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Form Jc-1693 - Petition In Juvenile Court For Temporary Restraining Order And/or Petition And Motion For Injunction Hearing Page 6

Page 6 of 6 Case No.

Petition in Juvenile Court for Temporary Restraining Order and/or Petition and Motion for Injunction Hearing (Harassment)

IF the petitioner chooses service by publication, the Notice in the newspaper is public information and

will include the petitioner’s name and address which is otherwise kept confidential.

SI el demandante elige notificar mediante publicación, la Notificación en el periódico es información

pública e incluirá el nombre y la dirección del demandante, que de otro modo se mantendrían en

carácter confidencial.

*I am:

An adult filing on behalf of a child involved in a CHIPS proceeding. My relationship to the child is

*Soy

Un adulto que realiza la presentación en nombre del menor involucrado en proceso de protección a

menores (CHIPS). Mi relación con el menor es

An adult filing on behalf of a child and the respondent is a child.

Un adulto que realiza la presentación en nombre del menor y el demandado es un menor.

My relationship to the child is:

Mi relación con el menor es:

A child petitioner involved in a CHIPS proceeding.

Un demandante menor involucrado en proceso de protección a menores (CHIPS).

A child petitioner and the respondent is a child.

Un demandante menor y el demandado es un menor.

An adult petitioner and the respondent is a child.

Un demandante adulto y el demandado es un menor.



State of

Estado de

Signature of Person Completing the Petition

County of

Firma de la Persona que complete la Solicitud

Condado de

Subscribed and sworn to before me on

Suscrito y jurado ante mí

Name Printed or Typed

Nombre escrito en letra de molde o a máquina

Notary Public/Court Official

Notario Público/Funcionario del tribunal

Date Fecha

Name Printed or Typed

Nombre escrito en letra de molde o a máquina

My commission/term expires:

Mi matrícula/mandato rige hasta:

DISTRIBUTION:

1. Original - Court

2. Person to be Protected

3. Person filing on behalf of the Person to be Protected

4. Respondent

5. Guardian ad Litem (if any)

6. Law Enforcement

7. Other:

CONFIDENTIAL COURT RECORD – ACTA JUDICIAL CONFIDENCIAL

JC-1693, 05/16 Petition in Juvenile Court for Temporary Restraining Order and/or Petition and Motion for Injunction Hearing (Harassment) Spanish 07/16

§§48.25(6) and 813.125, Wisconsin Statutes

This form shall not be modified. It may be supplemented with additional material.

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Form Jc-1693 - Petition In Juvenile Court For Temporary Restraining Order And/or Petition And Motion For Injunction Hearing Page 6

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