CV-803, 09/14 Order to Surrender Firearms and Notice of Firearm Surrender Hearing 247813.1285(1g), Wisconsin 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 Order to Surrender Firearms and Notice of Firearm Surrender Hearing Case No. Petitioner: - vs - Respondent: Address: THE COURT ORDERS: 1. You must appear at a Firearm Surrender Hearing on: (Hearing shall be held within one week of the injunction hearing.) Date Time Location Circuit Court Judge/C ircuit Court Commissioner Note: If you request firearm(s) surrender to a third party, both you and the third party must attend the Firearm Surrender Hearing. 2. The injunction granted on [Date] is temporarily stayed until [Date and time, not to exceed 48 hours] at [Time] for purposes of firearm surrender. Any temporary restraining order remains in effect until the stay is lifted. 3. A temporary restraining order was not previously granted. The court now grants a temporary restraining order prohibiting the respondent from the following conduct: (See CV-403, CV-406, CV-413, CV-429, or JC-1691 forms for prohibited conduct.) 4. Failure to appear at the hearing may result in the court issuing a warrant for your arrest. 5. You have until [Date and time as listed in #2, not to exceed 48 hours] at [Time] to surrender ALL firearms you own or possess to the sheriff of this county. the sheriff of the county in which the respondent resides: . another person. [Name and Address] the sheriff of County. If you wish to surrender to a third party, you and the third party must appear at the Firearms Surrender Hearing scheduled above. If the court approves the third party, the third party may obtain the firearm(s) directly from the sheriff. American LegalNet, Inc. www.FormsWorkFlow.com CV-803, 09/14 Order to Surrender Firearms and Notice of Firearm Surrender Hearing 247813.1285(1g), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 6. Your known firearm(s) is/are described as and the serial number(s) of said firearm(s) are listed as follows: F irearm Q uantity Make/Model Serial Number [If you need room for additional firearms, attach additional sheet to this form] Additional surrender instructions: 7. Once the stay is complete, the injunction immediately goes into full effect. Note: Once the injunction is in effect, 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. Section 922(g)(8). Under Wisconsin law, it is a Class G Felony, punishable by a fine not to exceed $25,000 or imprisonment not to exceed 10 years, or both, to possess a firearm while subject to an injunction, pursuant to 247941.29(2), Wis. Stats. 8. You may possess or transport a firearm(s) only for the purpose of complying with a surrender order. Possessing or transporting a firearm(s) for any other reason may result in criminal penalties. If you require reasonable accommodations due to a disability to participate in the court process, please call prior to the scheduled court date. Please note that the court does not provide transportation. DISTRIBUTION: 1. Court 2. Petitioner 3. Respondent 4. Law Enforcement 5. Other: American LegalNet, Inc. www.FormsWorkFlow.com