Wisconsin > Statewide > Circuit Court > Juvenile
Injunction - Child Abuse (Order Of Protection) JC-1692 - Wisconsin
| Injunction - Child Abuse (Order Of Protection) Form. This is a Wisconsin form and can be used in Juvenile Circuit Court Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
STATE OF WISCONSIN, CIRCUIT COURT, COUNTY For Official Use INJUNCTION Child Abuse (Order of Protection - 30710) Case No. PETITIONER/CHILD Name of Petitioner (First, Middle, Last ) Date of Birth of Child Name of Child (if different than 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 Child's relationship(s) to Respondent/Defendant: spouse former spouse person in dating relationship current or former live-in relationship Other: [Be specific] cousin sibling parent step parent adoptive parent grandparent child (biological/adoptive/step) 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 child. 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 2 years or until the child is 18 years of age, whichever occurs first. 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. JC-1692, 08/12 Injunction (Order of Protection Child Abuse) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com §§48.25(6) and 813.122, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Injunction (Order of Protection Child Abuse) Page 2 of 2 Case No. THE COURT FINDS: 1. The petitioner/child or person filing on behalf of the petitioner (child) has filed a petition alleging child abuse under §813.122, 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 child and the respondent, may engage in abuse as defined in §813.122, Wis. Stats. 4. Neither the child, guardian [if any], or the guardian ad litem [if any] consented in writing to have contact with the respondent, and the court agrees it is not in the best interests of the child to have contact with the respondent. THE COURT ORDERS: 1. The respondent refrain from abuse of the child. 2. The respondent avoid the child's residence and/or any premises temporarily occupied by the child. 3. The respondent avoid contacting the child and causing any person other than a party's attorney to contact the child unless child consents in writing and the court agrees the contact is in the best interest of the child. Contact includes: contact at child's home, work, school, public places, in person, by phone, in writing, by electronic communication or device, or in any other manner. Contact also means knowingly touching, meeting, communicating or being in visual or audio contact with the child. 4. The sheriff to assist in executing this injunction, if requested. 5. Other: [May not be inconsistent with the 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. THIS IS A FINAL ORDER FOR PURPOSES OF APPEAL. 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 or Child (if not the Petitioner) 3. Person filing on behalf of the Petitioner (child) 4. Respondent 5. Guardian ad Litem 6. Law Enforcement 7. Other: BY THE COURT: Circuit Court Judge Name Printed or Typed Date JC-1692, 08/12 Injunction (Order of Protection Child Abuse) Page 2 of 2 §§48.25(6) and 813.122, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
