Form FL-410 at a glance
What it is: Form FL-410 is the Order to Show Cause and Affidavit for Contempt, adopted for mandatory use by the Judicial Council of California.
Who signs: Type or print and sign your name at the bottom of page 2.
Follow these instructions to complete the Order to Show Cause and Affidavit for Contempt (form FL-410) if you do not have an attorney to represent you. Your attorney, if you have one, should complete this form, as well as the Affidavit of Facts Constituting Contempt (form FL-411 or form FL-412).
What to bring and attach to Form FL-410
Make at least three copies of the Order to Show Cause and Affidavit for Contempt (form FL-410) and any supporting Affidavit of Facts Constituting Contempt (form FL-411 or FL-412) and the Income and Expense Declaration (form FL-150) for the court clerk, the citee, and yourself.
If the district attorney or local child support agency is involved in your case, you must provide a copy to the district attorney or local child support agency.
A filled-in Form FL-410 example: a person without an attorney asks the court for a contempt hearing

How to fill out Form FL-410, box by box
Attorney or party without attorney

Type or print form in ink. Front page, first box, top of form, left side: Print your name, address, telephone number, and fax number, if any, in this box.
If you have a restraining order and wish to keep your address confidential, you may use any address where you can receive mail. You can be legally served court papers at the address you use.
Superior Court of California, county of

Front page, second box, left side: Print the name of the county where the court is located and insert the address and any branch name of the court building where you are seeking to obtain a contempt order.
You may get the court information from the court clerk. The court should be the same court in which the original order was issued.
Petitioner, respondent, other party and case number

Front page, third box, left side: Print the names of the Petitioner, Respondent, and Other Party/Parent (if any) in this box. Use the same names as appear on the most recent court order disobeyed.
Front page, second box, right side: Print the court case number in this box. The case number is also shown on the most recent court order disobeyed.
Hearing date and location
Affidavit of Facts Constituting Contempt attached

Either check the box in item 3 and attach an Affidavit of Facts Constituting Contempt (form FL-411 for financial orders or form FL-412 for domestic violence, or custody and visitation orders), or leave the box in item 3 blank but check and complete item 8.
An Affidavit of Facts Constituting Contempt (form FL-411 or FL-412) is attached.
Citee had knowledge of the order

Check the box that describes how the citee knew about the order that has been disobeyed.
Citee had knowledge of the order in that citee was present in court at the time the order was made, citee was served with a copy of the order, citee signed a stipulation upon which the order was based, or other (specify).
Previously applied for a contempt order

Check this box if you have not previously applied for a contempt order.
Check this box if you have previously applied for a contempt order and briefly explain when you requested the order and results of your request. If you need more space, check the box that says "continued on Attachment 6b" and attach a separate sheet to this order to show cause.
Previously found in contempt

Item 7: Check this box if the citee has previously been found in contempt by a court of law. Briefly explain when the citee was found in contempt and for what.
If there is not enough space to write all the facts, check the box that says "continued on Attachment 7" and attach a separate sheet to this order to show cause.
Each order disobeyed

Each order disobeyed and each instance of disobedience is described as follows:
Item 8: Check this box if the citee has disobeyed orders for child support, custody, visitation, spousal support, family support, attorney fees, and court or litigation costs. Refer to item 1a on Affidavit of Facts Constituting Contempt (form FL-411).
Check this box if the citee has disobeyed domestic violence orders or child custody and visitation orders. Refer to Affidavit of Facts Constituting Contempt (form FL-412).
Injunctive or other order (specify which order was violated, how the order was violated, and when the order was violated): if you are completing item 8c, use facts personally known to you or known to the best of your knowledge. State the facts in detail. If there is not enough space to write all the facts, check the box that says "continued on Attachment 8c" and attach a separate sheet to this order to show cause, including facts indicating that the violation of the orders was without justification or excuse.
Other material facts

Use item 8d to write other facts that are important to this order. If you are completing item 8d, insert facts personally known to you, or known to the best of your knowledge. State facts in detail. If there is not enough space to write all the facts, check the box that says "Continued on Attachment 8d" and attach a separate sheet to the order to show cause.
Attorney fees and costs
More rules for Form FL-410
WARNING: If you pursue this contempt action, it may affect the ability of the district attorney to prosecute the citee criminally for the same violations.
Do NOT deliver the Information Sheet to the court clerk.
You may wish to consult an attorney for assistance. Contempt actions are very difficult to prove. An attorney may be appointed for the citee.
For your protection and privacy, please press the Clear This Form button after you have printed the form.
If your situation is different
Someone serves the papers on the disobedient party
Have someone who is at least 18 years of age, who is not a party, serve the order and any attached papers on the disobedient party.
You may not serve the papers yourself.
Service must be personal; service by mail is insufficient.
The person serving papers must complete a Proof of Personal Service (form FL-330) and give the original to you.
Keep a copy for yourself and file the original Proof of Personal Service (form FL-330) with the court.
Common questions about Form FL-410
Is there a deadline?
The papers must be served at least 16 court days before the hearing.
Is there a penalty?
If the court finds contempt, the possible penalties include jail sentence, community service, and fine.
Where to get help with Form FL-410
If you need assistance with these forms, contact an attorney or the Family Law Facilitator in your county.
Sources
[1] Form FL-410 (Rev. January 1, 2015), Order to Show Cause and Affidavit for Contempt, Judicial Council of California (the Official source link on this page).




