CV-406 Pro Se, 05/16 Temporary Restraining Order and Notice of Injunction Hearing (TRO-Harassment) 247813.125, 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 (Temporary Order of Protection) and Notice of Injunction Hearing ( Harassment - 30711) Case No. PETITIONER (PERSON TO BE PROTECTED) Name of Petitioner (First, Middle, Last) Date of Birth of Petitioner -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 petitioner. THE COURT FINDS: Findings are on the following page(s) of this Temporary Restraining O rder. THE COURT ORDERS: Orders are on the following page(s) of this Temporary Restraining O rder. 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 child (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. American LegalNet, Inc. www.FormsWorkFlow.com CV-406 Pro Se, 05/16 Temporary Restraining Order and Notice of Injunction Hearing (TRO-Harassment) 247813.125, 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 boundar ies to violate 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, shotgun, 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 order . 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 Order. THE COURT FINDS: 1. The petitioner or person on behalf of petitioner filed a petition alleging hara ssment under 247813.125, Wis. S tat s. 2. This C ourt has personal and subject matter jurisdiction . 3. There are reasonable grounds to believe that the respondent has engaged in harassment with intent to harass or intimidate the petitioner a s defined in 247813.125, Wis. Stat s. 4. The C ourt orders a temporary restraining order and sets a date for an injunction hearing . THE COURT ORDERS: 1. A hearing for an injunction 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 action may be commenced without payment of filing fees because the petition alleges conduct that is the same as or similar to conduct that is prohibited under 247940.32 , Wis. Stats. ; or is in tentional infliction of physical pain, physical injury or illness; or is an intentional impairment of physical condition; or is a 247940.225(1), (2) or (3) , Wis. Stats.; or is a violation of 247943.01, Wis. Stats., involving property that belongs to the individual; or is a threat to engage in the above mentioned conduct. 4. The respondent cease or avoid the harassment of the petitioner. 5. The respondent 6. The respondent avoid contact that harasses or intimidates the petitioner. home, work, school, public places, in person, by phone, in writing, by electronic communication or device, or in any other manner. 7. The respondent refrain from removing, hiding, damaging, harming, or mistreating, or disposing of, a household pet. 8. 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. 9. The 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 writin g. 10. The sheriff to accompany the petitioner and assist in placing the petitioner in physical possession of his/her residence, if requested. 11 . Other : [M ay not be inconsistent with rem edies requested in the Petition] FAILURE TO APPEAR could result in an I njunction being issued directing you to : cease or avoid the harassment of the petitioner; temporarily occupied by the petitioner; American LegalNet, Inc. www.FormsWorkFlow.com CV-406 Pro Se, 05/16 Temporary Restraining Order and Notice of Injunction Hearing (TRO-Harassment) 247813.125, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 3 avoid contact that harasses or intimidates the petitioner. AND 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 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 to participate in the court process due to a disability, please call prior to the scheduled court date. Please note that the court does not provide transportation. DISTRIBUTION: 1. Court 2. Petitioner 3. Person filing on behalf of the petitioner 4 . Respondent 5 . Law Enforcement 6 . Other: American LegalNet, Inc. www.FormsWorkFlow.com