Note : This general form is not to be used for violations of orders General Form 8a of child support issued pursuant to Articles 4, 5 or (Petition - Violation 5 - B or orders of disposition issued pursuant to Articles of Court Order) 3, 7 or 10 of the Family Court Act. 3/2018 FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF ............................................................................. In the Matter of a Proceeding under Article of the Family Court Act Docket No. Petitioner, - against - PETITION (Violation of Respondent. Court Order) ............................................... ............................... WARNING : THE PURPOS E OF THE HEARING REQUESTED IN THIS PETITION IS TO PUNISH [Specify name]: FOR CONTEMPT OF COURT, WHICH MAY INCLUDE SANCTIONS OF A FINE OR IMPR ISONMENT OR BOTH. YOUR FAILURE TO APPEAR IN COURT MAY RESULT IN YOUR IMMEDIATE ARREST AND IMPRISONMENT FOR CONTEMPT OF COURT. TO THE FAMILY COURT: The undersigned Petitioner Respondent respectfully shows that: 1. a. Petitioner, , [check applicable box] : resides is located at [specify address or indicate if ordered to be kept confidential pursuant to Family Court Act 247154 - b(2) or Domestic Relations Law 247254]: b. Respondent , , [check applicable box]: resides is located at [specify address or indicate if ordered to be confidential, pursuant to Family Court Act 247154 - b(2) or Domestic Relations Law 247254]: 2. B y order of this Court, dated , , the Petitioner Respondent was di rected to 3. (Upon information and belief) Petitioner Respondent has failed to obey the Order of this Court in that [specify]: American LegalNet, Inc. www.FormsWorkFlow.com General Form 8a Page 2 4. The following child(ren) (is)(are) the su bject(s) of the proceeding resulting in the issuance of the Order alleged to have been violated: Name Date of Birth Address 1 5. Petitioner Respondent has defeated, impaired, impeded or prejudiced the rights or remedies of Petitioner Respondent , in that [specify]: 6. No previous application has been made to any court or judge for the relief herein requested (exc ept [specify;]: WHEREFORE, Petitioner Respondent that the Petitioner Respondent be dealt with in accordance with applicable provisions of law. Dated: Signature of Petitioner Respondent Print or type name s ignature of Attorney, if any 1 Unless the Court has ordered the address to be confidential on the ground that disclosure would pose an unreasonable health or safety risk. See Family Court Act 247154 - b; Form 21, 21a (on - line at www.nycourts.gov). American LegalNet, Inc. www.FormsWorkFlow.com General Form 8a Page 3 VERIFICATION STATE OF NEW YORK ) ):ss. : COUNTY OF ) being duly sworn, says t hat (s)he is the Petitioner Respondent in the above - named proceeding and that the foregoing petition is true to (his) (her) own knowledge, except as to matters therein stated to be alleged on information and belief and as to those matters (s)he believe s it to be true. Petitioner Respondent Sworn to before me this day of . (Deputy) Clerk of the Court Notary Public American LegalNet, Inc. www.FormsWorkFlow.com