FL-311: FL 311 Form | CA Small Claims

1

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Petitioner Ft

Respondent Ft

Other Parent Party Ft$

Case Number Ft

Petitioner Ft

Respondent Ft

Other Parent Party Ft$

Case Number Ft

Petitioner Ft

Respondent Ft

Other Parent Party Ft$

Case Number Ft

2

title_sub

Petition Cb

Response Cb

Request For Order Cb

Responsive Dec Cb

Specify Ft

Other Cb

3

list

Custody Cb

check box 1

Child1 Name Ft

Child1 Dob Ft

Child1 Legal Custody Ft

Child1 Physical Custody Ft

Child2 Name Ft

Child2 Dob Ft

Child2 Legal Custody Ft

Child2 Physical Custody Ft

Child3 Name Ft

Child2 Dob Ft

Child3 Legal Custody Ft

Child2 Physical Custody Ft

Child4 Name Ft

Child4 Dob Ft

Child4 Legal Custody Ft

Child4 Physical Custody Ft

Child5 Name Ft

Child5 Dob Ft

Child5 Legal Custody Ft

Child5 Physical Custody Ft

Child6 Name Ft

Child6 Dob Ft

Child6 Legal Custody Ft

Child6 Physical Custody Ft

Custody With Allegations Of Abuse Cb

Abuse Allegations About Petitioner Cb

Abuse Allegations About Respondent Cb

Abuse Allegations About Other Parent Or Party Cb$

Substance Abuse Allegations About Petitioner Cb

Substance Abuse Allegations About Respondent Cb

Substance Abuse Allegations About Other Parent Or Party Cb$

Request That Court Not Order Custody To Person With Allegations Of Abuse Or Substance Abuse Cb

Request That Court Make Child Custody Orders In Item1a Cb

Reasons Specified Here Cb

Specify Other Cb

Other Cb

Specify Reasonsfor Orders Ft

Pick Up Address Ft

Reasonable Right Of Visitation Cb

Visitation Cb

Date Of Attachment Tf

Specify Number Pages Attached Ft

See Attached Document For Visitation Plan Cb

Parties Will Go To Mediation Cb

Location Of Mediation Or Ccrc Tf

Check Box2d

Visits With Allegations Of Abuse Cb

Supervised Visitation Cb

Petitioner Cb

Respondent Cb

Other Parent Party Cb$

Domestic Violence Child Abuse Or Neglect Cb

Other Parenting Concerns Cb$

Other Parenting Concerns$

Reasons Specified Here Cb

Field 59

Field 60

Pick Up Address Ft

Specify Reasonsfor Orders Ft

Transportation For Visitation And Place Of Exchange Cb

Field 64

Transport To Visits Provided By Name Ft

Field 66

Transport Form Visits Provided By Name Ft

Field 68

Drop Off Address Begin Visits Ft

Field 70

Pick Up Address Ft

Field 72

Field 73

Other Transportation Issues Ft

Field 75

Other Additional Orders Requested Ft

Field 77

Addl Prov Where8 Cb

Additional Custody Orders Requested Ft

Field 81

Addl Prov Where9 Cb

Joint Legal Custody Orders Requested Ft

Field 85

Child Holiday Sched7 Cb

Specify Holiday Schedule Here Ft

Child Abduction Prevention Cb

Travel With Children Cb

Petitioner Travel With Children Cb

Respondent Travel With Children Cb

Other Parentor Party Travel With Children Cb$

Field 94

Field 95

Transport To Visits Provided By Name Ft

Field 97

Transport Form Visits Provided By Name Ft

4

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5

party_sub

Petitioner Ft

Respondent Ft

Other Parent Party Ft$

6

case_sub

Case Number Ft

7

list3_continue

Nameof Supervisor Ft

Field 2

Field 3

Specify Other Places Ft

Percent Paid By Petitioner No

Percent Paid By Respondent No

Percent Paid By Other Parent Party No$

Unsupervised Visitation Cb

Abuse Allegations About Petitioner Cb

Abuse Allegations About Respondent Cb

Abuse Allegations About Other Parent Or Party Cb$

Substance Abuse Allegations About Petitioner Cb

Substance Abuse Allegations About Respondent Cb

Substance Abuse Allegations About Other Parent Or Party Cb$

Allegations About Petitioner Cb

Allegations About Respondent Cb

Allegations About Other Cb

Reasons Specified Here Cb

Field 19

Field 20

Pick Up Address Ft

Specify Reasonsfor Orders Ft

8

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