Dv 105 Form – Fill Out and Use This PDF

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Dv 105 Form – Fill Out and Use This PDF

The DV-105 form, or Request for Child Custody and Visitation Orders, plays a pivotal role in domestic violence situations requiring legal orders related to a child's care. Attached to the DV-100 form, which seeks a Domestic Violence Restraining Order, it enables one to request specific custody and visitation arrangements. If you need to establish or change custody or visitation arrangements for your child's safety and well-being, clicking the button below will help you begin filling out this important form.

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Dv 105 Form PDF Details

The interpersonal challenges and legal intricacies that accompany the pursuit of child custody and visitation in the context of domestic violence cases are multifaceted and emotionally taxing. Within this realm, the DV-105 form emerges as a crucial document for those seeking to establish or modify child custody and visitation arrangements amidst allegations of domestic violence. Designed to be attached to the DV-100, Request for Domestic Violence Restraining Order, the DV-105 form enables individuals to articulate their desired custody arrangements, request changes to existing court orders, and provide comprehensive details pertaining to their child’s living situation. The form meticulously gathers information on the child’s residence history, involves considerations for supervised visitation, and assesses the risk of child abduction, thereby facilitating a holistic examination by the court to ensure decisions are made in the best interests of the child. Not only does it play a pivotal role in the legal process by guiding the court’s understanding of the petitioner's requests, but it also embodies the judiciary's commitment to safeguarding children’s welfare in situations marked by domestic unrest.

Question	Answer
Form Name	Dv 105 Form
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	5th, dv 105 fillable form, California, dv 105

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	DV-105	Request for Child Custody and
	DV-105	Visitation Orders
		Visitation Orders

Case Number:

This form is attached to DV-100, Request for Domestic Violence Restraining Order.

Check the orders you want .

1 Your name:

Mom

2Other parent’s name: Mom *If Other, specify relationship to child:

Dad

Other*

Child Custody

I ask the court for custody as follows:	Legal Custody to: (Person	Physical Custody to:
	who makes decisions about	(Person you want the
	health, education, and welfare)	child to live with)

Child’s Name

Date of Birth Mom Dad Other

Mom Dad Other

Check here if you need more space. Attach a sheet of paper and write “DV-105, Child Custody” for a title.

Change Current Court Order

I want to change a current child custody or visitation court order.

Case Number (if you have it): ____________________________________ County:______________________

Explain your current order and why you want a change.

Check here if you need more space. Attach a sheet of paper and write “DV-105, Change Current Court Order” for a title.

5Child’s Address

Where has the child in 3 (a) lived for the last 5 years? Give each city and state the child has lived unless it is unknown to the other parent and you want to keep it confidential because of domestic violence or child abuse. Start with where the child lives now and work backwards in time. (If the current address is confidential, check the box below and just provide the current state).

Child 3 (a) addresses (city and state):

Child 3 (a) lived with:

Dates lived there:

Mom Dad Other

Confidential

From

to present

From

Check here if you need more space. Attach a sheet of paper and write “DV-105, Child’s Address” for a title.

This is not a Court Order.

Judicial Council of California, www.courts.ca.gov Rev. January 1, 2012, Mandatory Form Family Code, § 3063

Request for Child Custody and Visitation Orders	DV-105, Page 1 of 3

(Domestic Violence Prevention)

Case Number:

6Other Children’s Addresses

Check here if the other child’s (or children’s) address information is the same as listed in 5 .

If it is different, check here. Attach a sheet of paper and write “DV-105, Other Children’s Addresses” for a title. List other children’s address information, including dates, and name of person child lived with.

7Other Custody Case

Were you involved in, or do you know of, any other custody case for any child listed in this form?

Yes If yes, fill out below and attach a copy of any custody or visitation orders if you have them:

a. Name of each child in other custody case:

Parentage (Paternity)

Divorce

Guardianship

b. Type of case:

Child Support

Juvenile/Dependency

Domestic Violence

Other (specify):

c. I was a

Party

Witness

Other (specify):

d.Court (name):

Address:

County:

State:

e.Date of court order:

f.Case number (if you have it):

8Other People With or Claiming to Have Custody or Visitation Rights

Do you know of anyone who is not involved in this case who has or claims to have custody or visitation

rights with any child listed on this form?	No	Yes If yes, fill out below:
Name and address of that person:

Has custody

Claims custody rights

For these children (name of each child):

Claims visitation rights

Check here if you need more space. Attach a sheet of paper and write “DV-105, Other People With or Claiming Custody or Visitation” for a title.

Visitation

I ask the court to order that the person in 2 have the following temporary visitation rights: (Check all that apply)

(1)

Weekends (starting):

(The 1st weekend of the month is the 1st weekend with a Saturday.)

