Form Sc-1 - Domestic Relations Case Filing Information Form Page 6
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9______________________________________________________________
______________________________________________________________
______________________________________________________________
☐ (d) To pay for and have medical insurance for the minor child(ren).
☐ (e) To pay Petitioner back for medical bills in the amount of
$____________________.
☐ (f) Other: ________________________________________________________
_________ ______________________________________________________________
________________________________________________________________________
_______________________________________________________________________
5.
Respondent was able to do what the Court ordered. Respondent’s refusal to do so
is willful.
☐ 6 . Respondent should be held in contempt of this Court’s Order and incarcerated until
such time as he/she purges him/herself of this contempt.
7.
Respondent should be ordered to reimburse the Petitioner for payment in filing
this action and for cost of service.
WHEREFORE, Petitioner prays:
Petition for Citation for Contempt Rev. February 2016
Page 3 of 5
Provided by the Gwinnett Family Law Clinic
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