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Injunction-Domestic Abuse (Order Of Protection) CV-404 - Wisconsin
| Injunction-Domestic Abuse (Order Of Protection) Form. This is a Wisconsin form and can be used in Civil Circuit Court Statewide . |
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STATE OF WISCONSIN, CIRCUIT COURT, Amended COUNTY For Official Use INJUNCTION Domestic Abuse (Order of Protection - 30709) Case No. _________ PETITIONER Name of Petitioner (First, Middle, Last ) Date of Birth of Petitioner -VS.RESPONDENT/DEFENDANT Name of Respondent/Defendant (First, Middle, Last ) SEX RACE DOB HT WT Respondent's/Defendant's Street Address, City, State, Zip HAIR COLOR EYE COLOR Please specify Petitioner's 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 Other: [Be specific] Respondent's/Defendant's Distinguishing Features (such as scars, marks or tattoos) None known. 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 petitioner. THE COURT FINDS: Findings are on the following page(s) of this injunction. THE COURT ORDERS: Orders are on the following page(s) of this injunction. THIS INJUNCTION SHALL BE EFFECTIVE UNTIL Not to exceed 4 years NOTIFICATIONS/WARNINGS TO RESPONDENT/DEFENDANT: This order 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 violate this order 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 injunction. Only the court can change this order. CV-404, 08/12 Injunction (Order of Protection Domestic Abuse) §813.12, Wisconsin Statutes Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com This form shall not be modified. It may be supplemented with additional material. Injunction (Order of Protection Domestic Abuse) Page 2 of 2 Case No. THE COURT FINDS: 1. The petitioner or guardian on behalf of the petitioner filed a petition alleging domestic abuse under §813.12, Wis. Stats. 2. This court has personal and subject matter jurisdiction. The respondent has been properly served and had an opportunity to be heard. 3. There are reasonable grounds to believe that the respondent has engaged in, or based upon prior conduct of the petitioner and the respondent, may engage in domestic abuse of the petitioner as defined in §813.12, Wis. Stats. THE COURT ORDERS: 1. The respondent refrain from committing acts or threats of domestic abuse against the petitioner. 2. The respondent avoid the petitioner's residence and/or any location temporarily occupied by the petitioner. 3. The respondent avoid contacting the petitioner and 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 petitioner's home, work, school, public places, in person, by phone, in writing, by electronic communication or device, or in any other manner. 4. The sheriff to assist in executing this injunction, if requested. 5. The sheriff to accompany the petitioner and assist in placing the petitioner in physical possession of his/her residence, if requested. 6. Grant an award in a reasonable amount for the costs of maintaining this action and attorney fees, if deemed appropriate, and such other relief as may be just and equitable. 7. Other: [May not be inconsistent with remedies requested in the petition.] THE COURT FURTHER ORDERS: The respondent is prohibited from possessing a firearm until the expiration of this injunction. Possession of a firearm is a Class G Felony punishable by a fine not to exceed $25,000 or imprisonment not to exceed 10 years, or both. A respondent may retain a firearm only if the respondent is a peace officer and only to the extent required by the peace officer's employer. The respondent shall immediately surrender any firearm(s) that he or she owns or has in his or her possession to the sheriff of this county. the sheriff of the county in which the respondent resides: . another person. [Name and Address] . Note: Court shall complete CV-432 Notice of Firearms Possession Penalties and send to the third party unless the third party is personally served in court. If a party wants a de novo review of a court commissioner's decision, file form CV-503. THIS IS A FINAL ORDER FOR PURPOSES OF APPEAL IF SIGNED BY A CIRCUIT COURT JUDGE. The respondent was present in court and personally served with a copy of this order. Third party was present in court and served with CV-432. DISTRIBUTION: 1. Original Court 2. Petitioner/Guardian 3. Respondent 4. Law Enforcement 5. Other: BY THE COURT: Circuit Court Judge Circuit Court Commissioner Name Printed or Typed Date CV-404, 08/12 Injunction (Order of Protection Domestic Abuse) §813.12, Wisconsin Statutes Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com This form shall not be modified. It may be supplemented with additional material.
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