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Fill and Sign the Dv 105 Request for Child Custody and Visitation Orders Vietnamese Judicial Council Forms

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Ñôn Xin Caùc Leänh Nuoâi Giöõ vaø Thaêm Vieáng Treû DV -105 V Ñôn Xin Caùc Leänh Nuoâi Giöõ vaø Thaêm Vieáng Treû (Ngaên Ngöøa Baïo Haønh Trong Nhaø) Rev. January 1, 2012, Mandatory Form Family Code, § 3063 DV-105 V, (Vietnamese) Trang 1 treân 3 ➔ Ñaây khoâng phaûi laø Leänh Toøa. Soá Vuï: Ñöøng Noäp Maãu naøy ñöôïc keøm theo DV-100, Request for Domestic Violence Restraining Order (Ñôn Xin Leänh Caám Baïo Haønh Trong Nhaø) . Ñaùnh daáu vaøo leänh toøa quyù vò muoán þ . Teân quyù vò:  Meï  Cha  Ngöôøi Khaùc* Teân ngöôøi cha hoaëc meï kia:  Meï  Cha  Ngöôøi Khaùc* * Neáu ghi Ngöôøi Khaùc, xin ghi roõ moái lieân heä vôùi treû:  Nuoâi Giöõ Treû Toâi xin toøa cho nuoâi giöõ con nhö sau: Quyeàn Nuoâi Döôõng Phaùp Lyù cho: Quyeàn Nuoâi Giöõ Treû cho: (Ngöôøi quyeát ñònh veà söùc khoûe, (Ngöôøi quyù vò muoán treû soáng giaùo duïc vaø an sinh) chung vôùi hoï) Teân Treû Ngaøy Sinh Me ï Cha Ngöôøi Khaùc Me ï Cha Ngöôøi Khaùc a.       b.       c.       d.        Ñaùnh daáu vaøo ñaây neáu quyù vò caàn theâm choã. Keøm theo moät tôø giaáy ngoaøi vaø vieát töïa laø “DV-105, Child Custody” (Nuoâi Giöõ Treû).  Thay Ñoåi Leänh Toøa Hieän Nay Toâi muoán thay ñoåi leänh toøa hieän nay veà nuoâi giöõ hoaëc thaêm vieáng treû. Soá vuï (neáu quyù vò coù): Quaän: Giaûi thích leänh hieän nay vaø lyù do quyù vò muoán thay ñoåi.  Ñaùnh daáu vaøo ñaây neáu quyù vò caàn theâm choã. Keøm theo moät tôø giaáy ngoaøi vaø vieát töïa laø “DV-105, Change Current Court Order” (Thay Ñoåi Leänh Toøa Hieän Nay). Ñòa Chæ cuûa Treû Treû coù teân ôû muïc ➂ (a) soáng ôû ñaâu trong 5 naêm qua? Ghi moãi thaønh phoá vaø tieåu bang nôi treû soáng tröø phi ñoù laø ñòa chæ maø ngöôøi cha hoaëc meï kia khoâng bieát vaø quyù vò muoán giöõ kín vì sôï baïo haønh trong nhaø hoaëc haønh haï treû em. Baét ñaàu baèng ñòa chæ nôi treû soáng hieän nay vaø ñi ngöôïc trôû laïi. (Neáu ñòa chæ hieän nay ñöôïc giöõ kín, haõy ñaùnh daáu vaøo oâ döôùi ñaây vaø chæ ghi tieåu bang hieän nay). Caùc ñòa chæ cuûa treû coù teân ôû muïc ➂ (a) Treû coù teân ôû muïc ➂ (a) soáng vôùi: Nhöõng ngaøy soáng taïi ñoù: (thaønh phoá vaø tieåu bang): Me ï Cha Ngöôøi Khaùc  Giöõ kín    Töø ñeán nay    Töø ñeán    Töø ñeán    Töø ñeán  Ñaùnh daáu vaøo ñaây neáu quyù vò caàn theâm choã. Keøm theo moät tôø giaáy ngoaøi vaø vieát töïa laø “DV-105, Child’s Address”(Ñòa Chæ cuûa Treû). 