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Temporary Restraining Order And Notice of Injunction Hearing (Individual At Risk-30713) CV-429 - Wisconsin
| Temporary Restraining Order And Notice of Injunction Hearing (Individual At Risk-30713) 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 Temporary Restraining Order (Temporary Order of Protection) and Notice of Injunction Hearing (Individual at Risk - 30713) Case No. PETITIONER (INDIVIDUAL AT RISK) Name of Petitioner (First, Middle, Last) Date of Birth of Individual at Risk -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 Individual at Risk'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 individual at risk. THE COURT FINDS: Findings are on the following page(s) of this temporary restraining order. THE COURT ORDERS: Orders are on the following page(s) of this temporary restraining order. THIS TEMPORARY RESTRAINING ORDER SHALL BE EFFECTIVE UNTIL Injunction Hearing Date-Not to exceed 14 days 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 temporary restraining order. Violation of this temporary restraining order shall result in immediate arrest and is punishable by imprisonment not to exceed 9 months or a fine not to exceed $1,000, or both, and payment of filing and service fees. Only the court can change this order. CV-429, 08/12 Temporary Restraining Order and Notice of Injunction Hearing (TRO-Individual at Risk) §813.123, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Temporary Restraining Order and Notice of Injunction Hearing (TRO - Individual at Risk) Page 2 of 3 Case No. THE COURT FINDS: 1. The petitioner (individual at risk) or person/agency on behalf of the individual at risk filed a petition alleging the elements under §813.123, Wis. Stats. 2. This court has personal and subject matter jurisdiction. 3. There are reasonable grounds to believe that the respondent has interfered with, or based on prior conduct of the respondent, may interfere with, an investigation of the individual at risk and that the interference complained of, if continued, would make it difficult to determine if physical abuse, emotional abuse, sexual abuse, treatment without consent, unreasonable confinement or restraint, financial exploitation, neglect or self neglect has occurred, is occurring, or may recur. interfered with the delivery to the individual at risk of protective services or a protective placement of the individual at risk after the offer of protective services or protective placement has been made and the individual at risk or his/her guardian, if any, has consented to receipt of the protective services or protective placement; or that the respondent has interfered with the delivery of services to an elder adult at risk. engaged in or threatened to engage in physical abuse, emotional abuse, sexual abuse, treatment without consent, unreasonable confinement or restraint, financial exploitation, neglect, harassment, stalking of the individual at risk, or mistreatment of an animal. 4. Neither the individual at risk, 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 individual at risk to have contact with the respondent. 5. The court 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 Circuit Court Judge Time Location 2. Service of this notice and order shall be made at least hours prior to the hearing. 3. The respondent avoid interference with an investigation of the individual at risk or the elder adult at risk, the delivery of protective services to the individual at risk, or a protective placement of the individual at risk, or the delivery of services to the elder adult at risk. 4. The respondent cease engaging in or threatening to engage in physical abuse, emotional abuse, sexual abuse, treatment without consent, unreasonable confinement or restraint, financial exploitation, neglect, harassment, stalking of the individual at risk, or mistreatment of an animal. 5. The respondent avoid the residence of the individual at risk and/or any other location temporarily occupied by the individual at risk. 6. The respondent avoid contacting the individual at risk and causing any person other than a party's attorney or a law enforcement officer to contact the individual at risk. Contact includes: contact at petitioner/individual at risk's home, work, school, public places, in person, by phone, in writing, by electronic communication or device, or in any other manner. 7. The respondent shall not intentionally prevent a representative or employee of the county protective services agency from meeting, communicating, or being in visual or audio contact with the adult at risk, except as noted here: 8. The sheriff to assist in executing this petition for temporary restraining order and/or petition and motion for injunction hearing, if requested. CV-429, 08/12 Temporary Restraining Order and Notice of Injunction Hearing (TRO-Individual at Risk) §813.123, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Temporary
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