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Fill and Sign the California Visitation Form

Fill and Sign the California Visitation Form

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JV-401 CHILD'S NAME: CASE NUMBER: ––––– ––––– VISITATION ATTACHMENT: SIBLING 1. Anyone who appears to be under the influence of alcohol or any controlled substance will not be allowed to participate in a scheduled visitation with the child. The visitation supervisor may terminate the visit if this order is violated. 2. Matters relating to the allegations of the petition or issues related to the child's placement are not to be discussed with the child during visits except under the guidance of a counselor in a therapeutic setting. The visitation supervisor may terminate the visit if this order is violated. 3. The prior order of the court suspending a. in-person contact b. written communication c. telephone contact between the child and the child's sibling (name): ––––– (1) continues to be necessary and remains in full force and effect. (2) is modified as set forth in item 4. 4. Contact between the child and the child's sibling (name): a. In-person visitation (1) Unsupervised (2) Supervised by the (a) county agency (b) foster family agency (c) other (specify): ––––– (3) Frequency and duration (a) ––––– times per week for a total of ––––– hours per week (b) ––––– times per month for a total of ––––– hours per month (c) An overnight visit every week every other week (d) Other (specify): ––––– (4) Location (a) Agency visitation facility (b) Foster family agency facility (c) Other (specify): ––––– (5) Transportation of the child to and from the visits will be provided by the (a) county agency. (b) foster family agency. (c) other (specify): ––––– (6) Transportation of the child's sibling to and from the visits will be provided by the (a) county agency. (b) foster family agency. (c) other (specify): ––––– (7) Other orders concerning in-person visitation (specify): ––––– ––––– b. Other types of contact permitted ( specify): ––––– ––––– c. Contact restrictions The following contact between the child and the child's sibling (name): ––––– is not to occur until further order of this court as the court finds, by clear and convincing evidence, that at this time such contact is detrimental to the child child's sibling: (1) In-person contact (2) Written communication (3) Telephone contact Page 1 of 2 Form Approved for Optional Use VISITATION ATTACHMENT: SIBLING Cal. Rules of Court, rules 5.670, 5.695; Judicial Council of California Welfare and Institutions Code, § 362.1electronic form ã 2005-7 WWW.LawCA.co m Law Publishers JV-401 [Rev. January 1, 2007] JV-401 CHILD'S NAME: CASE NUMBER: ––––– ––––– 5. Contact between the child and the child's sibling (name): a. In-person visitation (1) Unsupervised (2) Supervised by the (a) county agency (b) foster family agency (c) other (specify): ––––– (3) Frequency and duration (a) times per week for a total of hours per week (b) times per month for a total of hours per month (c) An overnight visit every week every other week (d) Other (specify): ––––– (4) Location (a) Agency visitation facility (b) Foster family agency facility (c) Other (specify): ––––– (5) Transportation of the child to and from the visits will be provided by the (a) county agency. (b) foster family agency. (c) other (specify): ––––– (6) Transportation of the child's sibling to and from the visits will be provided by the (a) county agency. (b) foster family agency. (c) other (specify): ––––– (7) Other orders concerning in-person visitation (specify): ––––– ––––– b. Other types of contact permitted ( specify): ––––– ––––– c. Contact restrictions The following contact between the child and the child's sibling (name): ––––– is not to occur until further order of this court as the court finds, by clear and convincing evidence, that at this time such contact is detrimental to the child child's sibling: (1) In-person contact (2) Written communication (3) Telephone contact 6. Other (specify): ––––– ––––– ––––– ––––– ––––– ––––– ––––– JV-401 [Rev. January 1, 2007] VISITATION ATTACHMENT: SIBLING Page 2 of 2

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