FL-105 - Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA)

Summary

Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA)

Text

Form ID: FL-105
Title: Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA)
Effective Date: 2025-01-01
Mandatory Form: yes
Languages: 汉语, 한국어, español, Tiếng Việt
Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-105
Primary Download URL: https://www.courts.ca.gov/documents/fl105.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/fl105c.pdf, https://www.courts.ca.gov/documents/fl105k.pdf, https://www.courts.ca.gov/documents/fl105s.pdf, https://www.courts.ca.gov/documents/fl105v.pdf
Form Detail Page:
Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA)
(FL-105)
Give the court important information about the children you have with your spouse or domestic partner. The court considers this information before making child custody and visitation orders.
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Tiếng Việt
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(Vietnamese)
Effective: January 1, 2025
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PDF Text:
Form Adopted for Mandatory Use 
Judicial Council of California 
FL-105/GC-120 [Rev. January 1, 2025]
DECLARATION UNDER UNIFORM CHILD CUSTODY 
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
Family Code, § 3400 et seq.; 
Probate Code, §§ 1510(f), 1512
FL-105/GC-120
ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO.:
EMAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
(This section applies to cases other than probate guardianships.)
PETITIONER:
RESPONDENT:
OTHER PARTY:
CHILD'S NAME (Juvenile cases only):
(This section applies only to probate guardianship cases.)
GUARDIANSHIP OF (name):
Minor
DECLARATION UNDER UNIFORM CHILD CUSTODY   
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
FOR COURT USE ONLY
CASE NUMBER:
1. I am (check one): a party to this proceeding to determine custody of a child the authorized representative of the 
agency, which is a party to this proceeding to determine custody of a child.
2. There are (specify number): minor children who are subject to this proceeding, as follows (list oldest child first):
Full Name Date of birth Place of birth (city and state)
a.
b.
c.
d.
Check this box if you need to list more children. (On form               or a separate piece of paper, write "FL-105, Attachment 2, 
Additional Children" at the top, provide all requested information for each additional child, and attach to this form.)
3. a. Check this box if there is only one child or if all of the children listed in item 2 have lived together for the past five years. 
(Provide the current address of the child listed in item 2a and their residence history for the past five years. If the current 
address is confidential under Family Code section 3429, check the box and provide only the state of residence.)
Dates of residence 
(Month/Year) 
Residence  
(City, State)
Person child lived with and 
complete current address Relationship
From: To present
Confidential (list state only) Confidential (list state only)
From: To:
From: To:
From: To:
From: To:
Additional addresses are listed on Attachment 3a. (Form               may be used for this purpose.)
b. Check this box if there is more than one child and all the children have not lived together for the past five years. (Attach 
form FL-105(A)/GC-120(A) and list each other child's current address and their residence history for the past five years.)
Page 1 of 2

FL-105/GC-120 [Rev. January 1, 2025] DECLARATION UNDER UNIFORM CHILD CUSTODY 
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
Page 2 of 2
FL-105/GC-120
CASE NAME: CASE NUMBER:
4. Do you have information about, or have you participated as a party or as a witness or in some other capacity in, another court case 
or custody or visitation proceeding, in California or elsewhere, concerning a child subject to this proceeding?
Yes No       (If yes, attach a copy of the orders if you have one and provide the following information):
Proceeding Case number
Court 
(name, state or tribe, 
location)
Court order 
or judgment 
(date)
Name of each child
Your 
connection to 
the case
Case status
a. Family
b. Probate 
Guardianship
c. Other
         Proceeding Case Number Court (name, state or tribe, location)
d. Juvenile
e. Adoption
5. One or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders if you have one 
and provide the following information):
              Court County State or Tribe Case Number (if known) Orders expire (date)
a. Criminal
b. Family
c. Juvenile
d. Other
6. Do you know of any person who is not a party to this proceeding who has physical custody of or claims to have rights to custody of
or visitation with any child in this case? Yes No      (If yes, provide the following information):
a. Name and address of person:
Has physical custody
Claims custody rights
Claims visitation rights
Name of each child:
b. Name and address of person:
Has physical custody
Claims custody rights
Claims visitation rights
Name of each child:
c. Name and address of person:
Has physical custody
Claims custody rights
Claims visitation rights
Name of each child:
7. Number of pages attached:
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(NAME OF DECLARANT)
 (SIGNATURE OF DECLARANT)
NOTICE TO DECLARANT: You have a continuing duty to inform this court if you obtain any information about a custody 
proceeding in a California court or any other court concerning a child subject to this proceeding.

Retrieval chunks

• #1

  Form ID: FL-105 Title: Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Effective Date: 2025-01-01 Mandatory Form: yes Languages: 汉语, 한국어, español, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-105 Primary Download URL: https://www.courts.ca.gov/documents/fl105…

• #2

  Full Name Date of birth Place of birth (city and state) a. b. c. d. Check this box if you need to list more children. (On form or a separate piece of paper, write "FL-105, Attachment 2, Additional Children" at the top, provide all requested information for each additional child, and attach to this …

• #3

  6. Do you know of any person who is not a party to this proceeding who has physical custody of or claims to have rights to custody of or visitation with any child in this case? Yes No (If yes, provide the following information): a. Name and address of person: Has physical custody Claims custody rights Claims…