Form Cv-406 - Temporary Restraining Order And Notice Of Injunction Hearing (Page 2 of 2) in pdf

Temporary Restraining Order and Notice of Injunction Hearing (TRO-Harassment)

Page 2 of 2

Case No.

THE COURT FINDS:

1. The petitioner or person on behalf of petitioner filed a petition alleging harassment under §813.125, Wis. Stats.

2. This court has personal and subject matter jurisdiction.

3. There are reasonable grounds to believe that the respondent has engaged in harassment with intent to harass or

intimidate the petitioner as defined in §813.125, Wis. Stats.

4. 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

Time

Location

Circuit Court Judge/Circuit Court Commissioner

2. Service of this notice and order shall be made at least

hours prior to the hearing.

3. The action may be commenced without payment of filing fees because the petition alleges conduct that is the

same as or similar to conduct that is prohibited under §940.32, Wis. Stats.; or is intentional infliction of physical

pain, physical injury or illness; or is an intentional impairment of physical condition; or is a §940.225(1), (2) or (3),

Wis. Stats.; or is a violation of §943.01, Wis. Stats., involving property that belongs to the individual; or is a threat

to engage in the above mentioned conduct.

4. The respondent cease or avoid the harassment of the petitioner.

5. The respondent avoid the petitioner’s residence and/or any premises temporarily occupied by the petitioner.

Contact includes: contact at petitioner’s home,

6. The respondent avoid contact that harasses or intimidates the petitioner.

work, school, public places, in person, by phone, in writing, by electronic communication or device, or in any other manner.

7. The respondent refrain from removing, hiding, damaging, harming, or mistreating, or disposing of, a household pet.

8. The respondent allow the petitioner or a family member or household member of the petitioner acting on his/her

behalf to retrieve a household pet.

9. The respondent avoid contacting the petitioner or causing any person other than a party's attorney or law

enforcement officer to contact the petitioner unless the petitioner consents in writing.

10. The sheriff to accompany the petitioner and assist in placing the petitioner in physical possession of his/her

residence, if requested.

11. Other:

[May not be inconsistent with remedies requested in the petition.]

(Harassment is defined as: (a) Striking, shoving, kicking or otherwise subjecting the person to physical contact; or (b) Engages

in an act that would constitute child abuse under §48.02(1); or (c) Sexual assault under §940.225; or (d) Stalking under

§940.32; or attempts or threatens to do same; or (e) Engages in a course of conduct or repeatedly commits acts which harass

or intimidate the person and which serve no legitimate purpose.)

FAILURE TO APPEAR could result in an injunction being issued directing you to

 cease or avoid the harassment of the petitioner;

 avoid the petitioner’s residence and/or any premises temporarily occupied by the petitioner;

 avoid contact that harasses or intimidates the petitioner.

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

; AND

 follow any other orders made by this court.

VIOLATION OF AN INJUNCTION if issued at this hearing shall result in your arrest and may result in the imposition of

criminal penalties regardless of whether you have been served a copy of the injunction. Service of a copy of this notice

of injunction hearing and the petition for the temporary restraining order and/or injunction is constructive knowledge of

the existence of the injunction.

THIS TEMPORARY RESTRAINING ORDER IS IN EFFECT UNTIL THE INJUNCTION HEARING.

BY THE COURT:

If you require reasonable accommodations to participate

in the court process due to a disability, please call

at least 10

Circuit Court Judge/Circuit Court Commissioner

working days prior to the scheduled court date. Please

note that the court does not provide transportation.

Title (Print or Type Name if not eSigned)

DISTRIBUTION:

1. Court

2. Petitioner

3. Person filing on behalf of the petitioner

Date

4. Respondent

5. Law Enforcement

6. Other:

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

§813.125, Wisconsin Statutes

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

Page 2 of 2

Form Cv-406 - Temporary Restraining Order And Notice Of Injunction Hearing Page 2

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