JDF 413 R 3 / 1 8 VERIFIED MOTION FOR CONTEMPT CITATION Municipal Court County Court District Court Denver Juvenile Denver Probate County, Colorado Court Address: Petitioner: v. Respondent: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom VERIFIED MOTION FOR CONTEMPT CI TATION Important notice be sure to read carefully. Check the boxes that apply in your case. I, , inform the Court that the Protection Order previously issued by the Court in this case has been violated. I ask th e Court to issue a contempt citation against the Restrained P erson and set the matter for hearing. As grounds for this request, I state as follows: 1. This Court issued a Protection Order as shown in the Court file on (date). 2. The Protection Order was served on the Restrained P erson on (date). A return of service is attached: Yes No 3. The Protection Order was violated on (date), at (time). 4. The Restrained P erson violated the P rotection O rder by doing the following. Be specific: What was the threat or acts of violence? Where did this occur? Were the minor children present? Describe non - compliance with court - ordered visitation, if applicable . 5. A criminal case involving these same facts is is not pending. If a criminal case is pending, the following charges have been filed: By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form . By checking this box, I am acknowledging that I have made a change to the original content of this form. V ERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the day of , , at (date) (month) (year) (city or other location, and state OR country ( Printed name of Petitioner or Respondent ) Signature of Petitioner or Respondent American LegalNet, Inc. www.FormsWorkFlow.com