Free Microsoft Word - Visitation Attachment A - California

Guardianship of (child/ren's name/s):

Case Number:

VISITATION ATTACHMENT A

Page _____ of ______ (Add pages as required)

1. Child (ren) Child's Name ________________________ ________________________ ________________________ ________________________ ________________________

Date of Birth _________________ _________________ _________________ _________________ _________________

2. The following person(s) ______________________________________________ may have visitation with the above child(ren) based on the following schedule: Visitation: ________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Other Contact: ____________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 3. The visitation is to take place with the following restrictions: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 4. This court order takes the place of any current court order that is in conflict with this order. All other orders remain in place that does not conflict with this order.
__________________________________________________________________________________________
Santa Cruz Superior Court Adopted for Optional Use New January 1, 2009 Visitation Attachment A Guardianship (Probate) Page 1 of 1 SUP CV 1079