The parties signing this stipulation agree that:
1. This court has jurisdiction over the minor children because California is the children's home state.
a.
2.
FL-341 FL-341(A) FL-341(B)
Form Approved for Optional Use
Judicial Council of California
FL-355 [New January 1, 2004]
STIPULATION AND ORDER FOR CUSTODY
AND/OR VISITATION OF CHILDREN
www.courts.ca.gov
Page 1 of 1
FL-355
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
BRANCH NAME:
CITY AND ZIP CODE:
STIPULATION AND ORDER FOR CUSTODY
AND/OR VISITATION OF CHILDREN
MODIFICATION
FOR COURT USE ONLY
CASE NUMBER:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.:
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
PETITIONER:
RESPONDENT:
OTHER:
b.
The parties stipulate that the attached document, dated
The habitual residence of the children is the United States of America.
3.
The parties acknowledge they were advised that any violation of this order may result in civil or criminal penalties, or both.
4.
(SIGNATURE OF PETITIONER)
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF RESPONDENT)
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF ATTORNEY FOR PETITIONER)
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF ATTORNEY FOR RESPONDENT)
Date:
(TYPE OR PRINT NAME)
(specify):
and consisting of (number):
is their
custody and visitation agreement and request that it be made an order of the court, or
The parties stipulate that the attached forms
FL-341(C) FL-341(D) FL-341(E)
are their agreement regarding custody and/or visitation of their children and request that they be made an order of the court.
Each party declares under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
(SIGNATURE OF OTHER)
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF ATTORNEY FOR OTHER)
Date:
(TYPE OR PRINT NAME)
FINDINGS AND ORDER
THE COURT FINDS:
1. This court has jurisdiction over the minor children because California is the children's home state.
2. The habitual residence of the children is the United States of America.
3.
Both parties have been advised that any violation of this order may result in civil or criminal penalties, or both.
THE COURT ORDERS:
1. The agreement of the parties regarding custody and visitation
as set forth in the attached document dated
(specify):
and consisting of (number):
pages
or
set forth in the attached forms:
FL-341 FL-341(A) FL-341(B)
FL-341(C) FL-341(D) FL-341(E)
is adopted as the order of the court and fully incorporated by reference herein.
Date:
JUDICIAL OFFICER
pages
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
