Dcss 0053 PDF Details

DCSS 0053 is an open source code editor that you can use to write programs in the D programming language. The editor has a number of features that make it easy to work with D code, including syntax highlighting, auto-indentation, and call tips. You can also use the built-in debugger to step through your code and analyze it line by line. DCSS 0053 is available for Windows, Mac, and Linux operating systems.

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QuestionAnswer
Form NameDcss 0053
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesvisitation verification fillable form, dcss 0053, dcss verification form, dcss form form

Form Preview Example

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

DEPARTMENT OF CHILD SUPPORT SERVICES

VISITATION VERIFICATION

DCSS 0053 (08/21/2016)

CSE Case Number:

Name of person completing form:

I am the

Custodial Party

Noncustodial Parent

 

 

 

 

PART 1. ACTUAL VISITATION BY THE NONCUSTODIAL PARENT

INSTRUCTIONS:

Complete the visitation history by filling in the last 12 months and number of hours for each month the noncustodial parent visited with the child(ren). If visitation is different for each child(ren), please complete one form for each child.

Example: If the last 12 months are June 2014 through May of 2015, you will complete June through December on the left side of the chart below. You would put 2014 for the year. Then you would complete the right side of the chart with January through May and put 2015 for the year.

 

NUMBER OF HOURS

 

NUMBER OF HOURS

 

THE NONCUSTODIAL

 

THE NONCUSTODIAL

MONTH/YEAR

PARENT VISITED WITH

MONTH/YEAR

PARENT VISITED WITH

 

THE CHILD(REN) EACH

 

THE CHILD(REN) EACH

 

MONTH

 

MONTH

 

 

 

 

January/

 

January/

 

 

 

 

 

February/

 

February/

 

 

 

 

 

March/

 

March/

 

 

 

 

 

April/

 

April/

 

 

 

 

 

May/

 

May/

 

 

 

 

 

June/

 

June/

 

 

 

 

 

July/

 

July/

 

 

 

 

 

August/

 

August/

 

 

 

 

 

September/

 

September/

 

 

 

 

 

October/

 

October/

 

 

 

 

 

November/

 

November/

 

 

 

 

 

December/

 

December/

 

 

 

 

 

 

TOTAL:

 

TOTAL:

 

 

 

 

Page 1 of 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

DEPARTMENT OF CHILD SUPPORT SERVICES

VISITATION VERIFICATION

DCSS 0053 (08/21/2016)

PART 2. SHARED CUSTODY/VISITATION

CHECK ONE:

Shared Custody

Visitation Only

Neither

VISITATION HOURS:

Regular Visitation:

From (specify day of the week)

at (specify time)

To (specify day of the week)

at (specify time)

Vacation Visitation:

Yes

If Yes, please specify dates/times:

 

Summer Visitation:

Yes

If Yes, please specify dates/times:

 

Holiday Visitation:

Yes

If Yes, please specify dates/times:

 

Overnight Visitation:

Yes

If Yes, please specify dates/times:

 

(Circle one) a.m./p.m.

(Circle one) a.m./p.m.

No

No

No

No

Court-ordered custody/visitation arrangement:

Yes

No

Additional Information:

I declare to the best of my knowledge and belief that the above information is true and correct. I am aware that this information may be provided to the other parent for their verification and that either party may be required to provide documentation.

PRINT NAME

SIGNATURE

DATE

Page 2 of 2

How to Edit Dcss 0053 Online for Free

We used the best computer programmers to create the PDF editor. Our app will allow you to prepare the visitation verification fillable form document with no trouble and won't consume a lot of your energy. This easy guide will enable you to start out.

Step 1: Click the "Get Form Now" button to begin.

Step 2: So, you may modify the visitation verification fillable form. This multifunctional toolbar will let you add, delete, customize, highlight, as well as undertake other commands to the content and fields within the form.

For every single part, complete the content requested by the program.

step 1 to filling in dcss 0053 fillable

You have to enter the appropriate details in the field.

Entering details in dcss 0053 fillable stage 2

It is necessary to provide some information inside the field CHECK ONE, Shared Custody, Visitation Only, Neither, VISITATION HOURS, Regular Visitation, From specify day of the week, at specify time, To specify day of the week, at specify time, Circle one ampm, Circle one ampm, Vacation Visitation If Yes please, Summer Visitation If Yes please, and Holiday Visitation If Yes please.

Filling in dcss 0053 fillable part 3

You'll need to identify the rights and responsibilities of each party in box Overnight Visitation If Yes please, Courtordered custodyvisitation, Additional Information, Yes, Yes, I declare to the best of my, PRINT NAME, SIGNATURE, DATE, and Page of.

dcss 0053 fillable Overnight Visitation If Yes please, Courtordered custodyvisitation, Additional Information, Yes, Yes, I declare to the best of my, PRINT NAME, SIGNATURE, DATE, and Page  of fields to insert

Step 3: Press the "Done" button. Now it's easy to export the PDF file to your electronic device. Aside from that, it is possible to forward it through electronic mail.

Step 4: It is safer to keep duplicates of the form. You can rest assured that we won't disclose or see your data.

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