Fill and Sign the California Provisions Form

––––– ––––– ––––– –– –– –– –– ––––– –– –– –– –– –– –– –– ––––– –– –– –– –– ––––– –– –– ––––– –– –– –– –– –– –– –– ––––– –– –– –– –– –– –– ––––– –– ––PETITIONE R: CASE NUMBER FL-341(D) (D) RESPONDEN T: ADDITIONAL PROVISIONS-PHYSICAL CUSTODY ATTACHMENT T O Petition or Application for Order Findings and Order After Hearing or Judgment Stipulation and Order for Custody and/or Visitation of Children 1 . days of any change in his or herNotification of parent's current address. Each parent must notify the other parent of his or her current address and telephone number within (specify number): a. address for residenc e maili ng wor k. b. telephone/message number at ho me wo rk the children's schools. Neither parent may use such information for the purpose of harassing, annoying, or disturbing the peace of the other or invading the other's privacy. If a parent has an address with the State of California's Safe at Home confidential address program, no residence or work address is needed. 2 . days priorNotification of proposed move of child. Each parent must notify the other parent (specify number): to any planned change in residence of the children. The notification must state, to the extent known, the planned address of the children, including the county and state of the new residence. The notification must be sent by certified mail, return receipt requested. 3 . Child care a . b . The children must not be left alone without age-appropriate supervision. The parents must let each other know the name, address, and phone number of the children's regular child-care providers. 4 . Right of first option of child care. In the event either parent requires child care for (specify number): hours or more while the children are in his or her custody, the other parent must be given first opportunity, with as much prior notice as possible, to care for the children before other arrangements are made. Unless specifically agreed or ordered by the court, this order does not include regular child care needed when a parent is working. 5 . Canceled parenting time a . If the noncustodial parent fails to arrive at the appointed time and fails to notify the custodial parent that he or she will be late, then the custodial parent need wait for only (specify number): minutes before considering the visitation canceled. b . In the event a noncustodial parent is unable to exercise visitation on a given occasion, he or she must notify the custodial parent at the earliest possible opportunity. c . The custodial parent must give the noncustodial parent as much notice as possible if the children are ill and unable to participate in scheduled time with the other parent. A doctor's excuse is required. 6 . Phone contact between parents and children a . The children may have telephone access to the parents and the parents may have telephone access to the children at reasonable times, for reasonable durations. b . The scheduled phone contact between parents and the children is (specify): c . Neither parent nor any other third party may listen to or monitor the calls. 7 . No negative comments. Neither parent will make or allow others to make negative comments about the other parent or the other parent's past or present relationships, family, or friends within hearing distance of the children. 8 . No use of children as messengers. The parents will communicate directly with each other on matters concerning the children and may not use the children as messengers between them. 9 . Alcohol or substance abuse. The petition er respondent may not consume alcoholic beverages, narcotics, or restricted dangerous drugs (except by prescription) within (specify number): hours prior to or during periods of time with the children and may not permit any third party to do so in the presence of the children. 1 0 . No exposure to cigarette smoke. The children will not be exposed to secondhand cigarette smoke while in the home or car of either parent. Page 1 of 2 Form Approved for Optional Use Judicial Council of California FL-341 (D) [Rev. January 1, 2005] ADDITIONAL PROVISIONS-PHYSICAL CUSTODY ATTACHMENT Family Code, §§ 3003, 3024, 3083el ectr onic form ã 2005 WWW.LawCA.co m L a w P u b l i s h e r s ––––– ––––– ––––– –– –– –– ––––– –– ––––– –– –– –– –– –– –– ––––– CASE NUMBERPETITIONE R: RESPONDEN T: 1 1 . No interference with schedule of other parent without that parent's consent. Neither parent will schedule activities for the children during the other parent's scheduled parenting time without the other parent's prior agreement. 1 2 . Third-party contact a . b . The children will have no contact with (specify name) : The children must not be left alone in the presence of (specify name) : 1 3 . Children's clothing and belongings a . Each parent will maintain clothing for the children so that the children do not have to make the exchanges with additional clothing. b . The children will be returned to the other parent with the clothing and other belongings they had when they arrived. 1 4 . Log book. The parents will maintain a ''log book'' and make sure that the book is sent with the children between their two homes. Using businesslike notes (no personal comments), parents will record information related to the health, education, and welfare issues that arise during the time the children are with them. 1 5 . Terms and conditions of order may be changed. The terms and conditions of this order may be added to or changed as the needs of the children and parents change. Such changes will be in writing, dated and signed by both parents-, each parent will retain a copy. If the parents want a change to be a court order, it must be filed with the court in the form of a court document. 1 6 . Other (specify): FL-341 (D) [Rev. January 1, 2005] ADDITIONAL PROVISIONS-PHYSICAL CUSTODY ATTACHMENT Page 2 of 2el ectr onic form ã 2005 WWW.LawCA.co m L a w P u b l i s h e r s