JV-401 CHILD'S NAME: CASE NUMBER: VISITATION ATTACHMENT: SIBLING 1. 2. Anyone who appears to be under the influence of alcohol or any controlled substance will not be allowed to participate in a scheduled visit with the child. The visitation supervisor may terminate the visit if this order is violated. 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. The prior order of the court suspending a. in-person contact (1) b. written communication c. telephone contact 3. continues to be necessary and remains in full force and effect for the following reasons (specify): (2) 4. is modified as set forth in item 4. item 5. Contact between the child and the child's sibling (name): In-person visitation a. Unsupervised (1) (2) Supervised by the (a) county agency (b) other (specify): Frequency and duration (a) (b) (c) (d) (4) Location (a) (b) times per week for a total of times per month for a total of An overnight visit every week Other (specify): Agency visitation facility Other (specify): (c) hours per week hours per month every other week (c) foster family agency (3) Foster family agency facility (5) Transportation of the child to and from the visits will be provided by the (c) (a) foster family agency. county agency. (b) other (specify): Transportation of the child's sibling to and from the visits will be provided by the (a) (c) county agency. foster family agency. (b) other (specify): Other orders concerning in-person visitation (specify): (6) (7) b. c. Other types of contact permitted (specify): Contact restrictions (1) For the reasons set forth below in item (2), the following contact between the child and the child's sibling named above in item 4 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 contrary to the safety or well-being of the child. (a) (b) (c) (2) child's sibling. In-person contact Written communication Telephone contact Reasons (specify): Page 1 of 2 Form Approved for Optional Use Judicial Council of California JV-401 [Rev. January 1, 2015] VISITATION ATTACHMENT: SIBLING Welfare and Institutions Code, § 362.1 Cal. Rules of Court, rule 5.670 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com 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) other (specify): (a) (b) (c) (d) (4) Location (a) (b) (c) foster family agency (3) Frequency and duration times per week for a total of times per month for a total of every week An overnight visit Other (specify): hours per week hours per month every other week Foster family agency facility (c) Agency visitation facility other (specify): (5) Transportation of the child to and from the visits will be provided by the (c) (a) county agency. foster family agency. (b) other (specify): (6) Transportation of the child's sibling to and from the visits will be provided by the (a) (c) county agency. foster family agency. other (specify): (b) (7) Other orders concerning in-person visitation (specify): b. Other types of contact permitted (specify): c. Contact restrictions (1) For the reasons set forth below in item (2), the following contact between the child and the child's sibling named above in item 5 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 contrary to the safety or well-being of the child. child's sibling. In-person contact (a) (b) Written communication (c) Telephone contact (2) Reasons (specify): 6. Other (specify): JV-401 [Rev. January 1, 2015] VISITATION ATTACHMENT: SIBLING Page 2 of 2