Superior Court of Washington County of In re: No. Petitioner, and Order on Show Cause re Contempt/Judgment (ORCN) Next Hearing Date: Respondent. [ ] Clerk’s Action Required, ¶ 3.8 I. Judgment Summary [] [] Does not apply. Applies as follows: A. B. C. Judgment creditor Judgment debtor Principal judgment amount (back child support/medical support/other obligations/ maintenance) from (date) __________ through (date) __________ $ Interest to date of judgment $ Attorney fees $ Costs $ Other recovery amount $ Principal judgment shall bear interest at __________% per annum Attorney fees, costs and other recovery amounts shall bear interest at __________% per annum Attorney for judgment creditor Attorney for judgment debtor Other: D. E. F. G. H. I. J. K. L. Ord on Show Cause re Cntmpt/Jdgmnt (ORCN) - Page 1 of 7 WPF DRPSCU 05.0200 Mandatory (10/2009) - RCW 26.09.160, 7.21.010 American LegalNet, Inc. www.FormsWorkFlow.com II. Findings and Conclusions This Court Finds: 2.1 Compliance With Court Order (Name) ____________________________________ [ ] did comply [ ] intentionally failed to comply with a lawful order of the court dated on ____________________________________. 2.2 Nature of Order The order is related to [ ] child support [ ] medical support [ ] child care, educational expenses, transportation expenses, or other special expenses [ ] spousal maintenance [ ] parenting plan (custody/visitation) [ ] a restraining order. 2.3 How the Order was Violated [] [] 2.4 The order was not violated. This order was violated in the following manner (include dates and times, and amounts, if any): Past Ability to Comply With Order (Name) ___________________________________ [ ] had [ ] did not have the ability to comply with the order as follows: 2.5 Present Ability and Willingness to Comply With Order (Name) ___________________________________ [ ] has [ ] does not have the present ability to comply with the order as follows: (Name) ___________________________________ [ ] has [ ] does not have the present willingness to comply with the order as follows: 2.6 Back Child Support/Medical Support/Other Unpaid Obligations/Maintenance Ord on Show Cause re Cntmpt/Jdgmnt (ORCN) - Page 2 of 7 WPF DRPSCU 05.0200 Mandatory (10/2009) - RCW 26.09.160, 7.21.010 American LegalNet, Inc. www.FormsWorkFlow.com [] [] [] [] [] [] [] 2.7 Back child support/medical support/ child care, educational expenses, transportation expenses, or other special expenses/maintenance is not addressed in the contempt motion. No back child support, medical support, child care, educational expenses, transportation expenses, or other special expenses, or maintenance is owed. (Name) ___________________________________ failed to pay the other party the sum of $_______________ for child support and interest to date in the amount of $_______________ for the period from ________________ through ________________. (Name) ___________________________________ failed to pay the other party the sum of $_______________ for medical support and interest to date in the amount of $_______________ for the period from ________________ through ________________. (Name) ___________________________________ failed to pay the other party the sum of $_______________ for child care, educational expenses, transportation expenses, or other special expenses and interest to date in the amount of $_______________ for the period from ________________ through ________________. (Name) ___________________________________ failed to pay the other party the sum of $_______________ for maintenance and interest to date in the amount of $_______________ for the period from ________________ through ________________. Other: Compliance With Parenting Plan [] [] [] Does not apply. (Name) ___________________________________ has complied, and is currently willing to comply, with the parenting plan. (Name) ___________________________________ has not complied with [] [] [] [] 2.8 the residential (visitation) provisions of the parenting plan and had the ability to comply with the parenting plan, and is currently unwilling to comply. The noncompliance with the residential provisions [ ] was [ ] was not in bad faith. decision making provisions of the parenting plan and had the ability to comply with the parenting plan, and is currently unwilling to comply. dispute resolution provisions of the parenting plan and had the ability to comply with the parenting plan, and is currently unwilling to comply. Other: Attorney Fees and Costs Ord on Show Cause re Cntmpt/Jdgmnt (ORCN) - Page 3 of 7 WPF DRPSCU 05.0200 Mandatory (10/2009) - RCW 26.09.160, 7.21.010 American LegalNet, Inc. www.FormsWorkFlow.com [] [] Does not apply. The attorney fees and costs awarded in paragraph 3.7 below have been incurred and are reasonable. III. Order and Judgment It is Ordered: 3.1 Contempt Ruling (Name) ___________________________________ [ ] is [ ] is not in contempt of court. 3.2 Imprisonment [] [] Does not apply. (Name) ________________________________________ is to be confined in the (name of county) ____________________________________ County Jail. [] [] [] 3.3 Other: Additional Residential Time [] [] 3.4 Confinement shall commence immediately and shall continue until (date) ________________________ or until the contempt is purged as set forth in paragraph 3.6 below, in which case the contemnor shall be released immediately. Confinement is suspended as follows: Does not apply. (Name) _____________________________________ shall have additional residential time as follows: Judgment for Past Child Support [] [] [] Does not apply. No judgment for past child support was requested. (Name) ___________________________________ shall have judgment against (name) ___________________________________ in the amount of $ _______________ for unpaid child support arrearages