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Check "f' if the other party has failed to pay for medical expenses as ordered. On the blank line, enter the amount the total amount owed now.A completed criminal record and abuse history verification form. Complete, date and sign the Confidential Information Form. Specifically noting the Initials, Full Name and Date of Birth for the minor child(ren). The Petition for Contempt is the document that identifies the parties and children. It gives the court basic facts about the situation. Follow these instructions for completing the form: I. Case Style. (detailed instructions included). 3. Complete the Order to Show Cause and the Affidavit for Finding of Contempt forms.