court_form | California
FL-341(A) - Supervised Visitation (Parenting Time) and Exchanges Order
Summary
Supervised Visitation (Parenting Time) and Exchanges Order
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Form ID: FL-341(A) Title: Supervised Visitation (Parenting Time) and Exchanges Order Effective Date: 2026-01-01 Mandatory Form: yes Languages: español Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-341(A) Primary Download URL: https://www.courts.ca.gov/documents/fl341a.pdf Alternate Download URLs: https://www.courts.ca.gov/documents/fl341as.pdf Form Detail Page: Supervised Visitation (Parenting Time) and Exchanges Order (FL-341(A)) States the court's decisions (orders) after a hearing about supervised visitation (parenting time) or supervised exchanges. This is attached to Child Custody and Visitation (Parenting Time) Order Attachment (form FL-341). Get form FL-341(A) español Get form FL-341(A) in Spanish (Spanish) Effective: January 1, 2026 PDF Text: Judicial Council of California, courts.ca.gov Rev. January 1, 2026; Mandatory Form Fam. Code, §§ 3100, 3031 Supervised Visitation (Parenting Time) and Exchanges Order FL-341(A), Page 1 of 2 FL-341(A) CASE NUMBER:PETITIONER/PLAINTIFF: OTHER PARENT/PARTY: RESPONDENT/DEFENDANT: SUPERVISED VISITATION (PARENTING TIME) AND EXCHANGES ORDER ATTACHMENT TO: Child Custody and Visitation (Parenting Time) Order Attachment (form FL-341) (specify):Other 1. child abduction physical abuse drug abuse neglect sexual abuse domestic violence alcohol abuse other(specify): Evidence has been presented in support of a request that the contact of with the child or children be supervised based upon allegations of Petitioner Respondent Other Parent/Party Petitioner Respondent Other Parent/Party disputes these allegations and the court reserves the findings on these issues pending further investigation and hearing or trial. 2. The court finds, under Family Code section 3100, that the best interest of the child or children requires that visitation by Petitioner Respondent Other Parent/Party must, until further order of the court, be limited to contact supervised by the person or supervised visitation center set forth in this order pending further investigation and hearing or trial. THE COURT MAKES THE FOLLOWING ORDERS 3. CHILDREN a. Name: Date of birth: b. Name: Date of birth: c. Name: Date of birth: The names and birthdates of additional children are attached to the order. 4. PROFESSIONAL SUPERVISED VISITATION WITH CHILDREN a. Provider Information (check one): (1) Chosen provider (name): Telephone: Address (if known): If the chosen provider cannot provide services, parties must use the alternate provider. Alternate provider (name): Telephone: Address (if known): Petitioner Respondent Other Parent/Party to contact the provider by (date): (2) The parties have not yet chosen a provider. A list of professional providers (check all that apply): is attached to this order. was given in court to: Petitioner Respondent Other Parent/Party Petitioner Respondent Other Parent/Party must choose and contact a provider by (date): (4) (specify):Other (3) The professional provider will be a mutually agreed-upon third party as arranged by the parties. b. Frequency of visits (check one): Once a week, for (1) (number of hours for each visit): Two times each week, for (2) (number of hours for each visit): (3) According to the schedule specified in: Form FL-341 Other (specify): c. Visits must be (check one): In person at a safe location.(1) Virtual visitation (not in person). (2) (3) Other (specify): d. Payment responsibility: Petitioner: % Respondent: % Other: % THIS IS A COURT ORDER. For your protection and privacy, please press the Clear This Form button after you have printed the form. Rev. January 1, 2026 FL-341(A), Page 2 of 2Supervised Visitation (Parenting Time) and Exchanges Order FL-341(A) CASE NUMBER:PETITIONER/PLAINTIFF: OTHER PARENT/PARTY: RESPONDENT/DEFENDANT: Relationship to child:Name: Telephone (if known): Address (if known): a. Nonprofessional provider (person) to supervise visits: 5. NONPROFESSIONAL SUPERVISED VISITATION WITH CHILDREN b. Frequency of visits (check one): Once a week, for (1) (number of hours for each visit): Two times each week, for (2) (number of hours for each visit): (3) According to the schedule specified in: Form FL-341 Other (specify): c. Visits must be (check one): In person at a safe location.(1) (specify location): Virtual visitation (not in person). (Provider, child, and visiting parent may need to access the internet.)(2) (3) Other (specify): d. Resources for nonprofessional providers: Find your Declaration (form FL-324(NP)) at: courts.ca.gov/sites/default/files/courts/default/2024-11/fl324np.pdf.(1) For online information, go to: www2.courtinfo.ca.gov/accesstovisitation/story_html5.html.(2) (3) For information about safe locations and virtual visits, go to: selfhelp.courts.ca.gov/guide-supervised-visitation. a. (1) Professional provider Name: Relationship to child: Address (if known): Payment responsibility Petitioner: % Respondent: % Other: % Petitioner Respondent Other Parent/Party to contact the provider by (specify date) (date): Location of supervised exchanges to be decided by the professional provider. Safe location for exchanges: (For more information, see item 5d. Resources for nonprofessional providers.) Nonprofessional provider Relationship to child:Name: Telephone (if known): Address (if known): (2) Type of provider: 6. SUPERVISED EXCHANGES (Drop-off and Pick-up of Children) b. Supervised exchanges will be according to the schedule specified: In form FL-341(1) (2) Other (specify): (3) Below: 7. THE COURT FURTHER ORDERS THIS IS A COURT ORDER.
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Form ID: FL-341(A) Title: Supervised Visitation (Parenting Time) and Exchanges Order Effective Date: 2026-01-01 Mandatory Form: yes Languages: español Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-341(A) Primary Download URL: https://www.courts.ca.gov/documents/fl341a.pdf Alternate Download URLs: https:…
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If the chosen provider cannot provide services, parties must use the alternate provider. Alternate provider (name): Telephone: Address (if known): Petitioner Respondent Other Parent/Party to contact the provider by (date): (2) The parties have not yet chosen a provider. A list of professional providers (check all …
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Payment responsibility Petitioner: % Respondent: % Other: % Petitioner Respondent Other Parent/Party to contact the provider by (specify date) (date): Location of supervised exchanges to be decided by the professional provider. Safe location for exchanges: (For more information, see item 5d. Resources for nonpro…