Form Jc-1693 - Petition In Juvenile Court For Temporary Restraining Order And/or Petition And Motion For Injunction Hearing Page 3

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Page 3 of 3 Case No.
Petition in Juvenile Court for Temporary Restraining Order and/or Petition and Motion for Injunction Hearing (Harassment)
6. If the court grants the injunction, the petitioner requests the court
1. not order the respondent to surrender his/her firearm(s). OR
2. order the respondent to surrender and not possess a firearm while the injunction is in effect
because the petitioner believes that the respondent may use a firearm to cause physical harm
to another or endanger public safety.
7. Direct the sheriff to accompany the petitioner and assist in placing the petitioner in physical possession of
his or her residence, if requested.
SERVICE ON RESPONDENT
Before the injunction hearing, it is the petitioner’s responsibility to contact the sheriff’s office or other
process server to verify that the documents were served and proof of service is filed with the Clerk of Circuit
Court. The court will not do this for the petitioner. If available in your county, another way to verify if the
documents were served is to register with VPO (VINE Protective Order) on its website at
If the respondent cannot be personally served with Temporary Restraining Order and Notice of Injunction
Hearing:
, the respondent can be served by publication using Publication Notice form
Harassment (JC-1693)
(CV-505).
 The petitioner must file with the court an affidavit stating that service of the respondent by the sheriff
or a private process server was unsuccessful because the respondent was avoiding service by
concealment or otherwise. The petitioner should get this affidavit from the sheriff or private process
server.
 The petitioner also must send the Temporary Restraining Order and Notice of Injunction Hearing:
to the respondent via mail or facsimile and must provide proof of transmission
Harassment (JC-1693)
(e.g. certified mail receipt, affidavit of mailing or faxing). The mailing or sending of a facsimile may be
omitted if the post-office address or facsimile number cannot be ascertained with due diligence.
The clerk of circuit court shall forward the temporary restraining order to the sheriff and the sheriff shall
assist the petitioner in serving the temporary restraining order.
If a service fee is required by the sheriff under §814.70(1), Wis. Stats., the petitioner shall pay the fee directly to
the sheriff. If the court checks box number 3. Under “The Court Orders” section of the Temporary Restraining
Order and Notice of Injunction Hearing (CV-406), no service fee is required to be paid to the sheriff.
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.
*I am:
An adult filing on behalf of a child involved in a CHIPS proceeding. My relationship to the child is
.
An adult filing on behalf of a child and the respondent is a child.
My relationship to the child is:
.
A child petitioner involved in a CHIPS proceeding.
A child petitioner and the respondent is a child.
An adult petitioner and the respondent is a child.
State of
County of
Subscribed and sworn to before me on
Signature of Person Completing the Petition
Notary Public/Court Official
Name Printed or Typed
Name Printed or Typed
Date
My commission/term expires:
DISTRIBUTION:
4. Respondent
1. Original - Court
5. Guardian ad Litem(if any)
2. Person to be Protected
6. Law Enforcement
3. Person filing on behalf of the Person to be Protected
7. Other:
CONFIDENTIAL COURT RECORD
JC-1693, 05/16 Petition in Juvenile Court for Temporary Restraining Order and/or Petition and Motion for Injunction Hearing (Harassment)
§§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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