Form JD-FM-124 "Contempt Proceedings Upon Failure of Payer of Income to Comply With Withholding Order for Support" - Connecticut

What Is Form JD-FM-124?

This is a legal form that was released by the Connecticut Superior Court - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2017;
  • The latest edition provided by the Connecticut Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form JD-FM-124 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

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Download Form JD-FM-124 "Contempt Proceedings Upon Failure of Payer of Income to Comply With Withholding Order for Support" - Connecticut

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CONTEMPT PROCEEDINGS
STATE OF CONNECTICUT
UPON FAILURE OF PAYER OF
SUPERIOR COURT
INCOME TO COMPLY WITH WITHHOLDING
ORDER FOR SUPPORT
www.jud.ct.gov
JD-FM-124 Rev. 9-17
C.G.S. §§ 46b-88, 46b-231, 52-362
COURT USE ONLY
Instructions to applicant
Instructions to clerk
MCTMEMP
1. Prepare original and 2 copies.
1. Check all information for accuracy.
2. Obtain day of week for appearance from clerk.
2. Complete the "Order and Summons."
*MCTMEMP*
3. Keep a copy for your files.
3. Return original to applicant.
4. Forward original and 1 copy to clerk.
Judicial District of
Address of Court (Number, street, and town)
Docket number
Application is hereby made to issue a CONTEMPT ORDER against:
Name of payer of income
Address of payer of income (Number, street, and town)
Agent of payer of income
Name of case
Name of employee/obligor
Date withholding was served on payer of income
Amount of income withholding
Amount of unpaid withholding
$
$
Name of Applicant or Support Enforcement Officer making application
Address of Applicant (Number, street, and town)
The payer of income listed above has failed to follow the requirements of Section 46b-88 and/or Section 52-362 of the
Connecticut General Statutes in implementing the income withholding order listed above by:
Failing to withhold support payment(s) from employee/obligor's income.
Failing to remit withheld support payment(s) to the State Disbursement Unit within the time required by Section 52-362.
Failing to enroll the employee/obligor and his or her child or children in an appropriate health insurance plan
(according to Section 46b-88, the National Medical Support Notice).
Therefore, it is requested that the payer of income be held in contempt of court for failing to follow the requirements of
Section 52-362 in implementing the income withholding order listed above and be held liable for any amount of the
payment(s) that were required by the income withholding order after the payer of income received service of the income
withholding order that the payer of income failed or refused to pay over as directed in the income withholding order.
Date signed
Signed (Applicant or Support Enforcement Officer)
I certify that the information given above is
true to the best of my knowledge and belief.
It is ordered that the payer of income listed above or its responsible agent appear before the Superior Court/Family
Magistrate Division at:
Address of Superior Court/Family Support Magistrate Division
On (Day of week)
Date (Month, day, year)
Time
A.M.
P.M.
to show cause why the payer of income should not be held in contempt of court for failure to withhold the income of the
employee/obligor listed above according to the income withholding order listed above and/or failure to make payments
to the petitioner or the state disbursement unit as ordered by the Superior Court or Family Support Magistrate, and/or
failure to enroll the employee/obligor and/or his or her child or children in an appropriate health insurance plan.
TO: Any Proper Officer
By Authority of the State of Connecticut, you are commanded to serve and make return of service of this application
and order on the payer of income named above according to law at least twelve (12) days, inclusive, before the court
appearance "Date" indicated above.
By the Court
Date signed
,J.
Signed (Assistant Clerk)
,F.S.M.
FOR COURT USE ONLY
Notice To Payer Of Income
FILE DATE
1. This paper summons you to appear in (come to) court at the address and on the
day, date, and time noted above.
2. If you fail to appear in court on the court appearance date and time, the court may
issue a capias (order for your arrest). In addition, the court may find you in
contempt and hold you liable for income not withheld from the employee/obligor's
income according to the income withholding order listed above, and/or for income
withheld but not paid over to the state disbursement unit, and/or for failing to enroll
the employee/obligor and/or his or her child or children in an appropriate health
insurance plan as ordered by the Superior Court or Family Magistrate.
(Page 1 of 2)
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CONTEMPT PROCEEDINGS
STATE OF CONNECTICUT
UPON FAILURE OF PAYER OF
SUPERIOR COURT
INCOME TO COMPLY WITH WITHHOLDING
ORDER FOR SUPPORT
www.jud.ct.gov
JD-FM-124 Rev. 9-17
