Fill - Free fillable Travis County - Visitation Enforcement Application PDF form

TRAVIS COUNTY JUVENILE COURT

DOMESTIC RELATIONS OFFICE

1010 LAVACA P.O. BOX 1495 AUSTIN, TEXAS 78767 PHONE: (512) 854-9821 FAX: (512) 854-9819

ESTELA P. MEDINA

Chief Juvenile Probation Officer

SCOT M. DOYAL

Director

FRIEND OF THE COURT

VISITATION ENFORCEMENT APPLICATION

1010 Lavaca Street, P.O. Box 1495

Austin, TX 78767

512-854-9821 fax 512-854-9819

CRITERIA FOR ACCEPTANCE OF AN ENFORCEMENT CASE BY THE DRO

DOMESTIC RELATIONS OFFICE ATTORNEYS AND STAFF SERVE AS A “FRIEND OF THE

COURT” AND REPRESENT NEITHER THE APPLICANT NOR THE RESPONDING PARTY.

Both parties have the right to hire an attorney to represent them in any court action that may be taken by

the Domestic Relations Office.

Any Non-Custodial Parent May Apply For Services As Long As the Following Criteria Are Met:

1) The order to be enforced was issued by a Travis County Court, or has already been transferred to

Travis County if it was originally issued by a court outside of Travis County;

2) The order must be a final Travis County Court Order (this includes Divorce Decrees, Modification

Orders, Paternity Decrees or Orders Establishing the Parent-Child Relationship, and Protective

Orders)

3) No litigation may be pending;

4) At least one of the parties must live in Travis or contiguous counties

To apply for services with the Access and Visitation Program, please complete an application (currently

available at the DRO offices and on the DRO website: http://www.co.travis.tx.us/dro/enforce_visit.asp).

Return the application to DRO along with a copy of each pertinent court order. You will be notified in

writing of DRO’s acceptance and/or rejection of your case within 5 working days.

NOTICE:

If the respondent lives out of town, the applicant will be required to pay the costs of serving the other parent

(usually about $150.00, but it varies with location). If the applicant lives out of town, and the case is set for

court, he/she will be required to attend a hearing or hearings in Travis County.

I certify that I have read, understood and agree to abide by the terms of the criteria for acceptance of an

enforcement case by the DRO.

___________________________________

APPLICANT SIGNATURE

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GENERAL INFORMATION

In order for us to process your application, we ask that you

complete the entire application and acquire and keep in your

possession all required documents. Without the required

information, we will be unable to process your application.

PRIVACY ACT NOTICE: Disclosure of your social security number, and the social security

numbers of your children, is required by Section 105.006, Texas Family Code. Failure to disclose

this information may result in the denial of legal services. The Legal Enforcement Division will

use these social security numbers for the purpose of enforcing visitation for you.

A copy of the most recent court order must be attached to this

application. If you do not have one, you may obtain one from the

District Clerk, 3

RD

floor, Travis County Courthouse, 1000 Guadalupe,

Austin, Texas 78701.

It is the policy of this office to attempt to resolve disputes involving

possession by sending both parties through access facilitation and

cooperative parenting classes. The person with primary possession

may be sent a complaint letter. The letter advises the person with

primary possession that a complaint has been received by the

Domestic Relations Office that the possession schedule is not being

followed as ordered; and unless the problem is solved, legal action

may be taken. Every reasonable effort will be made to resolve the

possession dispute without court action.

Both parties are required to participate in a Conflict Resolution

Meeting and cooperative parenting classes if applicable. If

warranted, referral to monitored exchanges or supervised visitation

may be recommended. By applying for services through the Travis

County Domestic Relations Office, you are agreeing to participate in

all activities recommended by the Travis County DRO staff.

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FRIEND OF THE COURT

ACCESS AND VISITATION

CASE HISTORY

Name: ____________________________________________ CAUSE #:________________________ DATE:______________

1. Why did you contact us?

2. Do you have an attorney or agency helping you with your visitation case?

YES NO If yes, list the name of the attorney or agency, address and phone number:

3. What is you visitation schedule?

1

st

3

rd

and 5

th

weekend starting at 6pm on Friday-6pm Sunday

2

nd

and 4

th

weekend starting at 6:00 pm Friday through 6:00 pm Sunday

Other

I don’t know

4. Have you made any “out-of-court” agreements with the other parent in regard to visitation with your child(ren)?

YES NO If yes, please explain:

5. Has the custodial parent given you any reason or excuse why possession has been denied?

YES NO If yes, please explain:

6. How long ago was your last visit with your child(ren)

1 week

1 month

6 months

1 year

More than 1 year

Never had any visits

7. Have the police been called during exchanges?

YES NO If yes, please explain:

8. Has the other parent ever alleged he/she is afraid of you?

YES NO If yes, please explain:

4

9. Has there ever been a physical altercation between you and the other parent.

YES NO If yes, please explain:

10. Is there now or has there ever been a restraining order, protective order, or trespass warrant in effect against you, the other

parent, or anyone else in either household?

