Fill and Sign the Contempt Court Form

Continued on Attachment 1. PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT: CASE NUMBER: AFFIDAVIT OF FACTS CONSTITUTING CONTEMPTDomestic Violence/Cu stody and Visitation Attachment to Order to Show Cause and Affidavit for Contempt (form FL-410) 1. FL-412 AFFIDAVIT OF FACTS CONSTITUTING CONTEMPT Domestic Violence/Cu stody and Visitation Form Adopted for Mandatory Use Judicial Council of California FL-412 [Rev. January 1, 2003] Family Code, § 292; Code of Civil Procedure, §§ 1211.5, 2015.5 www.courtinfo.ca.gov The Citee has violated the restraining order issued on (date): by contacting, molesting, harassing, attacking, striking, threatening, sexually assaulti ng, battering, telephoning, sending any messages to, following, stalking, destroying the personal property of, disturbing the peace of, keeping under su rveillance, or blocking movements in public places and thoroughfares of me or any ot her person protected by the restraining order. (Specify which order was violated, how the order was violated, and when the violation occurred): 2. The Citee has violated the restraining order issued on (date): by not moving from and staying away from the residenc e as ordered by the court. (Specify how the order was violated and when the violation occurred): 3. The Citee has violated the restraining order issued on (date): by not staying (specify): yards away from me, the other protected persons, my residence, my place of work, the children's school or place of child care, my vehicle, or other (specify): (Specify which order was violated, how the order was violated, and when the violation occurred): 4. The Citee has violated the restraining order issued on (date): by not relinquishing his or her firearm(s) as ordered by the court. (Specify which order was violated, how the order was violated, and when the violation occurred): 5. The Citee has violated the restraining order issued on (date): by failure to complete court-ordered batterer's treat ment/anger management class (specify how the order was violated): 7. The Citee has violated the order issued on (date): by violating other orders (specify which order was violated and how the order was violated): I declare under penalty of perjury under the laws of the St ate of California that the foregoing is true and correct. Date: (SIGNATURE) Continued on Attachment 2. Continued on Attachment 3. Continued on Attachment 4. Continued on Attachment 5. Continued on Attachment 7. 6. The Citee has violated order issued on (date): by violating the following custody or visitation order (specify which order was violated, how the order was violated, and when the violation occurred): Continued on Attachment 6. (TYPE OR PRINT NAME) Page 1 of 1 Laura Lynn Morgan 31/03 Morgan I Love You