Form Pkt-008 - Domestic Violence - Restraining Order With Children Packet Page 9
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23Request for Order:
DV-108
Case Number:
No Travel with Children
This form is attached to DV-105, Request for Child Custody and Visitation Orders.
1
1
Your name:
Mom
Dad
Other*
1
2
1
Other parent’s name:
Mom
Dad
Other*
2
*If “Other,” specify relationship with
children:
1
Do you think the other parent may take the children without your permission to:
3
a.
Another county in California?
Yes
No
If “yes,” what county?
b.
Another state?
Yes
No
If “yes,” what state?
c.
A foreign country?
Yes
No
If “yes,” what country ?
If “Yes,” is the other parent a citizen of that country?
Yes
No
If “Yes,” does the other parent have family or emotional ties to that country?
Yes
No
Explain:
1
Why do you think the other parent may take the children without your permission?
4
The other 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 recently that make it easy for him or her to take the children away 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
d.
Has a history of: (Check all that apply)
Domestic violence
Child abuse
Not cooperating with me in parenting
Child abduction
e.
Has a criminal record
f.
Please explain your answers to a–e:
This is not a Court Order.
DV-108,
Judicial Council of California,
Request for Order: No Travel with Children
Page 1 of 2
Revised January 1, 2012, Mandatory Form
(Domestic Violence Prevention)
Family Code, § 3048
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