400-00823 226 Motion to Enforce Child Support and/or Maintenance Supplement (10/2018) Page 1 of 2 STATE OF VERMONT SUPERIOR COURT FAMILY DIVISION Unit Docket No. Name DOB V. Name DOB NOTICE OF APPEARANCE & INTENT TO REPRESENT MYSELF I intend to represent myself and hereby enter my appearance with the Court. No attorney will represent me in this case unless an attorney or I notify the Court otherwise. I understand that IT IS MY RESPONSIBILITY TO: 1. Notify the Court in writing if I change my address or phone number; and 2. Send copies of any papers I file with the Court to the other party in this case. All Court papers may be mailed to me by first class mail at the address listed below. Name: Date of Birth: Street Address: City/State/Zip: Mailing Address (if different from Street Address): City/State/Zip: Email Address: Daytime Phone: Evening Phone: MOTION TO ENFORCE CHILD SUPPORT and/or MAINTENANCE SUPPLEMENT 1. I am the Plaintiff Defendant Office of Child Support 2. The other party is the Plaintiff Defendant 3. I request that the Court modify a child support order issued on (date) . By this Court By another Court: Name of Court Address of Court 4. The other party is required to pay: (check the appropriate box & fill in information) $ per in Child Support $ per in Maintenance Supplement 5. The other party has failed to: (check all that apply) pay Child Support as ordered by the Court. pay Maintenance Supplement as ordered by the Court. pay child222s health insurance as ordered by the Court. pay medical or other expenses as ordered by the Court. follow the Child Support Order in that he/she has failed to: American LegalNet, Inc. www.FormsWorkFlow.com 400-00823 226 Motion to Enforce Child Support and/or Maintenance Supplement (10/2018)Page 2 of 2 6.The other party owes the following amounts: (check all that apply) $ in child support as of . $ in maintenance supplement as of . $ for health insurance, medical or other expenses as ordered by the Court. 7.A Case Accounting Affidavit from the Office of Child Support (OCS):Is attached.Is NOT attached.8.The other party222s employer: The name of the other party222s employer is: I do not know the name of the other party222s employer.The other party is unemployed.The other party is self-employed.9.Wage Withholding:The Court has previously ordered the other party222s employer to withhold child support from hiswages.The Court has NOT ordered wage withholding. (Please note that if you wish to request expedited wagewithholding, you must file a separate petition for wage withholding.) 10.I know that the other party is aware of his/her obligation under the Order because: 11.This is the time I have filed a petition to enforce child support against the other party. REQUEST TO THE COURT I request that the Court: Enter a Judgment against the other party for all unpaid amounts ordered by the Court.Order that support including arrearages be paid to:The Office for Child Support on my behalf.Directly to me.Order the other party to pay a civil penalty (up to 10%) on any amount that has been unpaid for 30days or more.Order the other party to pay my reasonable attorney fees and costs for bringing this motion.Order the other party to conduct a good faith job search and to report when s/he gets a job.Grant any other relief this Court determines is appropriate. I hereby swear or affirm that the information above is true to the best of my knowledge and belief. Signature Signed and sworn to or affirmed before me: Date Signature of Notary Public Expiration Date Date American LegalNet, Inc. www.FormsWorkFlow.com