C.G.S. §§ 46b-88, 46b-231, 52-362
COURT USE ONLY
Instructions to applicant
Instructions to clerk
MCTMEMP
1. Prepare original and 2 copies.
1. Check all information for accuracy.
2. Obtain day of week for appearance from clerk.
2. Complete the "Order and Summons."
*MCTMEMP*
3. Keep a copy for your files.
3. Return original to applicant.
4. Forward original and 1 copy to clerk.
Judicial District of
Address of Court (Number, street, and town)
Docket number
Application is hereby made to issue a CONTEMPT ORDER against:
Name of payer of income
Address of payer of income (Number, street, and town)
Agent of payer of income
Name of case
Name of employee/obligor
Date withholding was served on payer of income
Amount of income withholding
Amount of unpaid withholding
$
$
Name of Applicant or Support Enforcement Officer making application
Address of Applicant (Number, street, and town)
The payer of income listed above has failed to follow the requirements of Section 46b-88 and/or Section 52-362 of the
Connecticut General Statutes in implementing the income withholding order listed above by:
Failing to withhold support payment(s) from employee/obligor's income.
Failing to remit withheld support payment(s) to the State Disbursement Unit within the time required by Section 52-362.
Failing to enroll the employee/obligor and his or her child or children in an appropriate health insurance plan
(according to Section 46b-88, the National Medical Support Notice).
Therefore, it is requested that the payer of income be held in contempt of court for failing to follow the requirements of
Section 52-362 in implementing the income withholding order listed above and be held liable for any amount of the
payment(s) that were required by the income withholding order after the payer of income received service of the income
withholding order that the payer of income failed or refused to pay over as directed in the income withholding order.
Date signed
Signed (Applicant or Support Enforcement Officer)
I certify that the information given above is
true to the best of my knowledge and belief.
It is ordered that the payer of income listed above or its responsible agent appear before the Superior Court/Family
Magistrate Division at:
Address of Superior Court/Family Support Magistrate Division
On (Day of week)
Date (Month, day, year)
Time
A.M.
P.M.
to show cause why the payer of income should not be held in contempt of court for failure to withhold the income of the
employee/obligor listed above according to the income withholding order listed above and/or failure to make payments
to the petitioner or the state disbursement unit as ordered by the Superior Court or Family Support Magistrate, and/or
failure to enroll the employee/obligor and/or his or her child or children in an appropriate health insurance plan.
TO: Any Proper Officer
By Authority of the State of Connecticut, you are commanded to serve and make return of service of this application
and order on the payer of income named above according to law at least twelve (12) days, inclusive, before the court
appearance "Date" indicated above.
By the Court
Date signed
,J.
Signed (Assistant Clerk)
,F.S.M.
FOR COURT USE ONLY
Notice To Payer Of Income
FILE DATE
1. This paper summons you to appear in (come to) court at the address and on the
day, date, and time noted above.
2. If you fail to appear in court on the court appearance date and time, the court may
issue a capias (order for your arrest). In addition, the court may find you in
contempt and hold you liable for income not withheld from the employee/obligor's
income according to the income withholding order listed above, and/or for income
withheld but not paid over to the state disbursement unit, and/or for failing to enroll
the employee/obligor and/or his or her child or children in an appropriate health
insurance plan as ordered by the Superior Court or Family Magistrate.
(Page 1 of 2)
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Order
The foregoing motion having been heard, it is ordered:
By the Court
,J.
Signed (Assistant Clerk)
Date signed
,F.S.M.
Return Of Service
State of Connecticut, County of
Name of payer of income or agent served
Date of service
ss.
Name of person served
Fees
Then and there, by virtue of the original application, and by order and summons of the court, I
Copy
left a true and attested copy thereof with and in the hands of the above-named payer of income
or its responsible agent.
Endorsement
Service
The within and foregoing is a true copy of the original application, order and summons with my
doings thereon endorsed.
Travel
Attest (State Marshal, Support Enforcement Officer, Proper Officer)
Title of signer
TOTAL
ADA NOTICE
The Judicial Branch of the State of Connecticut complies with the
Americans with Disabilities Act (ADA). If you need a reasonable
accommodation in accordance with the ADA, contact a court clerk
or an ADA contact person listed at www.jud.ct.gov/ADA.
JD-FM-124 Rev. 9-17
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