Motion to Enforce
Filing Fees: $78.75 + $13.00 (service fee) to enforce Parental Rights and Responsibilities or
Parent/Child Contact, total due of $91.75.
To enforce any other issue there is only the service fee of $13.00.
This motion is used for requests to enforce court orders involving other issues, not child
support.
If an attorney is not representing you in this matter you are considered to be representing yourself
Pro Se. You will have certain responsibilities to the court and the other party:
Knowing your docket number
Completing the enclosed forms
Having your signature notarized where required
Returning the forms to the court in a timely manner
Sending a copy of any document you file with the court to the other party (after the initial
filing is served by the court)
Reading and understanding the enclosed documents
Obeying all court orders
Notifying the court, in writing, of a change in your address
You must complete the enclosed forms:
Form 800 Cover Sheet
Form 905 Motion to Enforce (generic)
Form 804 Affidavit
Form 849 Confidential Form
Enclosed for your information:
Pamphlet #33 Enforcement of Divorce Orders
Click online at www.vermontjudiciary.org/GTC/family/default.aspx
for Family Division Contact Information.
The courts are open Monday – Friday, 8:00 a.m. – 4:30 p.m. except on all state holidays.
Form 800
INFORMATION SHEET
Vermont Superior Court
Family Division
Plaintiff:
Name
Unit
Docket Number
Defendant:
DOB
/
/
vs.
Name
DOB
/
Street Address
Street Address
Apt. or P.O. Box Number
Apt. or P.O. Box Number
City
State
Zip
Telephone Numbers
Daytime:
Email:
State
Zip
Telephone Numbers
Nighttime:
Daytime:
Email:
Attorney Name and Phone Number
□
City
/
Nighttime:
Attorney Name and Phone Number
Check if this form is being filed by OCS.
1. PUBLIC ASSISTANCE from Department of Economic Services (such as Reach-Up, Dr.
Dynasaur, Medicaid, Post Secondary Education Stipend [PSE])
□
I receive Public Assistance.
2. ASSISTANCE FROM THE OFFICE OF CHILD SUPPORT (OCS)
□
□
I receive assistance from OCS.
The other party receives assistance from OCS (leave this box blank if you are unsure).
The Office of Child Support can help people with child support. If you would like to have OCS help you,
you can call the Toll-Free Help Line: 1-800-786-3214 or TTY Access No. 1-800-253-0191.
3. OTHER FAMILY/JUVENILE/PROBATE COURT PROCEEDINGS
□
□
None
Cases involving yourself, the other party and/or your children (list below)
Name of Court (Family, Probate, etc.)
For Family Court Staff:
County
Filing Fee Paid:$
State
Service Fee Paid:$
Receipt #:
IFP?
Form 905
STATE OF VERMONT
SUPERIOR COURT
Unit
FAMILY DIVISION
Docket No.
Plaintiff
Defendant
Name
Name
V.
NOTICE OF APPEARANCE and
INTENT TO REPRESENT MYSELF
I intend to represent myself and hereby enter my appearance with the court. No attorney will
represent me in this case unless an attorney or I notify the court otherwise.
I understand that IT IS MY RESPONSIBILITY to:
1. Notify the Court in writing if I change my address or phone number;
and
2.
Send copies of any papers I file with the Court to the other party in this case.
All court papers may be mailed to me by first class mail at the address listed below.
My Street Address
Town/City
State
My Mailing Address (if different):
Zip
Town/City
State
Phone Number (day)
Phone Number (evening)
(
(
)
)
E Mail Address
MOTION TO ENFORCE
1. I am the
Plaintiff
Defendant in this case
2. 1 request enforcement of an order issued on
Date of order
by:
this court
another court
Name and address of Court
4/12 SML
Zip
3. Under the terms of the Order, the other party is required to:
4. The other party has failed to meet his/her obligation(s) under the Order as follows:
5. 1 know that the other party is aware of his/her obligation under the order because:
6. This is the
party.
time I have filed a petition to enforce this provision against the other
REQUEST TO THE COURT
I request that the court:
Order the other party to comply with the Orders of the Court.
Order the other party to:
Order the other party to pay the costs for bringing this motion.
Grant any other relief this Court determines is appropriate.
I hereby swear or affirm that the information above is true to the best of my
knowledge and belief.
Signature of Party filing Motion
Date
/
/
Printed Name
Signed and sworn to before me:
Date
Signature of Notary Public
Expiration Date
/
/
NOTICE: Use this form to request enforcement of any provision of a temporary or final
order EXCEPT provisions related to child support, spousal maintenance or
maintenance supplement. There is a separate form for enforcement of child support,
spousal maintenance or maintenance supplement.
AFFIDAVIT
Form 804
STATE OF VERMONT
SUPERIOR COURT
Unit
Plaintiff's Name
FAMILY DIVISION
Docket No.
DOB
v.
Defendant's Name
DOB
In support of the complaint, motion, petition or objection filed in this case,
subject to the penalties for perjury, I state the following facts, which are true to
the best of my knowledge and belief:
Signature
Date
Subscribed and sworn to before me:
Signature of Notary
1/11 SML
Date
Expiration Date
FORM: 849
STATE OF VERMONT
SUPERIOR COURT
______________ Unit
FAMILY DIVISION
Docket No.______________
Plaintiff
Defendant
Name
DOB
/
Name
/
DOB
v.
/
/
STATEMENT OF CONFIDENTIAL INFORMATION
1. I am the:
Plaintiff Defendant in the above action.
2. For purposes of identification, my social security number is:
_______________________________________
3. If known, the other party’s social security number is:
_______________________________________
4. The social security numbers of the children involved in this case are:
Name of Child
Social Security #
THIS INFORMATION WILL BE KEPT CONFIDENTIAL AND WILL
ONLY BE RELEASED WITH YOUR CONSENT OR AS REQUIRED
BY LAW TO THE OFFICE OF CHILD SUPPORT.