Riverside local form RI-PR013

Source: https://www.riverside.courts.ca.gov/system/files/ri-pr013.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE

MURRIETA 30755-D Auld Rd., Murrieta, CA 92563 RIVERSIDE 4050 Main St., Riverside, CA 92501 PALM SPRINGS 3255 E. Tahquitz Canyon Wy., Palm Springs, CA 92262

RI- PR013

ATTORNEY OR PARTY WITHOUT ATTORNEY ( Name, State Bar Number and Address) FOR COURT USE ONLY

TELEPHONE NO.: FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

IN THE MATTER OF:

CASE NUMBER:

GUARDIANSHIP VISITATION ORDER UPON STIPULATION

1. This matter proceeded as follows:

   a. By written stipulation without court appearance.

   b. By court hearing, appearance as follows:

   (1) Date: Dept.: Judicial Officer:

   (2) Petitioner/plaintiff present Attorney present (name):

   (3) Minor present Attorney present (name):

   (4) Guardian present Attorney present (name):

   (5) Other (specify):

THE COURT FINDS

2. a. Notice of time and place of hearing has been given as required by law.

   b. Notice of hearing to the following person(s) has been should be dispensed with (names):

   c. All parties entitled to notice have signed this stipulation.

Approved for Optional Use GUARDIANSHIP VISITATION ORDER riverside.courts.ca.govRiverside Superior Court RI-PR013 [Rev. 02/09/23] UPON STIPULATION(Reformatted 12/23/24)

IN THE MATTER OF : CASE NUMBER:

THE COURT ORDERS

3. Reasonable right of visitation to the Father Mother
   Former Guardian (name): .

4. See the attached -page document dated .

5. The parties will go to mediation at (specify location): .

6. No visitation.

7. Visitation for the Father Mother Former guardian (name):
   will be as follows:

   (a) Weekends starting (date): .
   (The first weekend of the month is the first weekend with a Saturday.)

   1st 2nd 3rd 4th 5th weekend of every month.

   from at a.m. p.m.
   (DAY OF WEEK) (TIME)

   to at a.m. p.m.
   (DAY OF WEEK) (TIME)

   (1) The parties will alternate the fifth weekends, with the party with visitation

   guardian custodial parent having the initial fifth weekend, which starts

   (date): .

   (2) The party with visitation will have weekends in odd even months.

   (b) Alternate weekends starting (date): .

   The party with visitation guardian custodial parent will have the
   children with him or her during the period:

   from at a.m. p.m.
   (DAY OF WEEK) (TIME)

   to at a.m. p.m.
   (DAY OF WEEK) (TIME)

Approved for Optional Use GUARDIANSHIP VISITATION ORDER riverside.courts.ca.govRiverside Superior Court RI-PR013 [Rev. 02/09/23] UPON STIPULATION(Reformatted 12/23/24)

IN THE MATTER OF: CASE NUMBER:

(c) Weekdays starting (date):

The party with visitation guardian custodial parent will have the
children with him or her during the period

from to a.m. p.m.
(DAY OF WEEK) (TIME)

to at a.m. p.m.
(DAY OF WEEK) (TIME)

(d) Other (specify days and times as well as any additional restrictions):

(e) Supervised visitation. Until further order of the court Other (Date):

Party with visitation will have supervised visitation with the minor children according
to the schedule set forth on the attached form RI-PR013C.

(f) Visitation time with allegations of a history of abuse, substance abuse, or other parenting concerns

(1) Supervised visitation:
A) Until further order of the court other (specify): the
father mother other (name): will have
supervised visitation with the minor children according to the schedule on page 2.

B) In addition, Probate Supervised Visitation Order (RI-PRO13C) is attached.

(2) Unsupervised visitation:
(Do not complete this section if the parties have entered or will enter into an agreement on
visitation in writing or stated in court.)

A) Even though there are allegations of a history of abuse or substance abus e under Famly
Code section 3011, the father mother other (name):
has (or have) unsupervised visitation with the minor children as set forth in item 6.

B) The reason for granting unsupervised visitation to the person(s) alleged to have a history of
abuse or substance abuse are: as follows: attachment 7(f)

C) The orders for visitation are specific as to time, day, place, and manner of transfer of the
child, as Family Code section 6323(c) requires.

