Form Fl-311 - Child Custody And Visitation Application Attachment Page 2
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1
2CASE NUMBER:
PETITIONER:
RESPONDENT:
3.
Supervised visitation.
I request that (name):
have supervised visitation with the minor children according to the
schedule set out on page 1 and that the visits be supervised by (name):
supervisor. The supervisor's phone number is (specify):
who is a
professional
nonprofessional
I request that the costs of supervision be paid as follows: petitioner:
percent; respondent:
percent.
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.
Transportation for visitation and place of exchange.
4.
a.
Transportation to the visits will be provided by (name):
b.
Transportation from the visits will be provided by (name):
c.
Drop-off of the children will be at (address):
d.
Pick-up of the children will be at (address):
e.
The children will be driven only by a licensed and insured driver. The car or truck must have legal child restraint
devices.
f.
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.
g.
Other (specify):
5.
Travel with children. The
petitioner
respondent
other (name):
must have written permission from the other parent or a court order to take the children out of
a.
the state of California.
b.
the following counties (specify):
c.
other places (specify):
6.
Child abduction 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
form FL-341(C)
other (specify):
Additional custody provisions. I request the additional orders regarding custody set out on the attached
8.
other (specify):
form FL-341(D)
Joint legal custody provisions. I request joint legal custody and want the additional orders set out on the attached
9.
form FL-341(E)
other (specify):
10.
Other. I request the following additional orders (specify):
FL-311 [Rev. July 1, 2005]
Page 2 of 2
CHILD CUSTODY AND VISITATION APPLICATION ATTACHMENT
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