Free DV-140 Child Custody and Visitation Order (Domestic Violence Prevention) - California


File Size: 221.5 kB
Pages: 2
Date: June 24, 2009
File Format: PDF
State: California
Category: Court Forms - State
Author: U0036695
Word Count: 780 Words, 4,681 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courtinfo.ca.gov/forms/documents/dv140.pdf

Download DV-140 Child Custody and Visitation Order (Domestic Violence Prevention) ( 221.5 kB)


Preview DV-140 Child Custody and Visitation Order (Domestic Violence Prevention)
DV-140

Child Custody and Visitation Order
DV-110 DV-130

Case Number:

This form is attached to (check one): 1 2 Protected person's name: Other parent's name:

Mom Mom
Index No. Calendar No.

Dad Dad

Other Other

The Court Orders:
3

COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : :

Child Custody is ordered as follows:
-against-

Legal Custody to: (Person
: : :

Physical Custody to:

: who makes JUDICIAL SUBPOENA Plaintiff(s) decisions about health, (Person the child lives with. education, etc. Check at least one.) Check at least one.)

Child's Name a. b. c.

Date of Birth

Mom

Dad Other*

Mom

Dad Other*

If more children, check here. Attach a sheet of paper and write "DV-140, Item 3 -- Child Custody" at the top.

Defendant(s) : ......................................................

* If Other, specify relationship to child and name of person: 4 Child Visitation is ordered as follows: TO a. No visitation to Mom Dad Other (name): b. See the attached - page document, dated: c. The parties must go to mediation at: GREETINGS: d. Until the next court order, visitation for Mom Dad Other will be: (1) Weekends (starting): WE COMMAND YOU, that all(The 1st weekend of the month aside, youweekend with a attend before business and excuses being laid is the 1st and each of you Saturday.) 1st the Honorable 2nd 3rd 4th 5th weekend of monthCourt at the located at County of from at a.m. p.m. to at a.m. p.m. (2) (3) Weekdays (starting): from at
(time) day of (day (time) noon, and at any recessed in(day of week) room , on the , 20 , at of week) o'clock in the or adjourned date, to testify and give evidence as a witness in this action on the part of the

THE PEOPLE OF THE STATE OF NEW YORK

,

(day of week) (time) (day of week) (time) Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Other party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a the Visitation Check here and your failure to comply. if there are other visitation days and times, like holidays, birthdays, sports events. result of attach a sheet of paper

a.m.

p.m. to

at

a.m.

p.m.

List dates and times. Write "DV-140, Item 4 -- Visitation" at the top.

5 6

Supervised

Court in Visitation

Witness, Honorable County, -- Follow orders on

, one of the Justices of the day of attached

Form

, 20 DV-150.

Responsibility for Transportation for Visitation (Attorney must sign "Responsibility for transportation" means the parent will take or pick up the childabovemake arrangements for or and type name below) someone else to do so. a. Mom Dad Other (name): to the visits. Attorney(s) for from the visits. b. Mom Dad Other (name): c. Drop-off / pick-up of children will be at (address):
Office and P.O. Address

This is a Court Order.
Judicial Council of California, www.courtinfo.ca.gov Rev. July 1, 2003, Mandatory Form Family Code, §§ 3020, 3022, 3040­3043, 3100, 6340, 7604

Child Custody and Visitation
(Domestic Violence Prevention)

Telephone No.: Facsimile No.: E-Mail Address: Order Mobile Tel. No.:

DV-140, Page 1 of 2



American LegalNet, Inc. www.USCourtForms.com

Case Number:

Protected person's name: 7 Travel With Children Mom Dad Other (name): parent, or a court order, to take the children outside of: a. The State of California b. Other place(s) (list):
Child Abduction

must have written permission from the other

8

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 are attached and must be obeyed. (Fill out and attach DV-145 to this form.) 9 Other Orders Check here and attach any other orders to this form. Write "DV-140, Item 9 -- Other Orders" on the orders.

10 Jurisdiction 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 section 3400). 11 Notice and Opportunity to Be Heard The responding party was given notice and an opportunity to be heard as provided by the laws of the State of California. 12 Country of Habitual Residence The country of habitual residence of the child or children in this case is or other (specify): _______________________________________. the United States of America

13 Penalties for Violating This Order If you violate this order, you may be subject to civil or criminal penalties, or both.

This is a Court Order.
Rev. July 1, 2003

Child Custody and Visitation Order
(Domestic Violence Prevention)

DV-140, Page 2 of 2