RI-PR013A RE IN THE MATTER OF: CASE NUMBER: ADDITIONAL PROVISIONS ­ PHYSICAL CUSTODY ATTACHMENT 1. Notification of party with visitation. The party with visitation must notify the guardian of his or her current address and telephone number within (specify number): a. address for residence b. telephone/message number at mailing home days of any change in his or her work. work. If the party with visitation has an address with the State of California's Safe at Home confidential address program, no residence or address is needed. 2. Child care The children must not be left alone without age-appropriate supervision. The party with visitation and the guardian must let each other know the name, address, phone number of the children's regular child-care providers. 3. No negative comments. Neither the guardian or party with visitation will make or allow any others to make negative comments about the other or about any past relationships, family, or friends within hearing distance of the children. 4. No use of children as messengers. The guardian and party with visitation will communicate directly with each other on matters concerning the children and may not use the children as messengers between them. 5. Alcohol or substance abuse children 6. The party with visitation may not consume alcoholic beverages, narcotics, or restricted dangerous hour s prior to or during periods of time with the drugs (except by prescription) within (specify number ): and may not permit any third party to do so in the presence of the children. No exposure to cigarette smoke. The children will not be exposed to secondhand cigarette smoke while in the home or car of the guardian or party with visitation. 7. No interference with schedule without consent. The guardian or party with visitation will not schedule activities for the children during the other parties scheduled visitation time without the other parties prior agreement. Third-party contact. The children will have no contact with (specify name): The children must not be left alone in the presence of (specify name): 8. 9. Terms and conditions of order may be changed. The terms and conditions of this order may be added to or changed as the needs of the children change. Such changes will be in writing, dated, and signed by both the guardian and party with visitation; each will retain a copy. If the guardian or party with visitation want a change to be a court order, it must be filed with the court in the form of a court document. 10. Other (specify): Page 1 of 1 Adopted for Optional Use Riverside Superior Court Form RI-PR013A [Rev. 01/01/12] ADDITIONAL PROVISIONS ­ PHYSICAL CUSTODY ATTACHMENT riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com