Form Pkt-008 - Domestic Violence - Restraining Order With Children Packet Page 11
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23Case Number:
DV-145
Order: No Travel With Children
This form is attached to DV-140, Child Custody and Visitation Order.
Name of Protected Person:
1
Mom
Dad
Other*
Other Parent’s Name:
2
Mom
Dad
Other*
*If Other, specify relationship to child:
The Court Finds:
3
There is a risk that (name of parent):
might take the children without permission
because that parent (check all that apply):
a.
Has violated—or threatened to violate—a custody or visitation order in the past
b.
Does not have strong ties to California
c.
Has done things that make it easy for him or her to take the child without permission.
He or she has (check all that apply):
Quit his or her job
Sold his or her home
Closed a bank account
Ended a lease
Sold or gotten rid of assets
Hidden or destroyed documents
Applied for a passport, birth certificate, or school or medical records
Has a history of (check all that apply):
d.
Domestic violence
Child abuse
Not cooperating with the other parent in parenting
Taking the children without permission
e.
Has a criminal record
Has family or emotional ties to another county, state or foreign country
f.
Note: If (f ) is checked, at least one other item in items (a)–(e) must be checked also.
The Court Orders:
The Court makes the orders, checked below, to prevent the parent in
3
from taking the children without
permission. These orders are valid in other states and any country that has signed The Hague Convention on the
Civil Aspects of International Child Abduction.
Post a Bond
4
.
The parent in
must post a bond for $
3
5
Do Not Move Without Written Permission of the Other Parent or Court Order
The parent in
must not move with the children outside
This county
California
3
The United States
Other (specify): ___________________________________________________________________________
without written permission from the other parent or a court order.
Do Not Travel Without Permission of the Other Person or Court Order
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The parent in
must not travel with the children outside (check all that apply):
3
This county
California
The United States
Other (specify):
without written permission of the other parent or a court order.
This is a Court Order.
DV-145,
Order: No Travel With Children
Page 1 of 2
Judicial Council of California,
Rev. January , 2012, Mandatory Form
(Domestic Violence Prevention)
Family Code, § 3048, 42 USC § 11601 et seq.
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