5th weekend of month

1st

2nd

3rd

4th

from

a.m.

p.m. to

a.m.

p.m.

(day of week)

(time)

(day of week)

(time)

(2) Weekdays (starting):

from		at		a.m.	p.m. to		at		a.m.	p.m.
	(day of week)		(time)			(day of week)		(time)

This is not a Court Order.

Rev. January 1, 2012

Request for Child Custody and Visitation Orders

DV-105, Page 2 of 3

(Domestic Violence Prevention)

Case Number:

Other Visitation

Attach a sheet of paper with other visitation days and times, like summer vacation, holidays, and birthdays. List dates and times. Write “DV-105, Visitation” for a title.

Responsibility for Transportation

The parent will take or pick up the child or make arrangements for someone else to do so. I ask the court to order that:

a.	Mom	Dad	Other (name):	take children to the visits.
		Dad	Other (name):	pick up children from the visits.
b.	Mom	Dad	Other (name):	pick up children from the visits.
c.	Drop-off / pick-up of children will be at (address):


	Check here if other arrangement. Attach a sheet of paper and write “DV-105, Responsibility for
d.
	Transportation” for a title.

Supervised Visitation

I ask that the visitation in

be supervised by

A professional supervisor

A non-professional supervisor

Other

Name and telephone number, if known: ______________________________________________________

I ask that the visitation in

10 be supervised by

A professional supervisor

A non-professional supervisor

Other

Name and telephone number, if known: ______________________________________________________

c. I ask that any costs for supervision be paid by:

Mom

Dad

% Other (name)

Travel With Children

I ask the court to order that:


	Mom		Dad	Other (name):		MUST have written permission
from the other parent, or a court order, to take the children outside of:
a.		The State of California			County of: ________________________________________________
a.		The State of California			County of: ________________________________________________
b.		Other place(s) (list):
b.		Other place(s) (list):

Child Abduction Risk

I believe that there is a risk the other parent will take our child out of California and hide the child from me. If you check this box you must fill out and attach Form DV-108, Request for Order: No Travel with Children.

Important Instructions

•You must tell the court if you find out any other information about a custody case in any court for the children listed on this form.

•If the court makes a temporary custody order, the parent receiving custody must not take the child out of California without a noticed hearing. (See Family Code §3063.)

This is not a Court Order.

Rev. January 1, 2012

Request for Child Custody and Visitation Orders

DV-105, Page 3 of 3

(Domestic Violence Prevention)

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It is actually simple to fill out the form using this helpful guide! Here's what you should do:

1. Begin filling out your California with a number of necessary fields. Collect all of the necessary information and make sure nothing is missed!

2. Given that the previous section is finished, you're ready to add the needed specifics in Check here if you need more space, Change Current Court Order, I want to change a current child, Case Number if you have it County, Explain your current order and why, Check here if you need more space, Childs Address, Where has the child in a lived for, Child a addresses city and state, Confidential, Child a lived with Dad Other, Mom, Dates lived there, From, and From so that you can go further.

Change Current Court Order, I want to change a current child, and Explain your current order and why inside 1st

People often make some errors when completing Change Current Court Order in this area. You should definitely read again whatever you type in here.

3. This subsequent segment is quite easy, From, From, Check here if you need more space, Judicial Council of California, Request for Child Custody and, DV Page of, Domestic Violence Prevention, and This is not a Court Order - every one of these fields is required to be completed here.

4. This next section requires some additional information. Ensure you complete all the necessary fields - Case Number, Other Childrens Addresses, Check here if the other childs or, Other Custody Case Were you, Yes If yes fill out below and, a Name of each child in other, b Type of case, Parentage Paternity, Divorce, Child Support, Guardianship, JuvenileDependency, Domestic Violence, Other specify, and c I was a - to proceed further in your process!

1st conclusion process detailed (step 4)

5. When you come close to the conclusion of this form, you'll find several more requirements that need to be fulfilled. In particular, Address, e Date of court order f, Case number if you have it, County, State, Other People With or Claiming to, rights with any child listed on, Yes If yes fill out below, Has custody, Claims custody rights, Claims visitation rights, For these children name of each, Check here if you need more space, Visitation I ask the court to, and No visitation until the hearing No must be filled out.

Step 3: Always make sure that the details are right and click "Done" to conclude the task. Download your California once you join for a 7-day free trial. Immediately use the pdf inside your FormsPal cabinet, together with any modifications and changes being all saved! We do not share any details you use whenever dealing with forms at our website.

No visitation until the hearing

No visitation after the hearing

No visitation after the hearing

The following visitation

until the hearing

after the hearing