COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : FL-341(B) Index No. CASE NUMBER: PETITIONER: : RESPONDENT: Calendar No. : JUDICIAL CHILD ABDUCTION Plaintiff(s) PREVENTION ORDER ATTACHMENT TO Child Custody and Visitation Order Attachment (form FL-341(A)) -against: 1. The court finds there is a risk that (specify name of parent): permission because that parent (check all that apply): SUBPOENA Other (specify): : a. has violated—or threatened to violate—a custody or visitation order:in the past. b. will take the child without does not have strong ties to California. c. has done things that make it easy for him or Defendant(s) children: away without any permission, such as her to take the . . . . . (check . . .that .apply):. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . all . . . . . . quit a job. closed a bank account. THE sold his or her home. ended a lease. sold or THE rid of assets. PEOPLE OFgotten STATE OF hidden NEW YORK or destroyed documents. applied for a passport, birth certificate, or school or medical records. TO d. Other (specify): has a history of (check all that apply): domestic violence. child GREETINGS: abuse. not cooperating with the other parent in parenting. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before e. has a criminal record. , the Honorable at the Court has family or emotional ties to another country, state, or foreign country. f. County of If item "f" is checked,located at other factor must be checked, too.) (NOTE: at least one in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, prevent the parent in item 1 from taking the children without permission: to testify and give evidence as a witness in this action on the part of the THE COURT ORDERS, to 2. Supervised visitation. Terms of visitation are (check one): as follows: as specified on attached form FL-341(A) Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. 3. 4. The parent in item 1 must post a bond for $ . The terms of the bond are (specify): Witness, Honorable , one of the Justices of the Court in day of The parent in item 1County, move from the following , 20 must not locations with the children without permission in writing from the other parent or a court order: Current school district (specify): Current residence This county 5. Other (specify): (Attorney must sign above and type name below) The parent in item 1 must not travel with the children out of (check all that apply): the United States. this county. California. other (specify): Attorney(s) for 6. The parent in item 1 must register this order in the state of (specify): children can travel to that state for visits. 7. The parent in item 1 must not apply for a passport or any other document, such as a visa or birth certificate, that can be used for travel, and must turn in the following documents (specify): Form Adopted for Mandatory Use Judicial Council of California FL-341(B) [Rev. January 1, 2005] before the Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: CHILD ABDUCTION PREVENTION ORDER ATTACHMENT Page 1 of 2 Family Code, § 3048; 42 U.S.C § 11601 www.courtinfo.ca.gov American LegalNet, Inc. www.USCourtForms.com CASE NUMBER: PETITIONER: RESPONDENT: 8. The parent in item 1 must give the other parent the following before traveling with the children: The children's travel itinerary Copies of round-trip airline tickets Addresses and telephone numbers where the children can be reached at all times An open airline ticket for the other parent in case the children are not returned Other (specify): 9. The parent in item 1 must notify the embassy or consulate of (specify country): this order and provide the court with proof of that notification within (specify number): of days. 10. The parent in item 1 must get a custody and visitation order equivalent to the most recent U.S. order before the children may travel to that country for visits. The court recognizes that foreign orders may be changed or enforced according to the laws of that country. 11. Enforcing the order. The court authorizes any law enforcement officer to enforce this order. In this county, contact the Child Abduction Unit of the Office of the District Attorney at (phone number and address): 12. Other (specify): 13. This order is valid in other states and in any country that has signed the Hague Convention on Child Abduction. NOTICE TO AUTHORITIES IN OTHER STATES AND COUNTRIES This court has jurisdiction to make child custody orders under California's Uniform Child Custody Jurisdiction and Enforcement Act (California Fam. Code, § 3400 et seq.) and the Hague Convention on Civil Aspects of International Child Abduction (42 U.S.C. § 11601 et seq.). If jurisdiction is based on other factors, they are listed in item 12 above. Date: JUDICIAL OFFICER FL-341(B) [Rev. January 1, 2005] CHILD ABDUCTION PREVENTION ORDER ATTACHMENT Page 2 of 2