DV-140 - Child Custody and Visitation Order

Summary

Child Custody and Visitation Order

Text

Form ID: DV-140
Title: Child Custody and Visitation Order
Effective Date: 2026-01-01
Mandatory Form: yes
Languages: 汉语, 한국어, español, Tagalog, Tiếng Việt
Info Page: https://selfhelp.courts.ca.gov/jcc-form/DV-140
Primary Download URL: https://www.courts.ca.gov/documents/dv140.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/dv140c.pdf, https://www.courts.ca.gov/documents/dv140k.pdf, https://www.courts.ca.gov/documents/dv140s.pdf, https://www.courts.ca.gov/documents/dv140t.pdf, https://www.courts.ca.gov/documents/dv140v.pdf
Form Detail Page:
Child Custody and Visitation Order
(DV-140)
Tells you that a judge has made orders regarding custody of your child with the other side.
Get form DV-140
汉语
Get form DV-140 in Chinese Simplified
(Chinese Simplified)
한국어
Get form DV-140 in Korean
(Korean)
español
Get form DV-140 in Spanish
(Spanish)
Tagalog
Get form DV-140 in Tagalog
(Tagalog)
Tiếng Việt
Get form DV-140 in Vietnamese
(Vietnamese)
Effective: January 1, 2026
Go to
How-to instructions for Domestic Violence
Go to
Domestic Violence Form Packets
PDF Text:
Judicial Council of California, 
Rev. January 1, 2026, Mandatory Form 
Fam. Code, §§ 3011, 3020, 3022, 3040, 3043, 3100, 6340, 7604
Child Custody and Visitation Order 
(Domestic Violence Prevention)
DV-140, Page 1 of 6
DV-140 Child Custody and Visitation Order
Case Number:
This form is attached to (check one):   Form DV-110 Form DV-130
1 Name of Protected Person:
Relationship to children: Parent Legal Guardian Other (describe):
2 Name of Restrained Person:
Relationship to children: Parent Legal Guardian Other (describe):
3 Children Under 18 Years Old
a. Name: Date of birth:
b. Name: Date of birth:
c. Name: Date of birth:
d. Name: Date of birth:
(Check here if you have more children to list. On a separate piece of paper write “DV-140, Children” at the top 
and attach it to this form.)
4 No Travel With Children Without Permission
Person in Person in Other (name):
must have written permission from the other parent, or a court order, to take the children outside of:
a. County of (list):
b. State of California
c. United States
d. Other place(s) (list):
1 2
This is a Court Order.
Form DV-310

Rev. January 1, 2026
Child Custody and Visitation Order 
(Domestic Violence Prevention)
Case Number:
5 Stop Access to Children's School, Health, and Other Information 
a. The person in       must not access or have access to the records or information for:2
3All the children listed in      .
Only the children listed here (names):
b. From the following (check all that apply):
Medical, dental, and mental health providers
School and daycare providers
Extracurricular activity providers (including 
 summer camps and sports teams)
Child’s employers (including volunteer and 
unpaid positions)
Other (describe): 
If you are a provider listed above, you must not release information or records regarding the children listed  
in      a to the person in      .            5 2
6 Judge's Decision on Request for Orders to Prevent Child Abduction (attach form DV-145)
7 Child Custody 
a. Legal Custody (The person who makes decisions about the child’s health, education, and welfare.) 
Sole to Person in 1 Jointly (shared) by persons in       and      1 2
Sole to Person in 2 Other (describe):
b. Physical Custody (The person who the child regularly lives with.)
Sole to Person in 1 Jointly (shared) by persons in       and      1 2
Sole to Person in 2 Other (describe):
Visitation (Parenting Time) With Children (See 8 – 15 .)
2Person in        must have no visitation with the children in        until further order of  
the court.
8 3
(If this form is attached to form DV-110, Temporary Restraining Order, this means that the judge has stopped your 
right to visit with your children temporarily. If you do not agree with this order, attend your court hearing.)
This is a Court Order.
DV-140, Page 2 of 6

Rev. January 1, 2026
Child Custody and Visitation Order 
(Domestic Violence Prevention)
Case Number:
DV-140, Page 3 of 6
This is a Court Order.
9 Professional Supervised (Monitored) Visits With Children
a. Person to be supervised: Person in 1 Person in 2
b. Professional provider to supervise visits (check 1, 2, or 3):
(1)
Person in       must contact chosen provider by (date):1
Person in       must contact chosen provider by (date):2
Telephone:
Address (if known):
Chosen provider:
If the chosen provider cannot provide services, parties must use the alternate provider.
Alternate provider: Telephone:
Address (if known):
(2)
Person in  1 Person in  2
is attached to this order.
given in court to .
Person in  1 Person in  2 must choose and contact a provider by (date):
A list of providers (check one):
(3) Other:
c. Frequency of visits (check one):
Once a week, for (number of hours):  each visit. 
Twice a week, for (number of hours): each visit. 
Other (describe):  
Fees paid by: Person in 1 % Person in 2 % Other %d.
Visits must be: e.
Virtual (not in person). (Before a provider is chosen, confirm that the provider offers virtual visits.)
In person at a safe location.
Other:

