Form Pkt-008 - Domestic Violence - Restraining Order With Children Packet (Page 10 of 23) in pdf

Form Pkt-008 - Domestic Violence - Restraining Order With Children Packet Page 10

Case Number:

What orders do you want? Check the boxes that apply to your case.

Post a Bond

I ask the court to order the other parent to post a bond for $

. If the other parent takes the

children without my permission, I can use this money to bring the children back.

Do Not Move Without My Permission or Court Order

I ask the court to order the other parent not to move with the children without my written permission or a court

order.

No Travel Without My Permission

I ask the court to order the other parent not to travel with the children outside: (Check all that

apply)

This county

California

The United States

Other (specify):

Notify Other State of Travel Restrictions

I ask the court to order the other parent to register this order in the state of

before the

children can travel to that state for visits.

Turn In and Do Not Apply for Passports or Other Vital Documents

I ask the court to order the other parent to turn in and not apply for passports or other documents (such as

visas or birth certificates) that can be used for travel.

Provide Itinerary and Other Travel Documents

If the other parent is allowed to travel with the children, I ask the court to order the other parent to

give me before leaving:

The children’s travel itinerary

Copies of round-trip airline tickets

Addresses and telephone numbers where the children can be reached

An open airline ticket for me in case the children are not returned

Other (specify):

Notify Foreign Embassy or Consulate of Passport Restrictions

I ask the court to order the other parent to notify the embassy or consulate of

of this order and to provide the court with proof of that notification within

calendar days.

Foreign Custody and Visitation Order

I ask the court to order the other parent to get a custody and visitation order equal to the most recent

U.S. order before the child can travel to that country for visits. I understand that foreign orders may be

changed or enforced depending on the laws of the country.

I declare under penalty of perjury under the laws of the State of California that the information on this form is true

and correct.

Date:

Type or print your name

Sign your name

This is not a Court Order.

Revised January 1, 2012

Request for Order: No Travel with Children

DV- 108,

Page 2 of 2

(Domestic Violence Prevention)

Form Pkt-008 - Domestic Violence - Restraining Order With Children Packet Page 10

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