FA-611, 05/18 Order to Enforce Physical Placement Order 247247767.471, 801.11, and 801.15(4), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 3 Petitioner/Joint Petitioner A: Respondent/Joint Petitioner B: Enter the name of the county in which the original case was filed. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Check paternity or marriage. If paternity, enter initials of child. IN RE: THE MARRIAGE PATERNITY OF Orde r to Enforce Physical Placement Order Case No. Enter the name, address, and daytime phone number for the Petitioner or for Joint Petitioner A. Petitioner/Joint Petitioner A Name [First, Middle and Last] Current Mailing Address City State Zip Daytime phone number - VS - On the far right, enter the original case number. Enter the name, address, and daytime phone number for the Respondent or for Joint Petitioner B. Respondent/Joint Petitioner B Name [First, Middle and Last] Current Mailing Address City State Zip Daytime phone number Respondent : Date of Birth Sex Race Height Weight Hair color Eye color STOP! HEARING Do not complete the remainder of this form unless required by the court official which is hearing this case. A hearing was conducted in this matter as follows: Enter the name of the court official who held the hea ring and the address and date [Month, Day, Y ear] of the hearing. 1. Before: Circuit Court Judge/ Circuit Court Commissioner 2. Location: 3. Date: Time: a.m. p.m. American LegalNet, Inc. www.FormsWorkFlow.com Petitioner/Joint Petitioner A: Respondent/Joint Petitioner B: FA-611, 05/18 Order to Enforce Physical Placement Order 247247767.471, 801.11, and 801.15(4), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 3 Check one box from 1 and check A or B . If B , enter the name of the attorney. APPEARANCES 1. Petitioner /Joint Petitioner A appeared in person appeared by phone did not appear AND A. was self - represented. B. was represented by Attorney Check one box from 2 and check Aor B. If B, enter the name of the attorney. 2. Respondent /Joint Petitioner B appeared in person appeared by phone did not appear AND A. was self - represented. B. was represented by Attorney Check A, B, C, or D. If F, C, or D, enter the name of the individual who appeared. 3. Others appearing at the hearing: A. None. B. Child Support Agency by . C. Guardian ad Litem (GAL) D. Other: The Findings is the section that includes information or facts that the court official took into consideration before making the Order. FINDINGS THE COURT FINDS: 1. Petitioner/Joint Petitioner A Respondent /Joint Petitioner B filed a motion to enforce a physical placement order. 2. The motion and notice of hearing was was not properly served on the other party. 3. Other Findings: A. Petitioner/Joint Petitioner A Respondent/Joint Petitioner B has intentionally and unreasonably denied one or more periods of physical placement. In 2 and 3: check the correct boxes. Check all that apply in A - F. B. Petitioner/Joint Petitioner A R espondent/Joint Petitioner B has intentionally and unreasonably interfered with one or more periods of physical placement. C. Petitioner/Joint Petitioner A Respondent/Joint Petitioner B has incurred a financial loss or expenses as a result of the intentional and unreasonable failure, without notice, to exercise periods of physical placement under an order or judgment setting specific placement times. D. Petitioner/Joint Petitioner A R espondent/Joint Petitioner B is in contempt for failure to comply with the judgment or order. E. The moving party has requested that the sheriff assist in executing or serving an injunction. F. The moving has not proven the allegations of the petition. ORDERS IT IS ORDERED: 1. Additional periods of physical placement are granted as follows: See attached 2 . Reasonable costs and attorney fees are awarded in the amount of $ and are to be paid to by . 3. Specific times for the exercise of periods of physical placement are set as follows: See attached 4. Petitioner/Joint Petitioner A Respondent/Joint Petitioner B is sentenced to the county jail for days for contempt. That person may purge the con tempt by complying with the following: See attached 5. An injunction is granted ordering the Petitioner/Joint Petitioner A Respondent/Joint Petitioner B to strictly comply with the placement provisions of t he judgment or order. This injunction shall be effective until [No longer than 2 years] . A violation of this injunction is a felony. American LegalNet, Inc. www.FormsWorkFlow.com Petitioner/Joint Petitioner A: Respondent/Joint Petitioner B: FA-611, 05/18 Order to Enforce Physical Placement Order 247247767.471, 801.11, and 801.15(4), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 3 6. The sheriff shall assist the moving party in exec uting or serving the injunction. 7. Petitioner/Joint Petitioner A Respondent/Joint Petitioner B shall pay moving party $ to compensate Petitioner for financial loss or expenses. 8. All amounts ordered shall be paid to moving party i n full within days of this order or as follows: See attached 9. Petitioner/Joint Petitioner A Respondent/Joint Petitioner B is to return the child to by . 10. This P etition is dismissed. If this order granted additional periods of placement, set specific periods of placement, or modified the placement order in any way, you are informed that : 1. Each parent must notify the other parent, the child support agency, and the clerk of courts of the address at which they may be served within 10 business days of moving to that address. The address may be a street or post office address. 2. The address provi ded to the court is the address on which the other parties may rely for service of any motion relating to modification of legal custody or physical placement or to A parent granted periods of physical placement with the ch ild must obtain a court order before relocating with the child 100 miles or more from the other parent if the other parent also has court - ordered periods of physical placement with the child. The Petitioner/Joint Petitioner A Respondent/Joint Petitioner B was personally serve d in court with a copy of this O rder. THIS IS A FINAL ORDER FOR THE PURPOSE OF APPEAL IF SIGNED BY A CIRCUIT COURT JUDGE. American LegalNet, Inc. www.FormsWorkFlow.com