1 2 4 3 5 Chæ Ñeå Thoâng Tin Judicial Council of California Ñôn Xin Caùc Leänh Nuoâi Giöõ vaø Thaêm Vieáng Treûø (Ngaên Ngöøa Baïo Haønh Trong Nhaø) Rev. January 1, 2012 DV-105 V, (Vietnamese) Trang 2 treân 3 ➔ Ñaây khoâng phaûi laø Leänh Toøa. Soá Vuï: Ñöøng Noäp Ñòa Chæ cuûa Caùc Treû Khaùc  Ñaùnh daáu vaøo ñaây neáu chi tieát veà ñòa chæ cuûa treû (hoaëc nhöõng treû) gioáng nhö ñaõ lieät keâ ôû ➄ .  Neáu khaùc, ñaùnh daáu vaøo ñaây. Keøm theo moät tôø giaáy ngoaøi vaø vieát töïa laø “DV-105, Other Children’s Addresses” (Ñòa Chæ cuûa Caùc Treû Khaùc). Ghi chi tieát veà ñòa chæ cuûa caùc treû kia, goàm caû ngaøy, vaø teân cuûa ngöôøi treû soáng chung . Vuï Nuoâi Giöõ Khaùc Quyù vò coù lieân quan ñeán, hoaëc coù bieát veà, baát cöù vuï nuoâi giöõ naøo khaùc veà treû hoaëc nhöõng treû coù teân trong maãu naøy hay khoâng?  Khoâng  Coù Neáu coù, ñieàn döôùi ñaây vaø ñính keøm baûn sao baát cöù leänh nuoâi giöõ hoaëc thaêm vieáng naøo neáu quyù vò coù: a. Teân moãi treû trong vuï nuoâi giöõ khaùc: b. Loaïi vuï:  Xaùc Ñònh Cha Meï (Ai Laø Cha)  Ly Dò  Caáp Döôõng Cho Con  Giaùm Hoä  Thieáu Nieân/Nuoâi Döôõng  Baïo Haønh Trong Nhaø  Loaïi Khaùc (ghi roõ): c. Toâi laø  Moät Thaønh Phaàn Trong Vuï Ñoù  Nhaân Chöùng  Ngöôøi Khaùc (ghi roõ): d. Toøa (teân): Ñòa Chæ: Quaän: Tieåu Bang: e. Ngaøy caáp leänh toøa: f. Soá vuï (neáu quyù vò coù): Nhöõng Ngöôøi Khaùc Ñang Coù hoaëc Ñang Xin Quyeàn Nuoâi Giöõ hoaëc Thaêm Vieáng Quyù vò coù bieát baát cöù ngöôøi naøo khoâng lieân quan ñeán vuï naøy vaø ñang coù hoaëc ñang xin caùc quyeàn nuoâi giöõ hoaëc thaêm vieáng veà baát cöù treû naøo coù teân trong maãu naøy hay khoâng?  Khoâng  Coù Neáu coù, ñieàn döôùi ñaây: Teân vaø ñòa chæ cuûa ngöôøi ñoù:  Coù quyeàn nuoâi giöõ  Ñang xin quyeàn nuoâi giöõ  Ñang xin quyeàn thaêm vieáng Veà nhöõng treû naøy (ghi teân moãi treû):  Ñaùnh daáu vaøo ñaây neáu quyù vò caàn theâm choã. Keøm theâm giaáy ngoaøi vaø vieát töïa laø “DV-105, Other People With or Claiming Custody or Visitation” (Nhöõng Ngöôøi Khaùc Ñang Coù hoaëc Ñang Xin Quyeàn Nuoâi Giöõ hoaëc Thaêm Vieáng).  Thaêm Vieáng Toâi xin toøa ra leänh laø ngöôøi coù teân ôû muïc ➁ coù caùc quyeàn thaêm vieáng taïm thôøi sau ñaây: (Ñaùnh daáu vaøo taát caû nhöõng oâ thích öùng) a.  Khoâng coù quyeàn thaêm vieáng cho ñeán khi xöû b.  Khoâng coù quyeàn thaêm vieáng sau khi xöû c.  Quyeàn thaêm vieáng sau ñaây  cho ñeán khi xöû  sau khi xöû (1)  Ngaøy cuoái tuaàn (baét ñaàu): (Cuoái tuaàn thöù 1 trong thaùng laø cuoái tuaàn thöù 1 coù ngaøy Thöù Baûy.) Cuoái tuaàn  thöù 1  thöù 2  thöù 3  thöù 4  thöù 5 trong thaùng töø luùc  saùng  chieàu ñeán luùc  saùng  chieàu (ngaøy trong tuaàn) (giôø) (ngaøy trong tuaàn) (giôø) (2)  Ngaøy thöôøng (baét ñaàu): töø luùc  saùng  chieàu ñeán luùc  saùng  chieàu (ngaøy trong