VISITATION DENIAL LOG
CAUSE #_____________________________________
Your Name: Other Parents Name:
Address: Address:
City, State, Zip: City, State, Zip:
Phone: (Home) (Cell) Phone: (Home) (Cell)
DATE TIME PICK UP LOCATION WITNESS? If so, Please state name
and contact information
VIOLATION DESCRIPTION: POLICE
REPORT
FILED? If so
police report #
________
________
___ ___
AM PM
Address:__________________
_________________________
City, State, Zip: ___________
_________________________
Name:_________________________
Address:_______________________
City, State, Zip:_________________
_____________________________
Notes:______________________
____________________________
____________________________
____________________________
___________
Report #
________
________
___ ___
AM PM
Address:__________________
_________________________
City, State, Zip: ___________
_________________________
Name:_________________________
Address:_______________________
City, State, Zip:_________________
______________________________
Phone:________________________
Notes:______________________
____________________________
____________________________
____________________________
___________
Report #
________
________
___ ___
AM PM
Address:__________________
_________________________
City, State, Zip: ___________
_________________________
Name:_________________________
Address:________________________
City, State, Zip:__________________
_______________________________
Phone:________________________
Notes:______________________
____________________________
____________________________
____________________________
___________
Report #
BY MY SIGNATURE BELOW, I ACKNOWLEDGE THAT ALL OF MY ENTRIES ARE TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE.
_____________________________ ______________________________
SIGNATURE DATE
Phone:________________________
INSTRUCTIONS
1. Before you leave to go pick up your child (ren), you must have a certified copy of the order, which gives you the right to exercise visitation. (If you
do not have one, go to the records department of the county in which your case took place and request a “Certified “copy).
2. You must be at the designated time and location as stated on the court order. If the exchange takes place at the custodial parent’s home, knock on
the door, step back and wait for a few minutes. NEVER ENTER THE RESIDENCE, EVEN IF YOU ARE INVITED. If the exchange is to
occur at a neutral location, get a receipt clearly showing the date and time. (If possible, it would be better if you go with a witness).
3. If the Custodial Parent does not answer the door or does not make the child(ren) available, document the date, time and location of the exchange
and witness information. If you choose to call the police, make sure a report is issued (We do not recommend calling the police, this is a civil not a
criminal matter).
4. Completely fill out the section in the Visitation Denial Log for each violation and make sure to attach each police report and any other supporting
documentation such as a receipt with the date and time clearly visible.
5. After 3 violations, call the Access and Visitation Enforcement Officer at 512-854-9821 to schedule a meeting with the Visitation Attorney to
evaluate your case for legal intervention.
REMEMBER:
The Custodial parent does not violate the court order if she/he calls, texts or e-mails you informing you she/he will not be at the
designated place for you to exercise visitation. YOU MUST BE AT THE RIGHT PLACE AT THE RIGHT TIME per you court
order.
Even if the custodial parent continues to deny you your visitation, after the suit is brought into the court, you need to continue to go
to and attempt to exercise your visitation, as each further violation can be used in court.