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FL-341
PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT:
CASE NUMBER:

CHILD CUSTODY AND VISITATION ORDER ATTACHMENT
TO Findings and Order After Hearing Judgment Stipulation and Order for Custody and/or Visitation of Children Other (specify): 1. Custody. Custody of the minor children of the parties is awarded as follows: Date of birth Legal custody to Child's name (person who makes decisions about health, education, etc.) Physical custody to (person with whom the child lives)

2.

Visitation a. b. c. d. e. Reasonable right of visitation to the party without physical custody (not appropriate in cases involving domestic violence) See the attached ________-page document dated (specify date): The parties will go to mediation at (specify location): No visitation Visitation for the petitioner respondent will be as follows: (1) Weekends starting (date): (The first weekend of the month is the first weekend with a Saturday.) 1st 2nd 3rd 4th 5th a.m. a.m. weekend of the month p.m. p.m. petitioner respondent

from _____________________ at ____________ (time) (day of week) to _____________________ at ____________ (time) (day of week) (a)

The parents will alternate the fifth weekends, with the having the initial fifth weekend, which starts (date): The petitioner will have fifth weekends in Alternate weekends starting (date): odd

(b) (2) The

even

months.

petitioner

respondent

will have the children with him or her during the period a.m. a.m. p.m. p.m.

from _____________________ at ____________ (time) (day of week) to _____________________ at ____________ (time) (day of week) (3) The Weekdays starting (date): petitioner respondent

will have the children with him or her during the period a.m. p.m.

from _____________________ at ____________ (time) (day of week) to _____________________ at ____________ (time) (day of week) (4)

a.m.

p.m.

Other (specify days and times as well as any additional restrictions):

See Attachment 2e(4).
Page 1 of 2 Form Approved for Optional Use Judicial Council of California FL-341 [Rev. July 1, 2006]

CHILD CUSTODY AND VISITATION ORDER ATTACHMENT

Family Code, 3020, 3022, 3025, 30403043, 3048, 3100, 6340, 7604 www.courtinfo.ca.gov American LegalNet, Inc. www.USCourtForms.com

FL-341
PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT:
CASE NUMBER:

3.

The court acknowledges that criminal protective orders in case number (specify): in (specify court): relating to the parties in this case are in effect under Penal Code section 136.2, are current, and have priority of enforcement. Supervised visitation. Until further order of the court other (specify):

4.

petitioner respondent will have supervised visitation with the minor children according to the schedule the set forth on page 1. (You must attach form FL-341(A).) 5. Transportation for visitation a. b. c. d. e. f. g. 6. Transportation to the visits will be provided by the Transportation from the visits will be provided by the petitioner other (specify): petitioner other (specify): respondent respondent

Drop-off of the children will be at (address): Pick-up of the children will be at (address): The children will be driven only by a licensed and insured driver. The car or truck must have legal child restraint devices. During the exchanges, the parent driving the children will wait in the car and the other parent will wait in his or her home while the children go between the car and the home. Other (specify):

other (name): petitioner respondent Travel with children. The must have written permission from the other parent or a court order to take the children out of a. b. c. the state of California. the following counties (specify): other places (specify):

7.

Child abduction prevention. There is a risk that one of the parents will take the children out of California without the other parent's permission. Form FL-341(B) is attached and must be obeyed. Holiday schedule. The children will spend holiday time as listed in the attached other (specify): form FL-341(C)

8.

9.

Additional custody provisions. The parents will follow the additional custody provisions listed in the attached other (specify): form FL-341(D) Joint legal custody. The parents will share joint legal custody as listed in the attached other (specify): Other (specify): form FL-341(E)

10.

11.

12. 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, commencing with section 3400). 13. 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. 14. Country of habitual residence. The country of habitual residence of the child or children in this case is other (specify): the United States 15. Penalties for violating this order. If you violate this order, you may be subject to civil or criminal penalties, or both.
FL-341 [Rev. July 1, 2006]

CHILD CUSTODY AND VISITATION ORDER ATTACHMENT

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