COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. :
Plaintiff(s) ADDITIONAL PROVISIONS--PHYSICAL CUSTODYJUDICIAL SUBPOENA ATTACHMENT
TO 1. Petition or-againstApplication for Order Findings : and Order After Hearing or Judgment Stipulation and Order for Custody and/or Visitation of Children
Defendant(s) : . . .Neither parent may.use.such .information. for .the purpose .of harassing, annoying, or disturbing the peace of the other or ............. .. ... ....... .. ........ ..........
invading the other's privacy. If a parent has an address with the State of California's Safe at Home confidential address program, no residence or work address is needed. 2. Notification OF THE STATE OF NEW YORK THE PEOPLEof proposed move of child. Each parent must notify the other parent (specify number): days prior to any planned change in residence of the children. The notification must state, to the extent known, the planned address of the children, including the county and state of the new residence. The notification must be sent by certified mail, return TO receipt requested. Child care
Notification of parent's current address. Each parent must notify the other parent of his or her current address and telephone number within (specify number): days of any change in his or her : a. address for residence mailing work. b. telephone/message number at home work the children's schools.
The children must not be left alone without age-appropriate supervision.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before theRight of first option of child care. In the event eitherat the requires child Court (specify number): Honorable parent care for hours or more , located at while of County the children are in his or her custody, the other parent must be given first opportunity, with as much prior notice as possible, or ordered by the recessed in room to care foron the , the children before other arrangements are ,made. Unless specifically agreednoon, and at any court, day of , 20 at o'clock in the this order does not include regular child care neededawhen a parent is working. the part of the or adjourned date, to testify and give evidence as witness in this action on
Canceled parenting time If the noncustodial parent fails to arrive at the appointed time and fails to notify the custodial parent that he or she will failure to comply with parent need wait punishable as number): minutes before considering the Your be late, then the custodialthis subpoena isfor only (specify a contempt of court and will make you liable to visitation canceled. the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a b. In failure to noncustodial parent is unable to exercise visitation on a given occasion, he or she must notify the result of your the event acomply. custodial parent at the earliest possible opportunity. The custodial parent must give the noncustodial parent as much notice as possible if the children are ill and unable to c. Witness, Honorable time with the other parent. , one of the Justices of the A doctor's excuse is required. participate in scheduled a.
The parents must let each other know the name, address, and phone number of the children's regular child-care providers.
6. a. b. c. 7.
Phone contact between parents and children The children may have telephone access to the parents and the parents may have telephone access to the children at reasonable times, for reasonable durations. (Attorney must sign The scheduled phone contact between parents and the children is (specify): above and type name below) Neither parent nor any other third party may listen to or monitor the calls.
No negative comments. Neither parent will make or allow others to Attorney(s) for make negative comments about the other parent or the other parent's past or present relationships, family, or friends within hearing distance of the children. No use of children as messengers. The parents will communicate directly with each other on matters concerning the children and may not use the children as messengers between them.
Office and P.O. Address
9. may not consume alcoholic beverages, petitioner respondent Alcohol or substance abuse. The narcotics, or restricted dangerous drugs (except by prescription) within (specify number): hours prior to or during periods of time with the children and may not permit any third party to do so in the presence of the children.
Judicial Council of California FL-341(D) [Rev. January 1, 2005]
Telephone No.: 10. No exposure to cigarette smoke. The children will not be exposed Facsimile No.: to secondhand cigarette smoke while in the home or car E-Mail Address: of either parent. Page 1 of 2 Form Approved for Optional Use Mobile Tel. No.: Family Code, §§ 3003, 3024, 3083 ADDITIONAL PROVISIONS--PHYSICAL CUSTODY ATTACHMENT
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No interference with schedule of other parent without that parent's consent. Neither parent will schedule activities for the children during the other parent's scheduled parenting time without the other parent's prior agreement. Third-party contact a. b. The children will have no contact with (specify name): The children must not be left alone in the presence of (specify name):
Children's clothing and belongings a. b. Each parent will maintain clothing for the children so that the children do not have to make the exchanges with additional clothing. The children will be returned to the other parent with the clothing and other belongings they had when they arrived.
Log book. The parents will maintain a "log book" and make sure that the book is sent with the children between their two homes. Using businesslike notes (no personal comments), parents will record information related to the health, education, and welfare issues that arise during the time the children are with them. Terms and conditions of order may be changed. The terms and conditions of this order may be added to or changed as the needs of the children and parents change. Such changes will be in writing, dated and signed by both parents; each parent will retain a copy. If the parents want a change to be a court order, it must be filed with the court in the form of a court document. Other (specify):
FL-341(D) [Rev. January 1, 2005]
ADDITIONAL PROVISIONS--PHYSICAL CUSTODY ATTACHMENT
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