YES NO If yes, please explain:

11. Have you ever been arrested?

YES NO If yes, please explain:

12. Has Child Protective Services ever contacted you or the other parent?

YES NO If yes, please explain:

13. Have you ever been accused, charged or convicted of sexual assault, indecency, injury, or endangerment of a child?

YES NO If yes, please explain:

14. How long have you lived at your current address?

Less than 6 months

6 months – 1 year

More than 1 year

15. Are you currently in a relationship?

YES NO If No, skip questions 16 and 18

If yes, how does the other party get along with your current partner?

Ok

Does not like my current partner

Likes my partner

Does not want my partner to be around our child(ren)

Does not know my partner

16. How does your child(ren) get along with your current partner?

Ok

Does not like my current partner

Likes my partner

Does not want to be around my partner

Does not know my partner

5

17. Do you have other children?

YES NO If yes, how does your child get along with these children?

Ok

Does not like my child(ren)

Likes my child(ren)

Does not want my child(ren) to be in our home

Does not know my child(ren)

18. Has there ever been a physical altercation between you and your current partner?

YES NO If yes, please explain:

19. What is your child(ren)’s date of birth?

I don’t know

20. Does(Do) your child(ren) have any special medical needs?

YES

NO

If yes, please

explain:

21. How do you communicate with the other parent about your child(ren)?

We don’t communicate

By phone, mail or e-mail

In person

Through our child(ren)

Through family members

22. If I was to ask the other parent if you ever had any issues with drugs and/or alcohol what would they tell me?

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INFORMATION ABOUT YOU – (PLEASE PRINT)

APPLICANT INFORMATION: POSSESSORY CONSERVATOR JOINT M/C

Your full legal name: ____________________________________________________________________________________________________

Last First Middle

Your home address: __________________________________________________________________________________________________

Street Apt. # City Zip

Your telephone number: ( ) ( ) ( ) _

Home Cell Work

Please provide the following information about yourself:

Date of Birth

Social Security Number

Drive License or ID Number

(include state)

Sex:

I M F

Email address__________________________________ other contact information__________________________________________________

Have you ever been arrested?

YES NO If yes, please explain:

Have you ever been in jail or prison?

YES NO If

yes

:

Date _______________________ Release Date_________________________

Have you ever been on probation, parole or received deferred adjudication?

IYES NO If yes, please provide:

Offense

Term of Probation/Parole

Date completed:

Parole/Probation Officer Name

Address

Phone #

( )

Have you used or are you currently using illegal drugs?

YES NO If yes, please explain:

Do you have any outstanding warrants for your arrest?

YES NO If yes:

What County/State? ________________________________ for what offense? ___________________________________________________

XXX-XX-

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INFORMATION ON PERSON WITH PRIMARY POSSESSION OF CHILD:

Full legal name: ______________________________________________________________________________________________________

Last First Middle

Current home address: ________________________________________________________________________________________________

OR

Street Apt. # City Zip

Last known home address: _____________________________________________________________________________________________

Street Apt. # City Zip

Telephone number: (______)____________________ (______)_____________________ (______)______________________________

Home Cell Work

Email address________________________________________ other contact information__________________________________________

Does He/She have an account on a social network site (i.e. facebook, MySpace etc.) YES NO If yes, please provide detailed information

_____________________________________________________________________________________________________________________

Employer

Address:

Phone #

Employment Position:

Work Hours:I

VEHICLE INFORMATION

Automobile Make: __________________________________ Model: __________________________________Year:____________________

Color: ____________________ Tag No. _______________________Other Information: __________________________________________

Additional information/other locations where service may be attempted: ______________________________________________________

____________________________________________________________________________________________________________________

Marital status: Is the other parent currently married? YES NO

Please name all individuals who live with the other parent and identify their relationship_____________________________

_________________________________________________________________________________________________________

Provide any information about the other parent’s whereabouts (stays with friends, frequents bars, etc):_________________

_________________________________________________________________________________________________________

Has the other party ever been arrested?

