Fill and Sign the To Show Cause for Contempt Form

OFP301 State ENG Rev 7/15 www. mncourts. gov/forms Page 1 of 2 State of Minnesota District Court County Judicial District: Court File Number: Case Type: Domestic Abuse In the Matter of: Petitioner Affidavit and Order vs. to Show Cause for Contempt (Minn. Stat. § 518B.01) Respondent STATE OF MINNESOTA ) ) SS COUNTY OF ) I, (Petitioner)(Peace Officer) (Other interested party designated by the Court) state that Respondent violated the following provisions of the Restraining Order dated . (List provisions of the Order that Respondent violated.) These provisions were violated when Respondent committed the following acts (Describe specific acts including what happened, who was involved and approximate dates. List the most recent dates first. Add additional sheets if necessary.) I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn. Stat. § 358.116. Dated : Signature Name: Address: City/State/Zip: Telephone: ( ) E-mail address: OFP301 State ENG Rev 7/15 www. mncourts. gov/forms Page 2 of 2 Order TO: , the Respondent: Based on the Affidavit and all of the records and proceedings in this ma tter, YOU ARE ORDERED to appear at on (Address) ( Date) at .m. and explain why you should not be found in Contempt of Court for violating the (Time) Order for Protection dated . It is further ordered that the appropriate law enforcement ag ency shall help Petitioner execute and / or serve this Order, without charge. Note: All responsive pleadings shall be served and mailed to or filed with the court administrator no later than five days prior to the scheduled hearing. The Court may, in its discretion, disregard any responsive pleadings served or filed with the court admini strator less than five days prior to such hearing in ruling on the motion or matter in question. If you do not appear, the court may hold you in conte mpt of court, and may issue a warrant for your arrest. Dated:. Judge of District Court NOTE: Bring witnesses and any supporting documentation to the hearing. Distribution ______ Certified copy or original - Return to Court Administrator with Affidavit of Personal Service attached Copy for Petitioner(s) Copy for Respondent(s) Copy for file until original returned Copy for local police department Copy for Sheriff Other: ______ Dissolution File