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SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN FRANCISCO (Superior Court of California - County of San Francisco)

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Page 1 of 4
SUPERIOR COURT OF CALIFORNIA
COUNTY OF SAN FRANCISCO
Petitioner,
vs.
Respondent.
Other Parent:
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Case No.:
CHILD CUSTODY AND VISITATION
STIPULATION AND ORDER
THE PARTIES HEREBY STIPULATE AND AGREE as follows:
CHILDREN:
NAME AGE DATE OF BIRTH
a. Legal custody shall be:
Joint to:
Sole to:
See attachment
As previously ordered on . Legal custody to:
b. Physical custody shall be:
Joint to:
Sole to:
See attachment
As previously ordered on . Physical custody to:
c. The parents will spend time with their children as follows:
See attachment
As previously ordered on .
Petitioner:
Respondent:
Other Parent:
Case No.:
CHILD CUSTODY AND VISITATION STIPULATION AND ORDER
Page 2 of 4
d. See attachment for parties’ agreement regarding transportation for
visits and places for exchange.
e. The minor child(ren) must not be removed by except with prior
written consent of the other party or by Order of the Court:
From the State of California
From the following:
f. The parties agree to further mediation on at .
g. The parties agree to continue the hearing date currently scheduled
on to .
h. The parties agree to vacate the hearing date, currently scheduled on
.
Petitioner:
Respondent:
Other Parent:
Case No.:
CHILD CUSTODY AND VISITATION STIPULATION AND ORDER
Page 3 of 4
We have each read, or have had read to us, this Stipulation and Agreement,
including any attachments. We understand what is contained in this Stipulation,
have agreed to its terms without coercion or duress, and request that the Court
make our agreement an order of the Court. We understand that willful failure to
comply with the provisions of this order will be a contempt of Court and may
result in a fine and/or imprisonment. We waive any further notice of this Order.
We agree that a commissioner sitting as a temporary judge may issue this order.
Dated: Dated:
Petitioner or Other Party Respondent
Dated: Dated:
Attorney for Petitioner or Other Party
Attorney for Respondent
Dated:
Attorney for Minor
ORDER
THE COURT FINDS AND ORDERS:
This Court has jurisdiction over the minor child/children as California is the child’s
home state and the United States is the country of habitual residence.
The foregoing Stipulation is hereby made an Order of the Court.
Dated:
JUDGE OF THE SUPERIOR COURT
Petitioner:
Respondent:
Other Parent:
Case No.:
CHILD CUSTODY AND VISITATION STIPULATION AND ORDER
Page 4 of 4
ATTACHMENT
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SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN FRANCISCO (Superior Court of California - County of San Francisco)

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Completed 4 January 2021

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