FL-324(P) - Declaration of Supervised Visitation and Exchange Services Provider (Professional)

Summary

Declaration of Supervised Visitation and Exchange Services Provider (Professional)

Text

Form ID: FL-324(P)
Title: Declaration of Supervised Visitation and Exchange Services Provider (Professional)
Effective Date: 2026-01-01
Mandatory Form: yes
Languages: español
Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-324(P)
Primary Download URL: https://www.courts.ca.gov/documents/fl324p.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/fl324s.pdf
Form Detail Page:
Declaration of Supervised Visitation and Exchange Services Provider (Professional)
(FL-324(P))
Tells the court that you are eligible to be appointed by the court as a paid (professional) supervised visitation provider. This lists the provider's specific qualifications and says that the person satisfies the appointment requirements.
Get form FL-324(P)
español
Get form FL-324(P) in Spanish
(Spanish)
Effective: January 1, 2026
PDF Text:
Judicial Council of California, courts.ca.gov    
Rev. January 1, 2026, Mandatory Form 
Fam. Code, § 3200.5 
 
Declaration of Supervised Visitation  
and Exchange Services Provider  
(Professional)
For your protection and privacy, please press the Clear 
This Form button after you have printed the form.
FL-324(P), Page 1 of 1
FL-324(P)
FOR COURT USE ONLY
CASE NUMBER:
SUPERVISED VISITATION AND EXCHANGE 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 
(PROFESSIONAL)
Purpose. In this form, I declare that I comply with all mandatory requirements for professional providers of supervised visitation  
                and exchange services under Family Code                         and                        of the Standards of Judicial Administration.
1.  
2. Type of submission. I am (check a or b):
a. completing this form before I provide initial supervised visitation and exchange services in the case.
b. updating this form and attaching an original report of the supervised visitation and exchanges that I monitored.
(1) The report is dated(specify date):
(2) Copies of the report were also sent to all parties and their attorneys and the attorney for the child.
3.  I am paid to provide supervised visitation services and exchange services as an independent contractor, employee, intern, or 
volunteer operating independently or through a supervised visitation and exchange services center or agency. 
4. Qualifications. I meet the qualifications listed in Family Code section 3200.5 for this position as follows (check all that apply):
a.  I am 21 years of age or older.
b. I have no record of a conviction for driving under the influence (DUI) within the last five years.
c. I have not been on probation or parole for the last 10 years.
d. I have no record of a conviction for child molestation, child abuse, or other crimes against a person.
e. I have proof of automobile insurance for transporting the child.
f. I have had no civil, criminal, or juvenile restraining orders within the last 10 years.
g. There is no current or past court order in which I am the person being supervised.
h. I agree to speak the language of the party being supervised and of the child, or I will provide a neutral  
interpreter over the age of 18 years who is able to do so.
i. I agree to adhere to and enforce the court order regarding supervised visitation and exchange services.
j. I completed a Live Scan criminal background check before providing services.
k. I am registered as a TrustLine provider.  
5. Training. I meet the training requirements under Family Code section 3200.5 as follows (check all that apply):
a. I completed 24 hours of training, including at least 12 hours of classroom instruction in all required subjects.
b. I completed the California Department of Social Services' online training course required for mandated reporters. 
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
NOTICE: See standard 5.20 of the California Standards of Judicial Administration for further requirements that may apply.   
Date:
(TYPE OR PRINT NAME)
 (SIGNATURE OF DECLARANT)

Retrieval chunks

• #1

  Form ID: FL-324(P) Title: Declaration of Supervised Visitation and Exchange Services Provider (Professional) Effective Date: 2026-01-01 Mandatory Form: yes Languages: español Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-324(P) Primary Download URL: https://www.courts.ca.gov/documents/fl324p.pdf Alterna…

• #2

  volunteer operating independently or through a supervised visitation and exchange services center or agency. 4. Qualifications. I meet the qualifications listed in Family Code section 3200.5 for this position as follows (check all that apply): a. I am 21 years of age or older. b. I have no record of a conviction f…