Superior Court of California, County of Yolo In the Matter of: Case No.: ___________________ ___________________________ Petitioner, and FAMILY LAW STIPULATION AND ORDER DEPT.: _______________ DATE: ______________ ___________________________ Respondent, Petitioner (present) (not present) represented by Attorney, _________________________________ Respondent (present) (not present) represented by Attorney, _______________________________ Claimant/Minor’s Counsel (present) (not present) represented by Attorney, ____________________ THE PARTIES HEREBY STIPULATE AND AGREE as follows: 1) [ ] CHILD CUSTODY: This court has jurisdiction to make child custody orders in this case under the Uniform Child Custody Jurisdiction and Enforcement Act (California Family Code § 3400, et. seq.). The responding party was given notice and an opportunity to be heard as provided by the laws of the State of California. The country of habitual residence of the child(ren) is the United States of America or [ ] other: __________________ (Family Code § 3048). The parties are the parents of the following minor children: Name Date of Birth Gender _______________________________________________ ___________ ______ _______________________________________________ ___________ ______ _______________________________________________ ___________ ______ _______________________________________________ ___________ ______ Family Law Stipulation and Order Rev. 2/11 Page _____ of ______ American LegalNet, Inc. www.FormsWorkFlow.com Case No. _______________________ Matter of: _______________________ Date: ________________________ The parties agree to the following custody arrangement: Legal Custody: [ ] joint; [ ] sole to _____________; Physical Custody [ ] joint; [ ] sole to ____________. Parenting Time/Visitation to [ ] petitioner [ ] respondent [ ] ______________: [ ] as follows: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ______________________________________________________________________________________ Attachments: [ ] Child Custody & Visitation Standing Orders [ ] Children’s Holiday Schedule Attachment [ ] Abduction Prevention Order Attachment [ ] Drug Testing Order [ ] Support and Property Orders Attachment 2) [ ] OTHER ORDERS: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Family Law Stipulation and Order Rev. 2/11 Page ____ of _____ American LegalNet, Inc. www.FormsWorkFlow.com Case No. _______________________ Matter of: _______________________ Date: ________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Hearing date is continued to _________________________________. Review hearing scheduled for ________________________________. SIGNATURE OF PARTIES I have read the entire stipulation and agreement consisting of _______ pages. I understand it fully and request that this stipulation and agreement be incorporated by the court as its order. I agree that the court will reserve jurisdiction over all matters before the court not resolved by this agreement. I understand that willful failure to comply with the provisions of this order may constitute contempt of court and may be punished by fine and/or imprisonment. I waive any and all rights to formal notice of this order. Dated:_____________ ___________________________________ Petitioner Dated:______________ ___________________________________ Respondent Dated:______________ ___________________________________ Mediator APPROVED AS TO FORM AND CONTENT: Dated: ____________ ___________________________________________ Attorney for Petitioner Dated: ____________ ___________________________________________ Attorney for Respondent Pursuant to stipulation of the parties, IT IS SO ORDERED. Dated: ___________ _____________________________________ Judge of the Superior Court Family Law Stipulation and Order Rev. 2/11 Page ____ of _____ American LegalNet, Inc. www.FormsWorkFlow.com