DV-105(A) - City and State Where Children Lived (Domestic Violence Prevention)

Summary

City and State Where Children Lived (Domestic Violence Prevention)

Text

Form ID: DV-105(A)
Title: City and State Where Children Lived (Domestic Violence Prevention)
Effective Date: 2025-01-01
Mandatory Form: yes
Languages: 汉语, 한국어, español, Tagalog, Tiếng Việt
Info Page: https://selfhelp.courts.ca.gov/jcc-form/DV-105(A)
Primary Download URL: https://www.courts.ca.gov/documents/dv105a.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/dv105ac.pdf, https://www.courts.ca.gov/documents/dv105ak.pdf, https://www.courts.ca.gov/documents/dv105as.pdf, https://www.courts.ca.gov/documents/dv105at.pdf, https://www.courts.ca.gov/documents/dv105av.pdf
Form Detail Page:
City and State Where Children Lived (Domestic Violence Prevention)
(DV-105(A))
Get form DV-105(A)
汉语
Get form DV-105(A) in Chinese Simplified
(Chinese Simplified)
한국어
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(Korean)
español
Get form DV-105(A) in Spanish
(Spanish)
Tagalog
Get form DV-105(A) in Tagalog
(Tagalog)
Tiếng Việt
Get form DV-105(A) in Vietnamese
(Vietnamese)
Effective: January 1, 2025
Go to
How-to instructions for Domestic Violence
Go to
Domestic Violence Form Packets
PDF Text:
Judicial Council of California, www.courts.ca.gov 
Rev. January 1, 2025, Mandatory Form 
Family Code, § 3400 et seq.
City and State Where Children Lived 
(Domestic Violence Prevention)
DV-105(A) City and State Where Children Lived Case Number:
1 This form is attached to (check one):   
DV-105 (For person in  1  : Use this form if you have children that have not lived together for the last five years.)
DV-125 (For person in  2  : Use this form to list where your children have lived for the last five years.)
DV-305 (Use this form if you have children who have not lived together for the last five years.)
DV-325 (Use this form to list where your children have lived for the last five years.)
2 List where the child or children have lived for the last five years. Start with their current location.
a. Name of child or children:
b. Dates (month/year) City and State 
(include tribal land, if applies)
Children lived with (check all that apply):
Person  
in   1
Person  
in   2
Other (relationship 
to child)
From: To present
Check here if this address is private 
(confidential). List the state only.
From: Until:
From: Until:
From: Until:
From: Until:
From: Until:
From: Until:
3 List another child or children who have not lived with the child or children listed above. List where they have 
lived for the last five years. Start with their current location.
a. Name of child or children:
b. Dates (month/year) City and State 
(include tribal land, if applies)
Children lived with (check all that apply):
Person  
in   1
Person  
in   2
Other (relationship 
to child)
From: To present
Check here if this address is private 
(confidential). List the state only.
From: Until:
From: Until:
From: Until:
From: Until:
From: Until:
From: Until:
Check here to list other children with a different residence history than the children you’ve already listed. Use 
another form DV-105(A) and attach it to this form.
This is not a Court Order.
DV-105(A), Page 1 of 1

Retrieval chunks

• #1

  Form ID: DV-105(A) Title: City and State Where Children Lived (Domestic Violence Prevention) Effective Date: 2025-01-01 Mandatory Form: yes Languages: 汉语, 한국어, español, Tagalog, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/DV-105(A) Primary Download URL: https://www.courts.ca.gov/documents/dv105…

• #2

  a. Name of child or children: b. Dates (month/year) City and State (include tribal land, if applies) Children lived with (check all that apply): Person in 1 Person in 2 Other (relationship to child) From: To present Check here if this address is private (confidential). List the state only. From: Until…