DV-108 Request for Order: No Travel With Children Case Number: This form is attached to DV-105, Child Custody, Visitation, and Support Request. 1 Your name: Mom Dad Other* 2 Other parent’s name: Mom Dad Other* * If “Other,” specify relationship with child:__________________________ 3 Do you think the other parent may take the child without your permission to: a. Another county in California? Yes No If “yes,” what county? _____________________ b. Another state? Yes No If “yes,” what state? _______________________ c. A foreign country? Yes No If “yes,” what country? ____________________ If “Yes,” is the other parent a citizen of that country? Yes No If “Yes,” does the other parent have family or emotional ties to that country? Yes No Explain: __________________________________________________________________________________________ __________________________________________________________________________________________ 4 Why do you think the other parent may take the child without your permission? The other parent: (Check all that apply) a. Has violated — or threatened to violate — a custody or visitation order in the past. b. Does not have strong ties to California c. Has done things recently that make it easy for him or her to take the child away without permission. He or she has: (Check all that apply) Quit his or her job Sold his or her home Closed a bank account Ended a lease Sold or gotten rid of assets Hidden or destroyed documents Applied for a passport, birth certificate, or school or medical records d. Has a history of: (Check all that apply) Domestic violence Child abuse Not cooperating with me in parenting Child abduction e. Has a criminal record f. Please explain your answers to a–e: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ This is not a Court Order. Judicial Council of California, www.courtinfo.ca.gov New July 1, 2003, Mandatory Form Family Code, § 3048 Request for Order: No Travel With Children (Domestic Violence Prevention) DV-108, Page 1 of 2 American LegalNet, Inc. www.USCourtForms.com ➔ Case Number: Your name: ________________________________________________ What orders do you want? Check the boxes that apply to your case. 5 Post a Bond I ask the court to order the other parent to post a bond for $ ________. If the other parent takes the child without my permission, I can use this money to bring the child back. 6 Do Not Move Without My Permission or Court Order I ask the court to order the other parent not to move with the child without my written permission or a court order. 7 No Travel Without My Permission I ask the court to order the other parent not to travel with the child outside: (Check all that apply) This county California The United States Other (specify): 8 Notify Other State of Travel Restrictions I ask the court to order the other parent to register this order in the state of _______________ before the child can travel to that state for visits. 9 Turn In and Do Not Apply for Passports or Other Vital Documents 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. 10 Provide Itinerary and Other Travel Documents 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: The child’s travel itinerary Copies of round-trip airline tickets Addresses and telephone numbers where the child can be reached An open airline ticket for me in case the child is/are not returned Other (specify): 11 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 _____ calendar days. 12 Foreign Custody and Visitation Order 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. 13 I declare under penalty of perjury under the laws of the State of California that the information on this form is true and correct. Date: ➤ Type or print your name Sign your name This is not a Court Order. New July 1, 2003 Request for Order: No Travel With Children (Domestic Violence Prevention) DV-108, Page 2 of 2 American LegalNet, Inc. www.USCourtForms.com