Form FL-355 at a glance
What it is: FL-355 is the Stipulation and Order for Custody and/or Visitation (Parenting Time), an Optional Form of the Judicial Council of California.
Who signs: Enter the Date, Type or Print Name and add the Signature of Petitioner and of Respondent. A judge has to sign the agreement before it can be filed.[2]
The parties signing this stipulation agree that the attached agreement or the attached forms are their agreement for custody and/or visitation (parenting time).
A filled-in Form FL-355 example: two parents attach Form FL-341

How to fill out Form FL-355, box by box
Superior Court of California, county, petitioner, respondent and case number
Jurisdiction and habitual residence
This court has jurisdiction over the minor children because California is the children's home state. The habitual residence of the children is the United States of America.
The attached agreement or the attached forms
Their agreement is in best interest of their child or children
History of abuse or substance abuse

The case involves allegations of a history of abuse or substance abuse by (check all that apply): Petitioner, Respondent or Other parent/party is (or are) alleged to have a history of abuse against any of the following persons: a child, the other parent, their current spouse, or the person they live with or are dating or engaged to.
Petitioner, Respondent or Other parent/party is (or are) alleged to have the habitual or continual illegal use of controlled substances, or the habitual or continual abuse of alcohol, or the habitual or continual abuse of prescribed controlled substances.
Even though there are allegations, the parties agree that the stipulation for child custody or unsupervised visitation (parenting time) is in the best interests of the child and is specific as to time, day, place, and manner of transfer (exchange) of the child, as Family Code sections 3011(a)(5)(B) and 6323(c) require.
Violation of this order may result in civil or criminal penalties
The parties acknowledge they were advised that any violation of this order may result in civil or criminal penalties, or both.
Signature of Petitioner, Respondent and Attorney

Each party declares under penalty of perjury under the laws of the State of California that it is true and correct.
Enter the Date, Type or Print Name and add the Signature of Petitioner and of Respondent.
Type or Print Name and add the Signature of Attorney for Petitioner and of Attorney for Respondent.
Type or Print Name and add the Signature of Other Parent/Party and of Attorney for Other Parent/Party, each with a Date.
More rules for Form FL-355
The court finds that this order is in the best interests of the child or children listed in the parties' agreement.
The court adopts the parties' agreement regarding child custody and/or visitation (parenting time) as the order of the court, as specified in the attached:
If abuse is alleged or found
There are allegations or findings of abuse
If there are allegations or findings of abuse, the judge may not enter an order based on a stipulation until you have a hearing.
Where past abuse has been found or alleged, the court must not sign a stipulation in which the parties state that Family Code section 3044 does not apply.
When there has been a finding of domestic violence in the last five years, the court must not sign a stipulation in which the parties agree that the presumptions have been rebutted.
The court must independently determine the best interest of the child in these cases.
Sources
[1] Form FL-355 (Rev. July 1, 2026), Judicial Council of California (the Official source link on this page).
[2] selfhelp.courts.ca.gov, submission_method (selfhelp.courts.ca.gov). Accessed November 2, 2026.