tuaàn) (giôø) (ngaøy trong tuaàn) (giôø) 6 7 8 9 Ñôn Xin Caùc Leänh Nuoâi Giöõ vaø Thaêm Vieáng Treûø (Ngaên Ngöøa Baïo Haønh Trong Nhaø) Rev. January 1, 2012 DV-105 V, (Vietnamese) Trang 3 treân 3 Ñaây khoâng phaûi laø Leänh Toøa. Soá Vuï: Ñöøng Noäp 12 13 14 11 10  Quyeàn Thaêm Vieáng Khaùc Keøm theo moät tôø giaáy ngoaøi ghi ngaøy giôø nhöõng laàn thaêm vieáng khaùc, chaúng haïn nhö nghæ heø, nhöõng ngaøy leã, vaø ngaøy sinh nhaät. Ghi ngaøy giôø. Vieát töïa laø “DV-105, Visitation” (Thaêm Vieáng).  Traùch Nhieäm Chuyeân Chôû Ngöôøi cha hoaëc meï seõ ñöa ñoùn treû hoaëc saép xeáp cho ngöôøi khaùc ñöa ñoùn. Toâi xin toøa ra leänh raèng: a.  Meï  Cha  Ngöôøi Khaùc (teân): ñöa treû ñeán nhöõng laàn thaêm vieáng. b.  Meï  Cha  Ngöôøi Khaùc (teân): ñoùn treû veà töø nhöõng laàn thaêm vieáng. c.  Ñöa / ñoùn caùc treû taïi (ñòa chæ): d.  Ñaùnh daáu vaøo ñaây neáu coù saép xeáp khaùc. Keøm theo moät tôø giaáy ngoaøi vaø vieát töïa laø “DV-105, Responsibility for Transportation” (Traùch Nhieäm Chuyeân Chôû).  Thaêm Vieáng Coù Giaùm Thò a. Toâi yeâu caàu khi thaêm vieáng theo muïc ➈ phaûi ñöôïc giaùm thò bôûi  Moät nhaân vieân giaùm thò chuyeân nghieäp  Moät nhaân vieân giaùm thò khoâng chuyeân nghieäp  Ngöôøi khaùc Teân vaø soá ñieän thoaïi, neáu bieát: b. Toâi yeâu caàu khi thaêm vieáng theo muïc ➉ phaûi ñöôïc giaùm thò bôûi  Moät nhaân vieân giaùm thò chuyeân nghieäp  Moät nhaân vieân giaùm thò khoâng chuyeân nghieäp  Ngöôøi khaùc Teân vaø soá ñieän thoaïi, neáu bieát: c. Toâi yeâu caàu baát cöù phí toån giaùm thò naøo phaûi ñöôïc trang traûi nhö sau: Meï % Cha % Ngöôøi Khaùc (teân) %  Du Haønh Vôùi Treû Toâi xin toøa ra leänh raèng:  Meï  Cha  Ngöôøi Khaùc (teân): phaûi coù giaáy pheùp cuûa ngöôøi cha hoaëc ngöôøi meï kia, hoaëc coù leänh toøa, thì môùi ñöôïc ñöa caùc treû ra khoûi: a.  Tieåu Bang California  Quaän: b.  (Nhöõng) nôi khaùc (lieät keâ):  Ruûi Ro Baét Coùc Tre û  Toâi tin raèng coù ruûi ro ngöôøi cha hoaëc meï kia seõ ñöa con chuùng toâi ra khoûi California vaø giaáu treû cho toâi khoâng tìm ra. Neáu quyù vò ñaùnh daáu vaøo oâ naøy thì quyù vò phaûi ñieàn vaø ñính keøm Maãu DV-108, Request for Order: No Travel with Children (Ñôn Xin Leänh: Caám Du Haønh vôùi Treû). • Quyù vò phaûi cho toøa bieát neáu quyù vò tìm ñöôïc baát cöù chi tieát naøo khaùc veà moät vuï nuoâi giöõ taïi baát cöù toøa naøo veà nhöõng treû coù teân trong maãu naøy. • Neáu toøa caáp leänh nuoâi giöõ taïm thôøi, ngöôøi cha hoaëc meï ñöôïc quyeàn nuoâi giöõ phaûi khoâng ñöôïc ñöa treû ra khoûi California neáu chöa coù phieân xöû ñöôïc thoâng baùo. (Xem Boä Luaät Gia Ñình §3063.) Chæ Daãn Quan Troïng

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