Affidavit of Facts Constituting Contempt: DV/Custody-Visitation

Shasta Superior Court · Form Packets

Verified current as of September 10, 2026

This form is used to document specific violations of a court order related to domestic violence, custody, or visitation in a sworn statement that can be presented as evidence of contempt. A person who believes their ex-partner or family member has violated a custody, visitation, or domestic violence restraining order uses this form to request the court hold that person accountable for breaking the order.