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FL-412Mandatory

Affidavit of Facts Constituting Contempt (Domestic Violence/Custody and Visitation)

California · Judicial Council of California · Effective January 1, 2003

This form is an affidavit used to give the judge facts showing that another person broke a restraining order, custody order, or visitation order. It is attached to another form called the Order to Show Cause and Affidavit for Contempt (form FL-410).

The court describes it as: Give the judge information about how the other side violated the restraining order, custody and visitation order, or other orders and attach to Order to Show Cause and Affidavit for Contempt (form FL-410).

Open the official PDFfrom Judicial Council of California

Where this fits in a case

Motions

Stage: Motions

This form is used when someone believes another person has broken a court order related to domestic violence, custody, or visitation.

Either party may file.

Common questions

What is this form for?
This form is used to provide the judge with facts showing that someone broke a restraining order, custody order, or visitation order.
Who fills out this form?
The form has sections for the Petitioner/Plaintiff, Respondent/Defendant, and Other Parent, suggesting either party can file it.
Does this form stand alone?
No, the form text states it is an attachment to the Order to Show Cause and Affidavit for Contempt (form FL-410).

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2003.

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