CONFIDENTIAL COURT RECORD JC-1691, 05/19 Temporary Restraining Order and Notice of Injunction Hearing in Juvenile Court (TRO-Child Abuse) 24724748.25(6) and 813.122, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 3 BY THE COURT: Circuit Court Judge Circuit Court Commissioner Print or Type Name Date STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Amended Temporary Restraining Order in Juvenile Court ( Temporary Order of Protection) and Notice of Injunction Hearing ( Child Abuse - 30710 ) Case No. PETITIONER/CHILD Name of Petitioner (First, Middle, Last ) Name of Child (if different than Petitioner) Date of Birth of Child -VS- RESPONDENT/DEFENDANT CAUTION: (Check all that apply) 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 child. 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 Name of Respondent/Defendant (First, Middle, Last ) /Defendant : spouse cousin classmate former spouse sibling grandchild person in dating relationship neighbor child (biological/adoptive/step) current or former live - in relationship O ther: [B e specific ] SEX RACE DOB HT WT HAIR COLOR EYE COLOR (such as scars, marks or tattoos) None known. American LegalNet, Inc. www.FormsWorkFlow.com CONFIDENTIAL COURT RECORD JC-1691, 05/19 Temporary Restraining Order and Notice of Injunction Hearing in Juvenile Court (TRO-Child Abuse) 24724748.25(6) and 813.122, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 3 NOTIFICATIONS/WARNINGS TO RESPONDENT/DEFENDANT: This O rder 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; Wis. Stats. 813.128). Crossing state, territorial, or tribal boundaries to viol ate this O rder 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, s hotgun, 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 O rder. Violation of this T emporary Restraining O rder shall result in immediate arrest and is punishable by imprisonment not to exceed 9 months or a fine not to exceed $1,000, or both, and payment of filing and service fees. Only the Court can change this O rder. THE COURT FINDS: 1. The child or petitioner on behalf of the child has filed a P etition alleging child abuse under 247813.122, Wis. Stats. 2. T his C ourt has personal and subject matter jurisdiction. 3. There are reasonable grounds to believe that the respondent has engaged in, or based upon prior conduct of the child and the respondent, may engage in abuse of the child as defined in 247813.122, Wis. Stats . 4. Neither the child, guardian [if any] , or the guardian ad litem [if any] consented in writing to have contac t with the respondent, and the C ourt agrees it is not in the be st interests of the child to have contact with the respondent. 5. The C ourt orders a Temporary Restraining Order and sets a date for an Injunction H earing. THE COURT ORDERS: 1. A hearing for an I njunction be held on : Date Time Location Circuit Court Judge/Court Commissioner 2. Service of this Notice and O rder shall be made at least hours prior to the hearing. 3. The respondent avoid the child's residence and/or any premises temporarily occupied by the child. 4. The respondent avoid contacting the child or causing any person other than a party's attorney to contact the child, unless child/petitioner consents in writing, and the C ourt agrees the contact is in the best interests of the child. electronic communication or device, or in any other manner. 5. The respondent refrain from removing, hiding, damaging , harming, or mistreating, or disposing of, a household pet. 6. The respondent allow the petitioner or a family member or household member of the petitioner acting on his/her beha lf to retrieve a household pet. 7 . Name: is appointed guardian ad litem for the child. ( A guardian ad litem is mandatory if the respondent is a parent of the child. ) 8 . If the respondent is the parent or legal guardian of the child or has court - ordered visitation with the child, the petitioner must complete the Uniform Child Custody Jurisdiction and Enforceme nt Act Affidavit (GF - 150), which the clerk shall keep confidential and not disclose to the respondent. 9 . O ther: [May not be inconsistent with remedies requested in the P etition] FAILURE TO APPEAR could result in an I njunction being issued directing you to : avoid the child's residence and/or any other premises temporarily occupied by the child; avoid contacting the child or causing any other person to contact the child, unless the petition er consents in American LegalNet, Inc. www.FormsWorkFlow.com CONFIDENTIAL COURT RECORD JC-1691, 05/19 Temporary Restraining Order and Notice of Injunction Hearing in Juvenile Court (TRO-Child Abuse) 24724748.25(6) and 813.122, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 3 writing and the C follow any other orders made by this C ourt . 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 served a copy of the I njuncti on. Service of a copy of this N otice of Injunction Hearing and the P etition for the T emp orary Restraining Order and/or I njunction is constructive kno wledge of the existence of the I njunction . THIS TEMPORARY RESTRAINING ORDER IS IN EFFECT UNTIL THE INJUNCTION HEARING. If you require reasonable accommodations to participate in the court process due to a disability, please call prior to the scheduled cou rt date. Please note that the C ourt does not provide transportation. DISTRIBUTION: 1. Court 2. Petitioner or Child (if C hild is P etitioner) 3. Person filing on behalf of the Petitioner (child) 4. Respondent 5. Guardian Ad Litem (if any) 6. Law Enforcement 7. Other: American LegalNet, Inc. www.FormsWorkFlow.com