CV-403 Pro Se, 05/16 Temporary Restraining Order and Notice of Injunction Hearing (TRO Domestic Abuse) 247813.12, 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 Pr int or Type Name Date S TATE 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 Name of Respondent/Defendant (First, Middle, Last ) Please specify Petitioner relationship(s) to Respondent/Defendant: spouse cousin adoptive parent former spouse sibling grandparent person in dating relationship parent c hild (biological/adoptive/step) current or former live - in step parent relationship O ther : [B e specific ] SEX RACE DOB HT WT HAIR COLOR EYE COLOR (such as scars, marks or tattoos) None known. CAUTION: (Check all that apply) American LegalNet, Inc. www.FormsWorkFlow.com CV-403 Pro Se, 05/16 Temporary Restraining Order and Notice of Injunction Hearing (TRO Domestic Abuse) 247813.12, 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 viola te 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, sho tgun, 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 Temporary Restraining O rder shall result in immediate arrest and is punishable by imprisonment not to exceed 9 months or a fine not to exceed $10,000, or both, payment of filing and service fees, and an order for GPS tracking . Only the C ourt can change this O rder. THE COURT FINDS: 1. The petitioner or guardian on be half of the petitioner filed a P etition alleging domestic abuse under 247813.12, Wis. Stats. 2. This C ourt has personal and subject matter jurisdiction . 3. There are reasonable grounds to believe that the respondent has engaged in, or based on the prior 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 C ourt orders a Temporary Restraining O rder and sets a date for an I njunction H earing. 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 O rder shall be made at least hours prior to the hearing. 3. The respondent refrain from committing acts or threats of domestic abuse against th e petitioner. 4. The respondent avoid the petitioner's residence and/or any location temporarily occupied by the petitioner. 5 . T he 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 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: [M ay not be inconsistent with remedies requested in the P etition ] FAILURE TO APPEAR could result in an I njunction being issued directing you to : refrain from committing acts or threats of domestic abuse against the p etitioner ; residence and/or any location temporarily occupied by the petitioner; enforcement officer, unless the petitioner consents to that contact in writing. AND follow any other appropriate orders not inconsistent with the remedies reques ted in the P etition. American LegalNet, Inc. www.FormsWorkFlow.com CV-403 Pro Se, 05/16 Temporary Restraining Order and Notice of Injunction Hearing (TRO Domestic Abuse) 247813.12, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 3 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 cop y of this Notice of Injunction H earing and the P etition for the Temporary 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 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/Guardian 3. Respondent 4. Law Enforcement 5. Other: American LegalNet, Inc. www.FormsWorkFlow.com