FL-324(NP) - Declaration of Supervised Visitation and Exchange Services Provider (Nonprofessional)

Summary

Declaration of Supervised Visitation and Exchange Services Provider (Nonprofessional)

Text

Form ID: FL-324(NP)
Title: Declaration of Supervised Visitation and Exchange Services Provider (Nonprofessional)
Effective Date: 2026-01-01
Mandatory Form: no
Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-324(NP)
Primary Download URL: https://www.courts.ca.gov/documents/fl324np.pdf
Form Detail Page:
Declaration of Supervised Visitation and Exchange Services Provider (Nonprofessional)
(FL-324(NP))
Tells the court that you are eligible to be an unpaid (nonprofessional) supervised visitation provider. This lists the provider's specific qualifications and says that the person satisfies the appointment requirements.
Get form FL-324(NP)
Effective: January 1, 2026
PDF Text:
Judicial Council of California, courts.ca.gov  
Rev. January 1, 2026, Optional Form 
Fam. Code, § 3200.5 
Declaration of Supervised Visitation and  
Exchange Services Provider 
(Nonprofessional)
For your protection and privacy, please press the Clear 
This Form button after you have printed the form.
FL-324(NP), Page 1 of 1
FL-324(NP)
FOR COURT USE ONLY
CASE NUMBER:
SUPERVISED VISITATION AND EXCHANGES SERVICES PROVIDER (name and address): 
NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO. (Optional):
EMAIL ADDRESS (Optional):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
RESPONDENT:
OTHER PARTY/PARENT:
DECLARATION OF SUPERVISED VISITATION AND  
EXCHANGE SERVICES PROVIDER 
(NONPROFESSIONAL)
1.  Purpose.  I submit this form to declare that (check all that apply):
a. I am not being paid to provide supervised visitation and exchange services.
b. I am in compliance with all mandatory requirements for nonprofessional providers of supervised visitation and exchange 
services as defined in Family Code                         and                        of the Standards of Judicial Administration.
c. I am in compliance with the alternative qualifications specified in 2b. 
2.  Qualifications (complete a or b):
a.  Standard qualifications. I meet the qualifications to provide nonprofessional supervised visitation and exchange 
services under Family Code section 3200.5 as follows (check all that apply):
(1) I have no record of a conviction for child molestation, child abuse, or other crimes against a person.
(2) I will not be transporting the child.
(3) I will be transporting the child by automobile and I have proof of automobile insurance.
(4) I agree to adhere to and enforce the court order regarding supervised visitation and exchange services.
(5) There is no current or past court order in which I (the nonprofessional provider) was the person being supervised.
b. Alternative qualifications. I meet other qualifications to provide nonprofessional supervised visitation and exchange 
services, as follows (check all that apply):
(1) The court has ordered other qualifications and I meet those qualifications (see attached copy of the court order).
(2) The parties have stipulated (agreed) to different qualifications and I meet those qualifications (see attached copy 
of the parties' stipulation (agreement), which was approved and signed by the court).
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME)
 (SIGNATURE OF DECLARANT)
NOTICE: Additional requirements may apply to be able to serve as a nonprofessional supervised  
                visitation and exchange services provider. See standard 5.20 of the Standards of  
                Judicial Administration.

Retrieval chunks

• #1

  Form ID: FL-324(NP) Title: Declaration of Supervised Visitation and Exchange Services Provider (Nonprofessional) Effective Date: 2026-01-01 Mandatory Form: no Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-324(NP) Primary Download URL: https://www.courts.ca.gov/documents/fl324np.pdf Form Detail Page: Dec…

• #2

  (4) I agree to adhere to and enforce the court order regarding supervised visitation and exchange services. (5) There is no current or past court order in which I (the nonprofessional provider) was the person being supervised. b. Alternative qualifications. I meet other qualifications to provide nonprofessional supe…