Child Victim Restriction Affidavit at a glance
What it is: The Child Victim Restriction Affidavit, Attachment F of the TDCJ Offender Visitation Plan, is sworn by the legal guardian of the children it lists.
Who signs: Under SIGN, the person who appeared signs on the line printed with SWORN TO AND SUBSCRIBED BEFORE ME, and the NOTARY PUBLIC IN AND FOR THE STATE OF TEXAS signs the line printed with NOTARY PUBLIC.
A filled-in Child Victim Restriction Affidavit example: a guardian lists two children
How to fill out Child Victim Restriction Affidavit, box by box
County of
Under State of Texas, write the County of.
The person who appeared
After the undersigned authority, personally appeared, write the Name of the person who, being duly sworn, deposed.
The children
The children are numbered 1 to 5, each with a Name, Date of Birth, County of Birth and Social Security Number.
The confirmations about the parent
A legally recognized parent is a biological or adoptive parent of a child, or a court order has appointed the person as the legal guardian of a child who is under the age of 17.
After I confirm that, write the legally recognized parent of the referenced child or children and the TDCJ Number.
You confirm that these children were not the victims of any offense for which this offender has been convicted or placed on deferred adjudication.
After I confirm that, write the legally recognized parent who has not had his parental rights restricted or terminated by a court of law.
Signing before the notary public
The NOTARY PUBLIC IN AND FOR THE STATE OF TEXAS fills in the DAY OF, signs, and fills in Printed Name and Commission Expires.
Sources
[1] TDCJ Offender Visitation Plan Attachment F, Child Victim Restriction Affidavit, Texas Department of Criminal Justice (the Official source link on this page).