BE EFFECTIVE UNTIL Injunction Hearing Date - Not to exceed 14 days NOTIFICATIONS/WARNINGS TO RESPONDENT/DEFENDANT: This order shall be enforced, even without registration, and is entitled to full faith and credit in every civil or criminal court of any state, the District of Columbia, any U.S. Territory, and may be enforced by Tribal Lands (18 U.S.C. Section 2265; W is. Stats. 813.128). Crossing state, territorial, or tribal boundar ies to violate this order may result in federal imprisonment (18 U.S.C. Section 2262). Federal law provides penalties for, and you may be prohibited from possessing, transporting, shipping, receiving or purchasing a firearm, including, but not limited to, a rifle, shotgun, pistol, revolver, or ammunition, pursuant to 18 U.S.C. 922(g)(8). Additional notifications/warnings are on the following page of this temporary restraining order. Violation of this temporary restraining order shall result in immediate arrest and is punishable by imprisonment not to exceed 9 months or a fine not to exceed $1 0,000, or both, payment of filing and service fees , and an order for GPS tracking . Only the court can change this order. Name of Respondent/Defendant (First, Middle, Last ) Respondent’s/Defendant’s Street Address, City, State, Zip Please specify Petitioner ’s relationship(s) to Respondent/Defendant: spouse cousin adoptive parent former spouse sibling grandparent person in dating relationship parent child (biological/adoptive/step) current or former live -in step parent relationship Other : [B e specific ] SEX RACE DOB HT WT HAIR COLOR EYE COLOR Respondent’s/Defendant’s Distinguishing Features (such as scars, marks or tattoos) None known. CAUTION: (Check all that apply) Temporary Restraining Order and Notice of Injunction Hearing (TRO - Domestic Abuse) Page 2 of 2 Case No. CV-403, 05/16 Temporary Restraining Order and Notice of Injunction Hearing (TRO – Domestic Abuse) §813.12, W isconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 THE COURT FINDS: 1. The petitioner or guardian on behalf of the petitioner filed a petition alleging domestic abuse under §8 13.12, Wis. Stat s. 2. This court has personal and subject matter jurisdiction. 3. There are reasonable grounds to believe that the respondent has engaged in , or based on the p rior conduct of the petitioner and the respondent, may engage in domestic abuse of the petitioner. 4. The petitioner is in imminent danger of physical harm. 5. The court orders a temporary restraining order and sets a date for an injunction hearing. THE COURT ORDERS: 1. A hearing for an i njunction be held on Date Time Location Circuit Court Judge/Circuit Court Commissioner 2. Service of this notice and order shall be made at least hours prior to the hearing. 3. The respondent refrain from committing acts or threats of domestic abuse against the petitioner. 4. The respondent avoid the petitioner's residence and/or any location temporarily occupied by the petitioner. 5. The respondent avoid contacting the petitioner or causing any person other than a party's attorney or law enforcement officer to contact the petitioner unless the petitioner consents in writing . Contact includes: contact at petitioner’s home, work, school, public places, in person, by phone, in writing, by electronic communication or device, or in any other manner. 6. The respondent refrain from removing, hiding, damaging, harming, or mistreating, or disposing of, a household pet. 7. The respondent allow the petitioner or a family member or household member of the petitioner acting on his/her behalf to retrieve a household pet. 8. The sheriff to accompany the petitioner and assist in placing the petitioner in physical possession of his/ her residence , if requested . 9. Other: [May not be inconsistent with remedies requested in the petition .] FAILURE TO APPEAR could result in an injuncti on being issued directing you to  refrain from committing acts or threats of domestic abuse against the p etitioner ;  avoid the petitioner’s residence and/or any location temporarily occupied by the petitioner;  avoid contacting or causing any other person to contact the petitioner than a party’s attorney or law enforcement officer , unless the petitioner consents to that contact in writing. Contact includes: contact at petitioner’s home, work, school, public places, in person, by phone, in writing, by electronic communication or device, or in any other manner; AND  follow any other appropriate orders not inconsistent with the remedies requested in the petition. VIOLATION OF AN INJUNCTION if issued at this hearing shall result in your arrest and may result in the imposition of criminal penalties regardless of whether you have been se rved a copy of the injunction. Service of a copy of this notice of injunction hearing and the petition for the temporary restraining order and/or injunction is constructive knowledge of the existence of the injunction . THIS TEMPORARY RESTRAINING ORDER IS IN EFFECT UNTIL THE INJUNCTION HEARING. BY THE COURT: If you require reasonable accommodations due to a disability to participate in the court process, please call at least 10 working days prior to the scheduled court date. Please note that the court does not provide transportation. Circuit Court Judge/Circuit Court Commissioner Title (Print or Type Name if not eSigned) Date DISTRIBUTION: 1. Court 2. Petitioner/Guardian 3. Respondent 4. Law Enforcement 5. Other: