Fillable 13-11300-360DeclarationReComplianceWithCustodyOrdersfillable Attorney or Party Without An Attorney (Name, State Bar No

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13-11300-360DeclarationReComplianceWithCustodyOrdersfillable Attorney or Party Without An Attorney (Name, State Bar No

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Form No. 13-11300-360 (optional)
Rev. 08-21-13
DRCO
DECLARATION RE: COMPLIANCE WITH CUSTODY ORDERS
The undersigned hereby declares that:
I am the Petitioner Respondent Other Parent in this case. I have filed a Request for Order for
Modification of a Custody and/or Visitation Order previously made in this case.
1. The previous court order DID NOT direct one of the parties to take follow-up actions, such as
parenting classes, anger management, counseling, etc. If this box is checked proceed to item 6.
-OR-
2. The previous court order DID direct one of the parties enroll in, attend, arrange for and/or
complete the following programs/classes/sessions:
Parenting or Co-Parenting Classes or Programs Evidence Code 730 evaluation
Anger management classes or programs Family Code 3190 counseling
Batterer’s treatment program Conjoint or family counseling/therapy
Alcohol and/or Drug Assessment Alcoholic/Narcotic Anonymous (AA/NA)
Alcohol or Drug Treatment Program or Classes Other:___________________________
3. I was ordered to complete the services identified above by the court. I am am not currently in
compliance with the existing orders and directives of the court as set forth above.
-OR-
4. The other party was ordered to comply with the above court orders.
The other party is is not in compliance with the orders.
5. Additional information about compliance:______________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
6. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and
correct.
Date: _________________________
Printed Name ____________________________________ Signature____________________________________
Attorney or Party Without An Attorney (Name, State Bar No. & Address)
Telephone No.
Attorney for:
For Court Use Only
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO
Joshua Tree District, 6527 White Feather Road, Joshua Tree, CA 92252
Rancho Cucamonga District, 8303 Haven Avenue, Rancho Cucamonga, CA 91730
San Bernardino District, 351 N. Arrowhead Avenue, San Bernardino, CA 92415
Victorville District, 14455 Civic Drive, Suite 100, Victorville, CA 92392
Petitioner:
Respondent:
DECLARATION RE: COMPLIANCE WITH CUSTODY ORDERS
(CUSTODY/VISITATION)
CASE NUMBER:
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Completed 3 July 2020

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