To the family court - New York State Unified Court System 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the 'Petitioner' and 'Respondent' sections. Check the applicable boxes to indicate whether you are the Petitioner or Respondent, and provide your name and address. If confidentiality is required, indicate that as per Family Court Act §154-b(2).
3. In section 2, specify the order of the court that was violated, including the date and details of what was directed.
4. Detail in section 3 how the Petitioner or Respondent has failed to obey the court order. Be specific about the violation.
5. List any children involved in section 4, providing their names, addresses, and dates of birth.
6. In section 5, explain how rights or remedies have been prejudiced. Specify who has been affected.
7. Confirm in section 6 that no previous applications for this relief have been made unless otherwise noted.
8. Finally, sign and date the form at the bottom. Ensure all necessary signatures are included, including any attorney's information if applicable.

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