YES NO If yes, for what offense: _____________________________________________________________________________

Has the other party been in jail or prison?

YES NO If yes: Date ______________________Release Date__________________________

Date of Birth

Birthplace (City and State)

Social Security Number

Driver License or ID number (include state)

Sex

Race

Height

Weight

Hair Color

Eye Color

List any physical or mental impairments, medical problems, etc.

List identifying information (for example: glasses, scars, tattoos, marks, etc.)

XXX-XX-

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Has the other party been on probation, parole or received deferred adjudication? □ YES □ NO If yes, please provide:

Offense

Term of Probation/Parole

Date completed:

Parole/Probation Officer Name

Address

Phone #

( )

Has the other party used or is currently using illegal drugs?

YES NO If yes, please explain:

Does the other party have any outstanding warrants for their arrest?

YES NO If yes:

What County/State? _____________________________For what offense? __________________________________________

Do you have a photograph of the other parent? YES NO If yes, please enclose with the application.

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DEMOGRAPHIC INFORMATION

How did you find out about this office?

Self Court Child Support Office Domestic Violence Agency Child Protection Agency Other

What is your relationship to these children?

Father Mother Grandparent Legal Guardian Other

How many children are involved in this case? _______________

At the time that the children involved in this case were born you were:

Not Married to the other Parent

Married to the other Parent

Separated from the other Parent

Divorced from the other Parent

Are you currently married? YES NO

If yes, do you have children from this marriage? YES NO

If yes, how many children do you have from your current marriage (do not include step-children) __________

How many other children are you responsible for? (does not include stepchildren or children with your new partner) __________

ETHNICITY INCOME (IN THOUSANDS)

AMERICAN INDIAN /ALASKA NATIVE LESS THAN $10,000

ASIAN AMERICAN / PACIFIC ISLANDERS $10,000 – 19,000

BLACK/AFRICAN AMERICAN $20,000 – 29,000

WHITE $30,000 – 39,000

HISPANIC $40,000 AND ABOVE

MULTI-ETHNIC

INFORMATION ABOUT THE CHILDREN

List the children with whom you have visitation rights that you are attempting to enforce:

Name: ________________________________________________ Name: ____________________________________________________

Address: _______________________________________________ Address: ___________________________________________________

Date of Birth: _________________ Sex: ______________________ Date of Birth: ______________________Sex: _____________________

Name: ________________________________________________ Name: ____________________________________________________

Address: _______________________________________________ Address: ___________________________________________________

Date of Birth: _________________ Sex: ______________________ Date of Birth: ______________________Sex: _____________________

Name: ________________________________________________ Name: ____________________________________________________

Address: _______________________________________________ Address: ___________________________________________________

Date of Birth: _________________ Sex: ______________________ Date of Birth: ______________________Sex: _____________________

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COURT-ORDERED POSSESSION INFORMATION

Name of final order in which current possession was established - DO NOT INCLUDE TEMPORARY ORDERS

_____________________________________________________________________________________________________________________

Date order was signed: ___________________________ Is the order a Travis County order? YES NO

Is the person with primary possession currently/or previously been placed on probation in Travis or another County for failure to allow

possession?

YES NO If yes, please provide detailed information:

IF OTHER THAN EL PASO COUNTY WHERE? IF

Has Child Protective Services (CPS) or any law enforcement authority contacted you with regard to the child(ren)?

YES NO If yes, please provide detailed information:

At any time when you have been denied possession have the police been involved? If so, list the date and case number if any, and describe

the action taken by the police in that instance, if any:

I declare all the above information provided is true and correct. I am aware that should there be any

falsification or failure to fully disclose information requested, my application may be rejected, or the

Domestic Relations Office may close my case without further explanation. I understand that it is at the

sole discretion of the Domestic Relations Office to accept or reject any application.

______________________________________________ ______________________________________

APPLICANT SIGNATURE DATE SIGNED

For office use only

Services provided by DRO:

Mediation

Counseling / Access Facilitation

Parenting Plan

Education / Cooperative

Parenting Classes

Guidelines/Ct order

Monitored visit

Supervised visit

Neutral drop-off

Pre-trial conference

Parenting time increased?

Yes No

Intake Interview Date

_______________________

Date referred for Court:

______________________

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