Continued on Attachment 1.
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:
CASE NUMBER:
AFFIDAVIT OF FACTS CONSTITUTING CONTEMPT
Domestic Violence/Custody 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/Custody 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 assaulting, battering, telephoning, sending any messages to, following,
stalking, destroying the personal property of, disturbing the peace of, keeping under surveillance, or blocking movements in
public places and thoroughfares of me or any other 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 residence 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 treatment/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 State 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
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