JV-118 (Rev. 06/14/2013)
COMPLAINT FOR
CIVIL CONTEMPT
DOCKET NUMBER
Trial Court of Massachusetts
Juvenile Court Department
CASE NAME
DIVISION
(print or type full name)
1. Plaintiff(s) Information:
Name:
Address:
Name:
Address:
(street and no.) (city or town) (state) (zip code)
(zip code)(state)(city or town)(street and no.)
(print or type full name)
2. Defendant(s) Information:
Name:
Address:
Name:
Address:
(print or type full name)
(street and no.) (city or town) (state) (zip code)
(zip code)(state)(city or town)(street and no.)
(print or type full name)
3. Alleged Contempt of Order Judgment of the Court, dated
Case Docket No.:
Case Name:
Check box if copy of Order/Judgment is attached.
4. The Defendant(s) failed to comply with the Court's order/judgment by (explain with specificity):
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
WHEREFORE, the Plaintiff(s) request that the Court issue a summons for the Defendant(s) to appear for a hearing for the
Court to determine whether the Defendant(s) should be found in civil contempt.
Signature and Verification of Complaint
I/we verify that the statements made in this complaint are true and correct and of my/our own knowledge.
Date:
(Signature of Plaintiff)
Date:
(Signature of Plaintiff)
(Court Use Only)
Issue summons Do not issue summons
Date:
(Signature of Justice)
