Free Petition for Contempt - Nebraska

Clear Form

THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us

Court Name: Case Name: Case Number:
(if known)

PETITION FOR CONTEMPT
1. Your Name Date of Birth Residence Address Mailing Address (if different) Telephone Number (Home) 2. Other Party's Name Date of Birth Residence Address Mailing Address (if different) Telephone Number (Home) 3. List minor children born to or adopted by the parties: Name Date of Birth Name Date of Birth (Work) E-mail address (optional) (Work) E-mail address (optional)

4.

Please check one of the following regarding public assistance: No public assistance (TANF) is now being or has within the last 6 months been provided, nor is medical assistance (Medicaid) presently being provided for the minor children of the parties. The NH Department of Health and Human Services is providing or has provided within the last 6 months public assistance (TANF) and/or medical assistance (Medicaid) for any minor children of the parties. If you check this box, you must mail copies of this petition and the personal data sheet to DHHS at: New Hampshire Department of Health and Human Services Division of Child Support Services - Legal Unit 129 Pleasant Street Concord, NH 03301

NHJB-2199-FS (04/09/2009) (formerly AOC 015-008)

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Case Name: Case Number: PETITION FOR CONTEMPT

5.

What order(s) is/are not being followed?

Date(s) (if known) of the court order(s) which is/are not being followed: How is/are the order(s) not being followed?

(Please attach additional page(s) if necessary.)

6.

By filing this petition, you are asking the Court to hold the other party in contempt and order the other party to immediately obey the orders referred to in this Petition. The Court will schedule a hearing on your request. OTHER REQUESTS: A. Order the other party to pay attorney's fees (if you have an attorney). B. Order the other party to pay the filing fees. C. Other (be specific).

D. Grant any other orders which may be appropriate.
Date Signature of Person Filing Petition (Sign in front of Notarial Officer) Printed Name of Person Filing Petition Attorney (if any) Attorney's Address Bar #

State of This instrument was acknowledged before me on My Commission Expires Affix Seal, if any
NHJB-2199-FS (04/09/2009) (formerly AOC 015-008)

, County of by
Signature of Notarial Officer / Title
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