(g) Transportation for visitation:

(1) Transportation to the visits will be provided by the Party with visitation

Guardian Custodial parent Other (please specify):

Approved for Optional Use GUARDIANSHIP VISITATION ORDER riverside.courts.ca.govRiverside Superior Court RI-PR013 [Rev. 02/09/23] UPON STIPULATION(Reformatted 12/23/24)

IN THE MATTER OF: CASE NUMBER:

(2) Transportation from the visits will be provided by the Party with visitation

Guardian Custodial parent Other (please specify):

(3) Drop off of the children will be at (address):

(4) Pick up of the children will be at (address):

(5) The children will be driven only by a licensed and insured driver. The car or truck must have
legal child restraint devices.

(6) During the exchanges, the party driving the children will wait in the car and the other
party will wait in his or her home while the children go between the car and the
home.

(7) Other (specify):

(h) Travel with children. The party with visitation must have written permission from t he
guardian custodial parent or a court order to take the children out of

(1) the state of California.
(2) the following countries (specify):
(3) other places (specify):

(i) Child abduction prevention. There is a risk that the party with visitation will take the children out of
California without permission. Form RI-PR013B is attached and must be obeyed.

(j) Holiday schedule. The children will spend holiday time as listed in attachment RI-PR013D.

(k) Additional custody provisions. The parties will follow the additional custody provisions listed in
attachment RI-PR013A.

(l) Other (specify):

8. The party with visitation shall comply with directions from the guardian / custodial parent concerning administration of prescribed medications.

9. The court acknowledges that criminal protective orders in case number
   in (specify court): relating to the parties in this case are in effect
   under Penal Code Section 136.2, are current and have priority of enforcement.

10. Jurisdiction. The court has jurisdiction to make child custody orders in this case under the Uniform Child Custody Jurisdiction and Enforcement Act (part 3 of the California Family Code, commencing with section 3400).

Approved for Optional Use GUARDIANSHIP VISITATION ORDER riverside.courts.ca.govRiverside Superior Court RI-PR013 [Rev. 02/09/23] UPON STIPULATION (Reformatted 12/23/24)

IN THE MATTER OF: CASE NUMBER:

11. Notice and opportunity to be heard. The party/part ies with legal custody of the minor(s) was/were given notice and an opportunity to be heard, as provided by the laws of the State of California.

12. Country of habitual residence. The country of habitual residence of the child or ch ildren in this case
    is The United States Other (specify):

13. Penalties for violating this order. If you violate this order, you may be subject to civil or criminal penalties or both.

    STIPULATION

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF GUARDIAN)

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF GUARDIAN)

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF PARENT)

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF PARENT)

Date:

(TYPE OR PRINT NAME) (SIGNATURE)

Date:

(TYPE OR PRINT NAME) (SIGNATURE)

ORDER

The court so orders.

Date: (JUDGE OF THE SUPERIOR COURT)

Approved for Optional Use GUARDIANSHIP VISITATION ORDER riverside.courts.ca.govRiverside Superior Court RI-PR013 [Rev. 02/09/23] UPON STIPULATION(Reformatted 12/23/24)

IN THE MATTER OF: CASE NUMBER:

DECLARATION OF PERSONS PROVIDING INTERPRETATION/TRANSLATION: The party/parties indicated below is/are unable to read or understand this Stipulation and Order because:

(Insert name): ‘s primary (Insert name): ‘s primary
language is (specify): language is (specify):

and he or she has has not read the form and he or she has has not read the form visitation order translated into this language. visitation order translated into this language.

I certify under penalty of perjury under the laws of the State of California that I am competent to interpret or translate in the primary language indicated above and that I have, to the best of my ability, read to, interpreted for, or translated for the above-named party the Visitation Order in the party’s primary language. The above-named party said he or she understood the terms of this visitation order before signing i t.

Date: Date:

(TYPE OR PRINT NAME) (TYPE OR PRINT NAME)

(SIGNATURE) (SIGNATURE)

Approved for Optional Use GUARDIANSHIP VISITATION ORDER riverside.courts.ca.govRiverside Superior Court RI-PR013 [Rev. 02/09/23] UPON STIPULATION (Reformatted 12/23/24)