CR-231, 11/99 Petition for Exemption Under 247948.13(2m) 247948.13(2m), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY State of Wisconsin, Plaintiff, - vs - Defendant Petition for Exemption under 247948.13(2m) , Wis. Stats. Case No . UNDER OATH I STATE: I petition the court as follows: 1. I am the defendant in this case. 2. I was convicted of a crime under 247948.025(1), Wisconsin Statutes. 3. I am asking the court to be permitted to engage in an occupation or participate in a volunteer position that would require me to work or interact primarily and directly with children under 16 years of age. 4. The specific occupation or volunteer position I wish to engage in is: 5. At the time of the commission of the crime under 247948.025(1), Wis. Stats., all of the following must be true: A. I was age 18 or younger. My actual age on the date of the crime was . B. The child with whom I had sexual contact or sexual intercourse was within 4 years of my age. C. The child with whom I had sexual contact or sexual intercourse was at least 13 years of age but not yet 16 years of age. The actual age of the child with whom I had sexual contact or sexual intercourse on the date of the crime was . D. It is not necessary in the interest of the public protection for me to comply with the legal prohibition to not engage in this type of occupational or volunteer position. State of County of Subscribed and sworn to before me on Notary Public/Court Official Name Printed or Typed My commission/term expires: Petitioner Name Printed or Typed Date DISTRIBUTION: 1. Court 2. District Attorney (who prosecuted case) 3. Victim Witness Coordinator (for contact with victim) American LegalNet, Inc. www.FormsWorkFlow.com