Form Pkt-008 - Domestic Violence - Restraining Order With Children Packet Page 7
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23Case Number:
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Responsibility for Transportation for Visitation
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“Responsibility for transportation” means the parent will take or pick up the child or make arrangements for
someone else to do so.
a.
Mom
Dad
Other (name):
take children to the visits.
b.
Mom
Dad
Other (name):
pick up children from the visits.
c.
Drop-off / pick-up of children will be at (address):
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Travel with Children
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Mom
Dad
Other (name):
must have written permission from the
other parent, or a court order, to take the children outside of:
The State of California
a.
b.
The United States of America
c.
Other place(s) (list):
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Child Abduction
There is a risk that one of the parents will take the children out of California without the other parent’s
permission.
The orders in Form DV-145, Order: No Travel with Children, are attached and must be
obeyed. (Fill out and attach Form DV-145 to this form.)
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Other Orders
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Check here and attach any other orders to this form. Write “DV-140, Other Orders” as a title.
Jurisdiction
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This court has jurisdiction to make child custody orders in this case under the Uniform Child Custody Jurisdiction
and Enforcement Act (part 3 of the California Family Code starting with § 3400).
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Notice and Opportunity to Be Heard
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The responding party was given reasonable notice and an opportunity to be heard as provided by the laws of the
State of California.
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Country of Habitual Residence
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The country of habitual residence of the child or children in this case is
The United States of America
or
Other (specify):
.
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Penalties for Violating This Order
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If you violate this order, you may be subject to civil or criminal penalties, or both.
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Duration of Child Custody, Visitation, and Support Orders
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If this form is attached to Form DV-130 (Restraining Order After Hearing), the custody and visitation orders in this
form remain in effect after the restraining orders on Form DV-130 end.
This is a Court Order.
Child Custody and Visitation Order
DV-140
,
Page 2 of 2
Rev. January 1, 2012
(Domestic Violence Prevention)
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