FL-355 - Stipulation and Order for Custody and/or Visitation (Parenting Time)

Summary

Stipulation and Order for Custody and/or Visitation (Parenting Time)

Text

Form ID: FL-355
Title: Stipulation and Order for Custody and/or Visitation (Parenting Time)
Effective Date: 2026-01-01
Mandatory Form: no
Languages: 汉语, 한국어, español, Tiếng Việt
Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-355
Primary Download URL: https://www.courts.ca.gov/documents/fl355.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/fl355c.pdf, https://www.courts.ca.gov/documents/fl355k.pdf, https://www.courts.ca.gov/documents/fl355s.pdf, https://www.courts.ca.gov/documents/fl355v.pdf
Form Detail Page:
Stipulation and Order for Custody and/or Visitation (Parenting Time)
(FL-355)
Parents tell the court that they have an agreement about child custody and visitation (parenting time) and that the agreement is attach to the form. The court also uses this to make their agreement a  court order.
Get form FL-355
汉语
Get form FL-355 in Chinese Simplified
(Chinese Simplified)
한국어
Get form FL-355 in Korean
(Korean)
español
Get form FL-355 in Spanish
(Spanish)
Tiếng Việt
Get form FL-355 in Vietnamese
(Vietnamese)
Effective: January 1, 2026
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PDF Text:
Judicial Council of California, courts.ca.gov 
Rev. January 1, 2026; Optional Form Stipulation and Order for Custody 
and/or Visitation (Parenting Time)
FL-355, Page 1 of 2
FL-355
FOR COURT USE ONLY
CASE NUMBER:
PARTY WITHOUT ATTORNEY OR 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:
   PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
STIPULATION AND ORDER FOR CUSTODY 
AND/OR VISITATION (PARENTING TIME) MODIFICATION
Notice: If there are allegations or findings of abuse, the judge may not enter an order based on a stipulation until you have a hearing.
The parties signing this stipulation agree that:
1. This court has jurisdiction over the minor children because California is the children's home state.
2. The habitual residence of the children is the United States of America.
In addition, the parties agree that (check item 3 or 4):
3. (specify): and consisting of (number): pagesThe attached agreement, dated
is their agreement for custody and/or visitation (parenting time).
4. The attached forms are their agreement for custody and/or visitation (parenting time):
FL-341 FL-341(A) FL-341(B) FL-341(C) FL-341(D) FL-341(E)
The parties further agree that (check all that apply):
Their agreement is in best interest of their child or children and they ask that it be made the order of the court.a. 5.
b.     The case involves allegations of a history of abuse or substance abuse by (check all that apply):(1)
(a) Petitioner Respondent Other parent/party is (or are) alleged to have 
a history of abuse against any of the following persons: a child, the other parent, their current spouse, or the 
person they live with or are dating or engaged to.
(b) Petitioner Respondent Other parent/party is (or are) alleged to have the 
habitual or continual illegal use of controlled substances, or the habitual or continual abuse of alcohol, or the 
habitual or continual abuse of prescribed controlled substances.
Even though there are allegations specified above, the parties agree that the stipulation for child custody or 
unsupervised visitation (parenting time) is in the best interests of the child and is specific as to time, day, place, and 
manner of transfer (exchange) of the child, as Family Code sections 3011(a)(5)(B) and 6323(c) require.  
(2)
Each party declares under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
6. The parties acknowledge they were advised that any violation of this order may result in civil or criminal penalties, or both.
Date:
(TYPE OR PRINT NAME)
 (SIGNATURE OF PETITIONER)
Date:
(TYPE OR PRINT NAME)
 (SIGNATURE OF RESPONDENT)
Date:
(TYPE OR PRINT NAME)
 (SIGNATURE OF ATTORNEY FOR PETITIONER)
Date:
(TYPE OR PRINT NAME)
 (SIGNATURE OF ATTORNEY FOR RESPONDENT)

For your protection and privacy, please press the Clear 
This Form button after you have printed the form.
Rev. January 1, 2026 FL-351, Page 2 of 2Stipulation and Order for Custody 
and/or Visitation (Parenting Time)
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
CASE NUMBER:
FL-355
Date:
(TYPE OR PRINT NAME)
 (SIGNATURE OF OTHER PARENT/PARTY)
Date:
(TYPE OR PRINT NAME)
 (SIGNATURE OF ATTORNEY FOR OTHER PARENT/PARTY)
FINDINGS AND ORDERS
THE COURT FINDS:
1. This court has jurisdiction over the minor children because California is the children's home state.
2. The habitual residence of the children is the United States of America.
3. The parties have been advised that any violation of this order may result in civil or criminal penalties, or both.
4. The court finds that this order is in the best interests of the child or children listed in the parties' agreement.
5. Even though there are allegations in this case of a history of abuse or substance abuse by a party or parties, the court orders 
sole custody, joint custody, or unsupervised visitation (parenting time) to a party or partes with an alleged history of abuse or 
substance abuse, as provided in the parties' stipulation. 
a. As required by Family Code section 3011(a)(5)(A), the court's reasons for making the orders (check all that apply):
Are in writing and filed separately.  (Form FL-351 may be used for this purpose.)(1)
Were recorded as follows (specify):(2) In a minute order By a court reporter 
Other(specify):
b. The court finds that the order is in the best interests of the child and is specific as to time, day, place, and manner of 
transfer (exchange) of the child, as Family Code sections 3011(a)(5)(B) and 6323(c) require.  
6. The court adopts the parties' agreement regarding child custody and/or visitation (parenting time) as the order of the court, as 
specified in the attached: 
document dated (specify): and consisting of (number): pages or forms:
FL-341 FL-341(A) FL-341(B) FL-341(C) FL-341(D) FL-341(E)
Other orders:7. 
JUDICIAL OFFICER
Date:
Stipulations and Family Code section 3044 
Where past abuse has been found or alleged, the court must not sign a stipulation in which the parties state 
that Family Code section 3044 does not apply. When there has been a finding of domestic violence in the last 
five years, the court must not sign a stipulation in which the parties agree that the presumptions have been 
rebutted. The court must independently determine the best interest of the child in these cases.

Retrieval chunks

• #1

  Form ID: FL-355 Title: Stipulation and Order for Custody and/or Visitation (Parenting Time) Effective Date: 2026-01-01 Mandatory Form: no Languages: 汉语, 한국어, español, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-355 Primary Download URL: https://www.courts.ca.gov/documents/fl355.pdf Alternat…

• #2

  FL-341 FL-341(A) FL-341(B) FL-341(C) FL-341(D) FL-341(E) The parties further agree that (check all that apply): Their agreement is in best interest of their child or children and they ask that it be made the order of the court.a. 5. b. The case involves allegations of a history of abuse or substance abuse by (c…

• #3

  4. The court finds that this order is in the best interests of the child or children listed in the parties' agreement. 5. Even though there are allegations in this case of a history of abuse or substance abuse by a party or parties, the court orders sole custody, joint custody, or unsupervised visitation (parenting …