Fill and Sign the Court Issued a Form

CV-431, 10/06 Order Extending Injunction - Domestic Abuse/Child Abuse §§813.12(4)(c) and 813.122(5)(d), W isconsin Statutes This form shall not be modified. It may be suppleme nted with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Petitioner: Date of Birth: Address: (Optional) -vs- Respondent: Order Extending Injunction Domestic Abuse Child Abuse Address: Case No. For Official Use Respondent’s Date of Birth Sex Race Height W eight Hair color Eye color The court issued a domestic abuse injunction child abuse injunction on (date) , expiring on (date) against the respondent. The petitioner has requested that the court extend the injunction because it is necessary for the protection of the victim. The court finds that it is necessary for the protec tion of the victim that an extension be granted. THE COURT ORDERS: 1. The injunction is extended until . Date 2. The original terms of the injunction remain in ful l force and effect. 3. The petitioner shall notify the respondent of this extension. BY THE COURT: Circuit Court Judge/ Court Commissioner Name Printed or Typed DISTRIBUTION: 1. Original - Court 2. Petitioner 3. Respondent 4. Law Enforcement 5. Department of Justice or Designee Date