Small Claims Court _________________________ County, Colorado
Court Address:
PLAINTIFF(S): ______________________________________________
Address: ____________________________________________________
City/State/Zip: ________________________________________________
Phone: Home _______________________ Work ___________________
v.
DEFENDANT(S): _____________________________________________
COURT USE ONLY
Address: ____________________________________________________
Case Number: __________________
City/State/Zip: ________________________________________________
Phone: Home _______________________ Work ___________________
Division ______ Courtroom _______
NOTICE OF NON-COMPLIANCE AND ORDER
Please take notice that _____________________________________ (name of party) has failed to comply with
the terms of the order to compel delivery, compliance, or performance that was entered by the Court on
______________________________ (date) in the following manner:
I request that the Court schedule a hearing to determine the amount of damages or other remedies to be imposed
for the failure to comply with the judgment.
Date: ________________________________
_____________________________________
Signature
CERTIFICATE OF MAILING
I hereby certify that on __________________________ (date), I mailed a true and correct copy of the NOTICE
OF NON-COMPLIANCE AND ORDER, by placing it in the United States Mail, postage pre-paid to the parties at
the addresses listed above.
______________________________________________
Clerk of the Court/Deputy
ORDER
A hearing is set for __________________________ (date) to determine the amount of damages or other
remedies to be imposed by the Court for the failure to comply with the judgment. Failure to appear may result in
an imposition of damages or other remedies allowed by law.
Dated: ____________________________
_____________________________________
Judge
Magistrate
JDF 249 R1/07 NOTICE OF NON-COMPLIANCE AND ORDER