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STATE OF WISCONSIN, CIRCUIT COURT,

COUNTY

Amended Muab kho dua

Temporary Restraining Order

Daim Ntawv Xaaj Tiv Thaiv Mus Ib Ntus

(Temporary Order of Protection)

(Kev Xaaj Tiv Thaiv Ib Ntus)

and Notice of Injunction Hearing

thiab Ceeb Toom txog Lub Rooj Sib Hais Muab Kev Txwv

(Harassment - 30711)

Kev Thab Ua Phem - 30711)

Case No.

Rooj Plaub Tus Naj Npawb

This form does not replace the need for an interpreter, any colloquies mandated by law, or the responsibility of the court and counsel to

ensure that persons with limited English proficiency fully comprehend their rights and obligations.

Daim foos no tsis hloov qhov xav tau ib tus neeg txhais lus, muaj kev sib tham txog dab tsi raws li txoj cai, los sis lub luag hauj lwm

ntawm lub tsev hais plaub thiab tus kws lij choj kom ntseeg tau tias cov neeg uas tsis txawj lus Meskas zoo muaj kev nkag siab txog

nws cov cai thiab nws cov hauj lwm yuav tau ua ntawd.

PETITIONER

(PERSON TO BE PROTECTED)

TUS NEEG UA NTAWV FOOB

(TUS NEEG UAS YUAV TAU TIV THAIV NWS)

Date of Birth of Petitioner

Name of Petitioner

(First, Middle, Last)

Hnub Yug ntawm Tus Neeg Ua Ntawv Foob

Npe ntawm Tus Neeg Ua Ntawv Foob

(Lub Npe, Npe Nruab Nrab,

Lub Xeem)

-VS-

-tawm tsam-

RESPONDENT/DEFENDANT

TUS NEEG RAUG FOOB/TUS NEEG TIV THAIV ROOJ PLAUB

SEX

RACE

DOB

Name of Respondent/Defendant

(First, Middle, Last)

Npe ntawm Tus Neeg Raug Foob/Tus Neeg Tiv Thaiv Rooj

POJ NIAM/

HAIV NEEG

HNUB YUG

SIAB

HNYAV

Plaub

TXIV NEEJ

(Lub Npe, Npe Nruab Nrab, Lub Xeem)

Respondent’s/Defendant’s Street Address, City, State, Zip

HAIR COLOR

EYE COLOR

Tus Neeg Raug Foob/Tus Neeg Tiv Thaiv Rooj Plaub Qhov Chaw Nyob, Nroog, Xeev,

XIM PLAUB HAU

XIM QHOV MUAG

Lej Cim Zos (Zip)

Respondent’s/Defendant’s Distinguishing Features

Please specify Petitioner’s relationship(s) to Respondent/Defendant:

Tus Neeg Raug Foob/Tus Neeg Tiv Thaiv Rooj Plaub Tej

Thov qhia tus Neeg Ua Ntawv Foob qhov (cov) kev txheeb ze rau tus Neeg Raug

Yam Ntxwv Ua Rau Cim Tau Nws

Foob/Tus Neeg Tiv Thaiv Rooj Plaub:

(such as scars, marks or tattoos)

spouse

cousin

adoptive parent

(xws li caws pliav, kos los sis kev kos duab rau tawv nqaij)

tus txij nkawm

kwv tij/viv ncaus

niam/txiv saws me nyuam los tu

former spouse

sibling

grandparent

tus txij nkawm yav tas los

nkauj muam

pog (niam tais)/yawg (yawm

nraug nus koom

txiv)

None known. Tsis paub seb puas muaj.

niam txiv

person in dating relationship

parent

child (biological/adoptive/step)

hluas nkauj/hluas nraug

niam/txiv

me nyuam (roj ntsha yug los/saws

current or former live-in

step parent

los tu/me nyuam tshiab)

relationship tus neeg nrog

niam/txiv tshiab

nyob tam sim no los yog yav tag

Other:

Txheeb lwm qhov:

[Be specific]

[Qhia kom meej]

CV-406, 05/16 Temporary Restraining Order and Notice of Injunction Hearing (TRO-Harassment)

Hmong 07/16

§813.125, Wisconsin Statutes

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

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Form Cv-406 - Temporary Restraining Order And Notice Of Injunction Hearing (Tro-Harassment)

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