Dv 105 Form PDF Details

The Dv 105 Form is a document used to provide information about an alien who is inadmissible to the United States. The form will ask for specific biographical information about the individual, as well as their criminal history and other reasons why they may be considered inadmissible. Completing this form accurately is critical, as it can help determine whether or not an individual will be allowed into the country. Understanding what is required on the Dv 105 Form can be helpful for those looking to immigrate to the United States.

QuestionAnswer
Form NameDv 105 Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other names5th, dv 105 fillable form, California, dv 105

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DV-105

Request for Child Custody and

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

Dad

Other*

Other*

3

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

a.

b.

c.

d.

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

4

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

 

to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

to

 

 

 

 

 

 

 

 

 

 

 

 

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?

 

No

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

9

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)

a.

 

No visitation until the hearing

 

 

 

b.

 

No visitation after the hearing

 

 

 

 

 

 

 

c.

 

 

 

 

 

 

 

 

 

 

 

 

 

The following visitation

until the hearing

 

after the hearing

(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

 

 

 

 

 

 

at

 

 

 

 

 

 

 

a.m.

 

p.m. to

 

at

 

 

 

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:

10

Other Visitation

11

12

13

14

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

 

 

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

a.

I ask that the visitation in

9

be supervised by

 

 

 

 

 

 

 

 

 

 

A professional supervisor

 

A non-professional supervisor

 

Other

 

 

 

 

 

 

 

Name and telephone number, if known: ______________________________________________________

b.

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: ________________________________________________

 

 

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)

How to Edit Dv 105 Form Online for Free

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

The right way to fill in 1st stage 1

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.

Filling in part 3 in 1st

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.

Filling in part 5 in 1st

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