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IN THE CIRCUIT COURT OF THE 15TH JUDICIAL (The 15th Judicial Circuit of Florida)

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Florida Supreme Court Approved Family Law Form 12.961, Notice of Hearing on Motion for
Contempt/Enforcement (09/18)
IN THE CIRCUIT COURT OF THE 15TH JUDICIAL CIRCUIT,
IN AND FOR PALM BEACH COUNTY, FLORIDA
Case No.: __________________________
Division: ___________________________
______________________________________,
Petitioner,
and
______________________________________,
Respondent.
NOTICE OF HEARING ON MOTION FOR
CONTEMPT/ENFORCEMENT IN SUPPORT MATTERS
(RULE 12.615)
TO: {name of other party} _____________________________________________________________
There will be a hearing before ________________________________ {name of judge or hearing officer},
on {date}_____________________, at {time} _______ m., in room ________ of the
_______________________Courthouse, on the _____ Petitioner's _____ Respondent's Motion for
Contempt/Enforcement in Support Matters. ____hour(s)/____ minutes have been reserved for this
hearing.
FAILURE TO APPEAR AT THE HEARING MAY RESULT IN THE COURT ISSUING A WRIT OF BODILY
ATTACHMENT FOR YOUR ARREST. IF YOU ARE ARRESTED, YOU MAY BE HELD IN JAIL UP TO 48 HOURS
BEFORE A HEARING IS HELD.
You are strongly urged to prepare and file a Florida Family Law Rules of Procedure Financial Affidavit,
prior to the hearing, as your ability to pay is a critical issue in this contempt proceeding.
You will be provided an opportunity at the hearing to respond to allegations and questions about your
present financial status.
This part is to be filled out by the court or to be filled in with information obtained from the court:
Florida Supreme Court Approved Family Law Form 12.961, Notice of Hearing on Motion for
Contempt/Enforcement (09/18)
If you are a person with a disability who needs any accommodation in order
to participate in this proceeding, you are entitled, at no cost to you, to the
provision of certain assistance. Please contact:
__________________________________________________________________
{identify applicable court personnel by name, address, and telephone number }
at least 7 days before your scheduled court appearance, or immediately upon
receiving this notification if the time before the scheduled appearance is less
than 7 days; if you are hearing or voice impaired, call 711.
YOU ARE ADVISED THAT FOR THIS HEARING
a. _____ Electronic recording is provided by the court. A party may provide a court reporter at
that party’s expense.
b. _____ A court reporter is provided by the court.
c. _____ No electronic recording is provided by the court and the court does not provide a court
reporter. A party may provide a court reporter at that party’s expense.
If you are represented by an attorney or plan to retain an attorney for this matter, you should notify the
attorney of this hearing.
If this matter is resolved, the moving party shall contact the judge or hearing officer’s office to cancel
this hearing.
I certify that a copy of this document was _____ mailed _____ faxed and mailed _____ e-mailed
_____hand delivered to the person(s) listed below on {date} ______________.
Other party or his/her attorney:
Name: ______________________________________
Address: ____________________________________
City, State, Zip: _______________________________
Fax Number: _________________________________
Designated E-mail Address(es):___________________
____________________________________________
___________________________________
Signature of Party
Printed Name: ______________________
Address: ___________________________
City, State, Zip: ______________________
___________________________________
Telephone Number: __________________
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Florida Supreme Court Approved Family Law Form 12.961, Notice of Hearing on Motion for
Contempt/Enforcement (09/18)
Fax Number: ________________________
Designated E-mail Address(es);__________
___________________________________
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:
[fill in all blanks] This form was prepared for the: {choose only one} _____Petitioner ____ Respondent.
This form was completed with the assistance of:
{name of individual} ___________________________________________________________________,
{name of business}_____________________________________________________________________,
{address}_____________________________________________________________________________,
{city} ______________, {state} ____, {zip code}__________, {telephone number} ___________________.
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IN THE CIRCUIT COURT OF THE 15TH JUDICIAL (The 15th Judicial Circuit of Florida)

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Completed 13 June 2021

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