Rev. January 1, 2026
Child Custody and Visitation Order 
(Domestic Violence Prevention)
Case Number:
This is a Court Order.
10 Nonprofessional Supervised (Monitored) Visits With Children
a. Person to be supervised: Person in 1 Person in 2
b. Nonprofessional provider (person) to supervise visits
Name: Relationship to child:
Telephone (if known):Address (if known):
c. Schedule for visits (check one):
Follow the Visitation Plan listed in      .13
Other schedule (give a detailed schedule):  
d. Location of visits:
In person at a safe location (give location):
Virtual (not in person). (Provider, child, and visiting parent may need access to internet.)
Other:
(For more information on safe locations and virtual visits, go to selfhelp.courts.ca.gov/guide-supervised-
visitation.)
11 Supervised Exchanges (Drop-Off and Pick-up of Children)
(Complete this item and go to       to describe visitation plan.)12
a. Person to be supervised: Person in 1 Person in 2
(1) Professional Provider
Name of provider (if known):
Telephone (if known):
Address (if known):
Fees paid by: Person in 1 % Person in 2 % Other %
Person in       must contact provider by (date):1
Person in       must contact provider by (date):2
Location of exchanges to be decided by provider.
Nonprofessional Provider
Name: Relationship to child:
Telephone (if known):
Address (if known):
Safe location for exchanges:
(For more information on safe locations, go to selfhelp.courts.ca.gov/guide-supervised-visitation.)
(2)
b. Provider (Person) to Supervise Exchanges
DV-140, Page 4 of 6

Rev. January 1, 2026
Child Custody and Visitation Order 
(Domestic Violence Prevention)
Case Number:
This is a Court Order.
12 Visits With No Supervision (Unmonitored)
Person in 1 Person in 2 will visit with the children listed in 3a.
b. Visits must be:
In person
Virtual (not in person) (Child and visiting parent may need access to the internet. For more information on 
virtual visits, go to selfhelp.courts.ca.gov/domestic-violence-child-custody.)
Other:
Described below:
c.
Listed in      .13
The visitation plan is (check one):
213 Visitation Plan for Person in
Time
Location of drop-off/pick-up 
Monday Start:
End, if applies:
Tuesday Start:
End, if applies:
Wednesday Start:
End, if applies:
Thursday Start:
End, if applies:
Friday Start:
End, if applies:
Saturday Start:
End, if applies:
Sunday Start:
End, if applies:
Every week Every other week Other
Start date for visits (month, day, year):
Visit must 
be virtual
Person to bring children to 
 and from visit (or make child 
available for virtual visit)
Follow the plan listed above (check one):
DV-140, Page 5 of 6

Rev. January 1, 2026 Child Custody and Visitation Order 
(Domestic Violence Prevention)
DV-140, Page 6 of 6
For your protection and privacy, please press the Clear 
button after you have printed the form.
Case Number:
14 Mandatory Findings 
(Findings required under Family Code sections 3011, 3044, and 3100.) 
a. No findings required by law
b. Findings required by law
Other:
The court has made the required findings. The court’s reasons are in writing (check one):(1)
On form DV-150, Mandatory Findings for Child Custody and Visitation Order.
In a minute order By a court reporter Other:
The court has made the required findings. The court’s reasons were recorded (check all that apply):(2)
15 Other Orders 
Describe additional orders in the space below or use a separate attachment (e.g., FL-341(C), Children’s Holiday 
Schedule Attachment).
16 Criminal Protective Order
List any criminal protective order protecting the person in       or any child in       from the person in      .1 2
Case number: County:
Case number: County:
(If a criminal protective order is in effect, law enforcement must follow the priority of enforcement on form DV-110 
or DV-130.)
3
17 Country of Habitual Residence
The country of habitual residence of the child or children in this case is (check one): 
                                                                                                                                                                                 The United States,
Other (name of country): .
18 Jurisdiction and Notice
This 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 starting with section 3400). The responding party was 
given notice consistent with the laws of the State of California.
19 Penalties for Violating This Order
If you violate this order, you may be subject to civil or criminal penalties, or both. 
This is a Court Order.

Retrieval chunks

• #1

  Form ID: DV-140 Title: Child Custody and Visitation Order Effective Date: 2026-01-01 Mandatory Form: yes Languages: 汉语, 한국어, español, Tagalog, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/DV-140 Primary Download URL: https://www.courts.ca.gov/documents/dv140.pdf Alternate Download URLs: https:/…

• #2

  a. The person in must not access or have access to the records or information for:2 3All the children listed in . Only the children listed here (names): b. From the following (check all that apply): Medical, dental, and mental health providers School and daycare providers Extracurricular activity prov…

• #3

  Twice a week, for (number of hours): each visit. Other (describe): Fees paid by: Person in 1 % Person in 2 % Other %d. Visits must be: e. Virtual (not in person). (Before a provider is chosen, confirm that the provider offers virtual visits.) In person at a safe location. Other: Rev. January 1, 2026 Child Cust…

• #4

  Monday Start: End, if applies: Tuesday Start: End, if applies: Wednesday Start: End, if applies: Thursday Start: End, if applies: Friday Start: End, if applies: Saturday Start: End, if applies: Sunday Start: End, if applies: Every week Every other week Other Start date for visits (month, day, year): Vi…