and $ _______________ interest thereon for the period from (date) ______________________ through (date) ______________________. Ord on Show Cause re Cntmpt/Jdgmnt (ORCN) - Page 4 of 7 WPF DRPSCU 05.0200 Mandatory (10/2009) - RCW 26.09.160, 7.21.010 American LegalNet, Inc. www.FormsWorkFlow.com 3.5 Judgment for Past Medical Support [] [] [] 3.6 Judgment for Other Unpaid Obligations [] [] [] 3.7 Does not apply. The contemnor may purge the contempt as follows: Attorney Fees and Costs [] [] 3.10 Does not apply. No judgment for past maintenance was requested. (Name) ___________________________________ shall have judgment against (name) _______________________________ in the amount of $ ______________ for unpaid maintenance arrearages and $ _______________ interest thereon for the period from (date) ________________ through (date) __________________. Conditions for Purging the Contempt [] [] 3.9 Does not apply. No judgment for past child care, educational expenses, transportation expenses, or other special expenses was requested. (Name) ___________________________________ shall have judgment against (name) ___________________________________ in the amount of $ _______________ for unpaid child care, educational expenses, transportation expenses, or other special expenses arrearages and $ _______________ interest thereon for the period from (date) ______________________ through (date) ______________________. Judgment for Past Maintenance [] [] [] 3.8 Does not apply. No judgment for past medical support was requested. (Name) ___________________________________ shall have judgment against (name) ___________________________________ in the amount of $ _______________ for unpaid medical support arrearages and $ _______________ interest thereon for the period from (date) ______________________ through (date) ______________________. Does not apply. (Name) ___________________________________ shall have judgment against (name) _____________________________ in the amount of $ _______________ for attorney fees and $ _______________ for costs. Review Date Ord on Show Cause re Cntmpt/Jdgmnt (ORCN) - Page 5 of 7 WPF DRPSCU 05.0200 Mandatory (10/2009) - RCW 26.09.160, 7.21.010 American LegalNet, Inc. www.FormsWorkFlow.com [] [] Does not apply. The court shall review this matter on (date) __________________ at (time) ____________. 3.11 Other 3.12 Summary of RCW 26.09.430 - .480, Regarding Relocation of a Child This is a summary only. For the full text, please see RCW 26.09.430 through 26.09.480. If the person with whom the child resides a majority of the time plans to move, that person shall give notice to every person entitled to court ordered time with the child. If the move is outside the child’s school district, the relocating person must give notice by personal service or by mail requiring a return receipt. This notice must be at least 60 days before the intended move. If the relocating person could not have known about the move in time to give 60 days’ notice, that person must give notice within 5 days after learning of the move. The notice must contain the information required in RCW 26.09.440. See also form DRPSCU 07.0500, (Notice of Intended Relocation of A Child). If the move is within the same school district, the relocating person must provide actual notice by any reasonable means. A person entitled to time with the child may not object to the move but may ask for modification under RCW 26.09.260. Notice may be delayed for 21 days if the relocating person is entering a domestic violence shelter or is moving to avoid a clear, immediate and unreasonable risk to health and safety. If information is protected under a court order or the address confidentiality program, it may be withheld from the notice. A relocating person may ask the court to waive any notice requirements that may put the health and safety of a person or a child at risk. Failure to give the required notice may be grounds for sanctions, including contempt. If no objection is filed within 30 days after service of the notice of intended relocation, the relocation will be permitted and the proposed revised residential schedule may be confirmed. A person entitled to time with a child under a court order can file an objection to the child’s relocation whether or not he or she received proper notice. An objection may be filed by using the mandatory pattern form WPF DRPSCU 07.0700, (Objection to Relocation/Petition for Modification of Custody Decree/Parenting Plan/Residential Schedule). The objection must be served on all persons entitled to time with the child. The relocating person shall not move the child during the time for objection unless: (a) the delayed notice provisions apply; or (b) a court order allows the move. Ord on Show Cause re Cntmpt/Jdgmnt (ORCN) - Page 6 of 7 WPF DRPSCU 05.0200 Mandatory (10/2009) - RCW 26.09.160, 7.21.010 American LegalNet, Inc. www.FormsWorkFlow.com If the objecting person schedules a hearing for a date within 15 days of timely service of the objection, the relocating person shall not move the child before the hearing unless there is a clear, immediate and unreasonable risk to the health or safety of a person or a child. Warning: Violation of residential provisions of this order with actual knowledge of its terms is punishable by contempt of court and may be a criminal offense under RCW 9A.40.060(2) or 9A.40.070(2). Violation of this order may subject a violator to arrest. Dated: Judge/Commissioner Presented by: Approved for entry: Notice of presentation waived: Signature of Party or Lawyer/WSBA No. Signature of Party or Lawyer/WSBA No. Print or Type Name Print or Type Name Ord on Show Cause re Cntmpt/Jdgmnt (ORCN) - Page 7 of 7 WPF DRPSCU 05.0200 Mandatory (10/2009) - RCW 26.09.160, 7.21.010 American LegalNet, Inc. www.FormsWorkFlow.com