MOTION FOR CONTEMPT CITATION/ MOTION FOR MODIFICATION JD-FM-135 Rev. 6-98 C.G.S. § 46b-87a STATE OF CONNECTICUT SUPERIOR COURT TO PREPARER 1. Prepare original and 3 copies. 2. Forward original and 3 copies to the clerk. The clerk will assign a court appearance date. 3. After return by clerk, keep 1 copy for your files and contact proper officer for service. INSTRUCTIONS TO CLERK 1. Fill in information required under the "Order for Hearing and Notice to Respondent" section before making service. 2. Assign court hearing date and time; sign the "Order for Hearing and Notice to Respondent" and "Summons". 3. Return original and 2 copies to Preparer. NOTE: Filing fee(s) are required unless ordered waived. (See form JD-FM-75) Application is made to issue a CONTEMPT CITATION against the below named Respondent for failing to comply with the visitation order referenced below (if modification sought, "X" box at right). NAME OF CASE DOCKET NO. MODIFICATION OF VISITATION ORDER IS ALSO REQUESTED DATE OF JUDGMENT/ORDER JUDICIAL DISTRICT OF ADDRESS OF COURT (Number, street, town and zip code) NAME OF RESPONDENT ADDRESS OF RESPONDENT (Number, street, town and zip code) NAME OF APPLICANT ADDRESS OF APPLICANT (Number, street, town and zip code) THE APPLICANT REQUESTS A FINDING OF CONTEMPT/MODIFICATION OF VISITATION FOR THE FOLLOWING REASONS: I certify that the above information is true to the best of my knowledge and belief: DATE SIGNED SIGNED (Applicant) ORDER FOR HEARING AND NOTICE TO RESPONDENT It is ordered that the above-named Respondent appear before the Superior Court at: ADDRESS OF SUPERIOR COURT DATE TIME to show cause why said respondent should not be held in contempt of court for violation of visitation as ordered by the court. If you fail to appear in court in connection with the motion for contempt on the date and time shown above, a capias may be issued for your arrest. If requested, a modification of the above-referenced visitation order may also issue. BY THE COURT SIGNED (Assistant Clerk) DATE SIGNED , JUDGE SUMMONS To: Any Proper Officer BY AUTHORITY OF THE STATE OF CONNECTICUT, you are commanded to make service of the foregoing motion(s), order and notice on the above-named respondent by leaving a true and attested copy with and in the hands of the respondent at least twelve (12) days, inclusive, before the court appearance date indicated above. Hereof fail not but due return make at least six (6) days before the court appearance date specified above. BY THE COURT SIGNED (Assistant Clerk) DATE SIGNED , JUDGE ORDER OF COURT The foregoing motion(s) having been heard, it is ORDERED: BY THE COURT SIGNED (Assistant Clerk) FILE DATE (For court use only) DATE SIGNED , JUDGE MOTION FOR CONTEMPT CITATION/MOTION FOR 2000 (C) American LegalNet, Inc.