INFORMATION SHEET FOR ORDER TO SHOW CAUSE
AND AFFIDAVIT FOR CONTEMPT
Please follow these instructions to complete the Order to Show Cause and Affidavit for Contempt (form FL-410) if you do
not have an attorney to represent you. Your attorney, if you have one, should complete this form, as well as the Affidavit
of Facts Constituting Contempt (form FL-411 or form FL-412). You may wish to consult an attorney for assistance.
Contempt actions are very difficult to prove. An attorney may be appointed for the citee.
INSTRUCTIONS FOR COMPLETING THE ORDER TO SHOW CAUSE AND AFFIDAVIT FOR CONTEMPT (TYPE OR
PRINT FORM IN INK):
Front page, first box, top of form, left side: Print your name, address, telephone number, and fax number, if any, in this
box. If you have a restraining order and wish to keep your address confidential, you may use any address where you can
receive mail. You can be legally served court papers at this address.
Insert the name of the party who disobeyed the order ("the citee").
If the top section of the form has already been filled out, skip down to number 1 below. If the top section of the form is
blank, you must provide this information.
Front page, second box, left side: Print the name of the county where the court is located and insert the address and any
branch name of the court building where you are seeking to obtain a contempt order. You may get this information from
the court clerk. This should be the same court in which the original order was issued.
Front page, third box, left side: Print the names of the Petitioner, Respondent, and Other Party/Parent (if any) in this box.
Use the same names as appear on the most recent court order disobeyed.
Front page, first box, top of form, right side: Leave this box blank for the court's use.
Front page, second box, right side: Print the court case number in this box. This number is also shown on the most recent
court order disobeyed.
The court clerk will provide the hearing date and location.
Either check the box in item 3 and attach an Affidavit of Facts Constituting Contempt (form FL-411 for financial
orders or form FL-412 for domestic violence, or custody and visitation orders), or leave the box in item 3 blank but
check and complete item 8.
Check the box that describes how the citee knew about the order that has been disobeyed.
Check this box if you have not previously applied for a contempt order.
Check this box if you have previously applied for a contempt order and briefly explain when you requested the
order and results of your request. If you need more space, check the box that says "continued on Attachment
6b" and attach a separate sheet to this order to show cause.
Check this box if the citee has previously been found in contempt by a court of law. Briefly explain when the
citee was found in contempt and for what. If there is not enough space to write all the facts, check the box that
says "continued on Attachment 7" and attach a separate sheet to this order to show cause.
Check this box if the citee has disobeyed orders for child support, custody, visitation, spousal support, family
support, attorney fees, and court or litigation costs. Refer to item 1a on Affidavit of Facts Constituting
Contempt (form FL-411).
Check this box if the citee has disobeyed domestic violence orders or child custody and visitation orders.
Refer to Affidavit of Facts Constituting Contempt (form FL-412).
(Do NOT deliver this Information Sheet to the court clerk.)
ORDER TO SHOW CAUSE AND AFFIDAVIT FOR CONTEMPT
FL-410 [Rev. January 1, 2015]
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