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Fillable Printable Child Custody and Visitation Application Attachment
Fillable Printable Child Custody and Visitation Application Attachment
Child Custody and Visitation Application Attachment
CASE NUMBER:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
Custody. Custody of the minor children of the parties is requested as follows:
Date of Birth
Legal Custody to
Child's Name Physical Custody to
d.
Reasonable right of visitation to the party without physical custody (not appropriate in cas es in volving domestic
violence)
See the attached ________-pa ge do cument dated (specify date):
a.
The parties will go to mediation at (specify location):
b.
c.
CHILD CUSTODY AND VISITATION APPLICATION A TTACHMENT
Form Approved for Optional Use
Judicial Council of California
FL-311 [Rev. July 1, 2005]
Visitation.
FL-311
CHILD CUS TODY AND V ISITATION APPLICATION ATTACHMENT
Petition, Re sponse, Application for Order or Responsi ve Declar ation
1.
2.
Visitation f or the
Other (specify days and times as well as any additional restrictions):
(1)
(4)
Weekdays starting (date):
(3)
e.
No visitation
(2)
Alternate weekends starting (date):
respondent will have the children w ith him or her du ring the period
petitioner
See At tachment 2e(4).
To be ordered now and effective until the hearing
Page 1 of 2
Family Code, § 6200 et seq.
www.courtinfo.ca.gov
Weekends start ing (date):
petitioner respondent will be as follows:
Other (specify):
(person who makes decisions about
health, education, etc.)
(person with whom the child lives)
(The first weekend of the month is the first weekend with a Saturday.)
1st 2nd
3rd 4th
5th weekend of the month
___________ ___ _______ at ___________
a.m. p.m.
(day of week)
(time)
_____________________ at ____________
a.m. p.m.
(day of week)
(time)
to
The parents w ill alternate the fifth weekends, with the
petitioner respondent
__________ ___ ________ at __________ __
a.m. p.m.
(day of week)
(time)
_____________________ at ____________
a.m. p.m.
(time)
(day of week)
from
to
from
The petitioner will have fifth weekends in
odd even months.
The
respondent w ill have the children with him or her during the period
petitioner
___________ ___ _______ at __________ __
a.m. p.m.
(day of week)
(time)
____________ ____ _____ at ____________
a.m. p.m.
(time)
(day of week)
to
from
The
(b)
(a)
having the initial fifth weekend, which starts (date):
TO
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CASE NUMBER:
PETITIONER:
RESPONDENT:
CHILD CUSTODY AND VISITATION APPLICATION ATTACHMENT
Page 2 of 2
FL-311 [Rev. July 1, 2005]
4.
Transportation for visitation and place of exchange.
Other (specify):
Drop-off of the children will be at (address):
Transportation from the visits will be provided by (name):
Transportation to the visits will be provided by (name):
6.
Child abducti on prevention. There is a risk that one of the parents will take the children out of California without the other
parent's permission. I request the orders set out on attached form FL-312.
7.
Children's holiday schedule. I request the holiday and visitation schedule set out on the attached
8.
Additiona l custody provisions. I request the additional orders regarding custody set out on the attached
9.
Joint legal custody provisions. I request joint legal custody and want the additional orders set out on the attached
3.
I request that (name): have supervised visitation with the minor children according to the
schedule set out on page 1 and th at the visits be supervised by (name):
professional nonprofessional
supervisor. The supervisor's phone number is (specify):
I request that the costs of supervision be paid as follows: petitioner: percent; respondent: percent.
g.
a.
b.
c.
The children will be driven only by a licensed and insure d driver. The car or truck must have legal child restraint
devices.
e.
During the exchanges, the parent driving the children will wait in the car and the other parent will wait in his or her
home while the children go between the car and the home.
f.
5.
Travel with children. The
petitioner respondent
a.
c.
the state of California.
other places (specify):
other (name):
must have written permi ssion from the other parent or a court order to take the children ou t of
b.
the following coun ties (specify):
10.
Other.
I request the following additional orders (specify):
other (specify):
form FL-341(D )
other (specify):
form FL-341(E) other (specify):
If item 3 is checked, you must attach a declaration that shows why unsupervised visitation would be bad for your
children. The judge is required to consider supervised visitation if one parent is alleging domestic violence and is
protected by a restraining order.
Pick-up of the children will be at (address):
d.
who is a
form FL-341(C )
Supervised visitation.
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