Fill and Sign the Fl 108 Form

YesYesYesNoNoNoYesNoYesNo Your name: Other parent's name: Mom Mom Dad Dad Other* Other* *If “'Other," specify relationship with child: Another county in California?Another state?A foreign country? If ''yes, '' what county? If ''yes, '' what state? If ''yes, '' what country? Has violated - or threatened to violateDoes not have strong ties to CaliforniaHas done things recently that make it easy for him or her to take the child away without $$ $ Quit his or her jobClosed a bank accountSold or gotten rid of assetsApplied for a passport, birth certificate, or school or medical recordsSold his or her homeEnded a leaseHidden or destroyed documentsHas a history of. (Check all that apply)Domestic violenceChild abuseNot cooperating with me in parentingChild abductionHas a criminal record DV-108Request for Order: No Travel With ChildrenCase Number:This form is attached to DV-105, Child Custody, Visitation, and Support Request.Do you think the other parent may take the child without your permission to:a.b.c.If ''Yes, '' is the other parent a citizen of that country?If ''Yes, '' does the other parent have family or emotional ties to that country?Explain:Why do you think the other parent may take the child without your permission? the other parent: (Check all that apply)a.a custody or visitation order in the past.b.c.permission. He or she has: (Check all that apply)d.e.f.Please explain your answers to a-e-This is not a Court Order.Request for Order: No Travel With Children (Domestic Violence Prevention)DV-108, Page I of 2Family Code, § 3048Form Adopted for Mandatory Use Judicial Council of California DV-140 [New, July 1, 2003]ele ctr o nic f o rm  2 003 WWW.LawCA.com La w P ublis h ers4321 Your name: Post a Bond I ask the court to order the other parent to post a bond for $ Do Not Move Without My Permission or Court OrderNo Travel Without My PermissionThis countyCaliforniaThe United StatesOther (specify):Notify Other State of Travel Restrictions I ask the court to order the other parent to register this order in the state of Turn In and Do Not Apply for Passports or Other Vital DocumentsProvide Itinerary and Other Travel DocumentsThe child's travel itineraryCopies of round-trip airline ticketsAddresses and telephone numbers where the child can be reachedAn open airline ticket for me in case the child is/are not returnedOther (specify): Notify Foreign Embassy or Consulate of Passport Restrictions I ask the court to order the other parent to notify the embassy or consulate of of this order and to provide the court with proof of that notification within Foreign Custody and Visitation Order Date: Case Number:What orders do you want? Check the boxes that apply to your case. If the other parent takes thechild without my permission, I can use this money to bring the child back.I ask the court to order the other parent not to move with the child without my written permission or a court order.I ask the court to order the other parent not to travel with the child outside: (Check all thatapply)beforethe child can travel to that state for visits.I ask the court to order the other parent to turn in and not apply for passports or other documents (such as visas or birth certificates) that can be used for travel.If the other parent is allowed to travel with the child, I ask the court to order the other parent to give me before leaving:calendar days.I ask the court to order the other parent to get a custody and visitation order equal to the most recent U.S. order before the child can travel to that country for visits. I understand that foreign orders may be changed or enforced depending on the laws of the country.I declare under penalty of perjury under the laws of the State of California that the information on this form is true and correct. Type or print your nameSign your nameThis is not a Court Order.New July 1, 2003Request for Order: No Travel With Children (Domestic Violence Prevention)DV-108, Page 2 of 2ele ctr o nic f o rm  2 003 WWW.LawCA.com La w P ublis h ers1 21 11 098765