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FL-311
CASE NUMBER:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
CHILD CUSTODY AND VISITATION APPLICATION ATTACHMENT
TO
Petition, Response, Application for Order or Responsive Declaration
Other (specify):
To be ordered now and effective until the hearing
1.
Custody. Custody of the minor children of the parties is requested as follows:
Date of Birth
Child's Name
Legal Custody to
Physical Custody to
(person who makes decisions about
(person with whom the child lives)
health, education, etc.)
2.
Visitation.
a.
Reasonable right of visitation to the party without physical custody (not appropriate in cases involving domestic
violence)
b.
See the attached ________-page document dated (specify date):
c.
The parties will go to mediation at (specify location):
d.
No visitation
Visitation for the
petitioner
respondent
will be as follows:
e.
(1)
Weekends starting (date):
(The first weekend of the month is the first weekend with a Saturday.)
3rd
4th
5th
weekend of the month
1st
2nd
from
_____________________ at ___________
a.m.
p.m.
(day of week)
(time)
to
_____________________ at ____________
a.m.
p.m.
(time)
(day of week)
(a)
The parents will alternate the fifth weekends, with the
petitioner
respondent
having the initial fifth weekend, which starts (date):
(b)
odd
even
months.
The petitioner will have fifth weekends in
(2)
Alternate weekends starting (date):
The
respondent
will have the children with him or her during the period
petitioner
from
_____________________ at ____________
a.m.
p.m.
(day of week)
(time)
to
_____________________ at ____________
a.m.
p.m.
(day of week)
(time)
(3)
Weekdays starting (date):
The
respondent
will have the children with him or her during the period
petitioner
from
_____________________ at ____________
a.m.
p.m.
(day of week)
(time)
to
_____________________ at ____________
a.m.
p.m.
(day of week)
(time)
(4)
Other (specify days and times as well as any additional restrictions):
See Attachment 2e(4).
Page 1 of 2
Family Code, § 6200 et seq.
Form Approved for Optional Use
CHILD CUSTODY AND VISITATION APPLICATION ATTACHMENT
Judicial Council of California
FL-311 [Rev. July 1, 2005]