ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) FOR COURT USE ONLY TELEPHONE NO : E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO STREET ADDRESS: 3341 Power Inn Road MAILING ADDRESS: 3341 Power Inn Road CITY AND ZIP CODE: Sacramento, CA 95826 BRANCH NAME: William R. Ridgeway Family Relations Courthouse CHILD’S NAME: CASE NUMBERS: CUSTODY ORDER-JUVENILE TEMPORARY JUDGMENT (Valid until issuance of the Final Judgment) JUVENILE: FAMILY (existing, if applicable; otherwise, new): 1. a. Date of hearing: Dept.: b. Judicial officer (name): c. Jurisdiction: This court has jurisdiction to make child custody orders in this case under the Uniform Child Custody Jurisdiction and Enforcement Act (part 3 of the California Family Code commencing with section 3400). d. Notice and opportunity to be heard: The responding party was given notice and an opportunity to be heard as provided by the laws of the State of California. e. County of habitual residence: The county of habitual residence of the child or children in this case is the United States of America other (specify): f. Penalties for violating this order: If you violate this order you may be subject to civil or criminal penalties, or both. THE COURT FINDS AND ORDERS 2. Mother (name): Father (name): are the parents of the children listed in item 3. Mother and father are are not married. 3. Custody of the minor children is ordered as follows: Child’s name 4. Date of birth Legal custody to Physical custody to Primary residence with Mother’s visitation rights. The mother may visit the minor children as follows: All children listed in item 3 The following children (name each): a. As arranged by the parents b. As set forth on form JV-205 c. Supervised as set forth on form JV-205 d. No visitation JC\E-321 (revised 10/06) CUSTODY ORDER – JUVENILE; TEMPORARY JUDGMENT Valid until issuance of the Final Judgment American LegalNet, Inc. www.FormsWorkflow.com CHILD’S NAME: CASE NUMBERS: JUVENILE: FAMILY: 5. Father’s visitation rights. The father may visit the minor children as follows: All children listed in item 3 The following children (name each): a. b. c. d. As arranged by the parents As set forth on form JV-205 Supervised as set forth on form JV-205 No specified 6. Mother Father may not change the residence of the children for more than 30 days without notice to the other parent under Family Code Section 3024 unless there is prior written agreement to the change. 7. Child abduction prevention orders are attached on form FL-341(B). 8. Paternity. (Name): the father of (names): was declared by court order (specify county and case number): juvenile court family court other (specify): on (dates): 9. As of the date below, the juvenile court a. has terminated jurisdiction over the children listed in item 3; requests for any modifications of these orders must be brought in the family court case in which these orders are filed under Welfare and Institutions Code section 302(d) or 726.5(c). b. has not terminated jurisdiction over the children listed in item 3; requests to modify these orders must be brought in juvenile court. When the juvenile court terminates jurisdiction over the children, requests for modifications must be brought in family court. 10. This order reflects a change in physical custody of the child or children to the custody of a formerly noncustodial parent for the reasons stated on the record. 11. A criminal protective order on form CR-160 is in effect: case number (specify): (expiration date): in (specify county, if known): Conflicting Orders If a criminal restraining order (form CR-160) conflicts with a juvenile custody or visitation order (form JV-200 or JV-205), a law enforcement agency must enforce the criminal order. Even if the criminal order is older, the officer must still enforce it over the juvenile order. (Penal Code § 136.2(h).) Any nonconflicting terms of the juvenile restraining order remain in full force. An emergency protective order (form EPO-001) that is in effect between the same parties and that is more restrictive than other restraining orders takes precedence over all other restraining orders. (Pen. Code § 136.2.) 12. Other orders (specify): Continued on Attachment 12. Restraining order (form JV-250) attached. 13. The clerk of the juvenile court parent given custody parent’s attorney county counsel must transmit this order within 10 calendar days to the clerk of the court of any county in which a custody proceeding involving the child is pending or, if no such case exists, to the clerk of the court of the county in which the parent given custody resides. The clerk of the receiving court must, immediately upon receipt of this order, file the order in the pending case or, if no such case exists, open a file without a filing fee and assign a case number. ____________________________________________________________________________________________________ JC\E-321 (revised 10/06) CUSTODY ORDER-JUVENILE Page 2 of 3 TEMPORARY JUDGMENT American LegalNet, Inc. Valid until issuance of the Final Judgment www.FormsWorkflow.com CHILD’S NAME: CASE NUMBERS: JUVENILE: FAMILY: 14. The clerk of the receiving court must send by first-class mail an endorsed filed copy of this order, showing the case number of the receiving court, to: a. Mother (name and address): b. Father (name and address): c. Children (names and addresses): d. Children’s attorney (name and address): e. Social worker (name and address): f. Probation officer (name and address); g. Other (names and addresses): and to the originating juvenile court with a completed clerk’s certificate of mailing (see below). Date: ____________________________________________ JUDICIAL OFFICER OF THE JUVENILE COURT _________________________________________________________________________________________________ CLERK’S CERTIFICATE OF MAILING (To be completed by clerk of receiving court) I certify that I am not a party to this cause and that an endorsed filed copy of the foregoing order was mailed as follows: Each copy was enclosed in an envelope with postage fully prepaid. The envelopes were addressed to the originating court and to each person whose name and address are given in item 14. Each envelope was sealed and deposited with the United States Postal Service at (place): on (date): Date: JC\E-321 (revised 10/06) Valid until issuance of the final Judgment Clerk, by ___________________________, Deputy CUSTODY ORDER – JUVENILE TEMPORARY JUDGMENT Page 3 of 3 American LegalNet, Inc. www.FormsWorkflow.com