Fill and Sign the Temporary Restraining Order PDF Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use Please print or type Petition in Juvenile Court for Temporary Restraining Order and/or Injunction (Harassment – 30711)Petitioner:       -VS- Respondent:       Address:             Case No.       Respondent’s: Date of Birth       Sex       Race       Height       Weight       Hair color       Eye color       Under oath, I petition the court for a temporary restraining order and/or injunction against the respondent under §813.125, Wisconsin Statutes, based upon the following: 1. (Name of alleged victim)       , (date of birth)       , is the alleged victim of harassment. 2. The respondent is a child. an adult and there is a pending CHIPS action in the juvenile court involving the child victim of the harassment. 3. Stated below or attached as part of this petition is a statement of facts indicating that the respondent has engaged in conduct which is believed to be harassment. (Harassment is defined as: (a) Strikes, shoves, kicks, or otherwise subjects the person to physical contact; engages in an act that would constitute abuse under §48.02(1), sexual assault under §940.225, or stalking under §940.32; or attempts or threatens to do same. (b) Engages in a course of conduct or repeatedly commits acts which harass or intimidate the person and which serve no legitimate purpose.) (State when, where, what happened, and who did what to whom:) See Attached.       JC-1693 04/06 Petition in Juvenile Court for Temporary Restraining Order and/or Injunction §§48.25(6) and 813.125, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 Petition in Juvenile Court for Temporary Restraining Order and/or Injunction Page 2 of 2 Case No. I REQUEST THAT THE COURT: (Mark any of the following boxes that apply.) 1. Immediately issue a temporary restraining order against the respondent to: a. cease or avoid harassing me. b. avoid my residence and any premises temporarily occupied by me. c. other: (List other specific behavior you want the respondent to stop doing:)       2. Set a time for a hearing on the petition for an injunction requiring the respondent to: a. cease or avoid harassing me. b. avoid my residence and any premises temporarily occupied by me. c. other: (List other specific behavior you want the respondent to stop doing:)       3. Issue an injunction against the respondent. As part of that injunction, order the respondent not to possess a firearm while the injunction is in effect because I believe that the respondent may use a firearm to cause physical harm to another or endanger public safety. Subscribed and sworn to before me on       Notary Public, State of Wisconsin My commission expires:       Signature of Petitioner       Name Printed or Typed       Date Distribution: 1. Original – Court 2. Petitioner 3. Respondent 4. Law Enforcement JC-1693 04/06 Petition in Juvenile Court for Temporary Restraining Order and/or Injunction §§48.25(6) and 813.125, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2