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Here is the text we could read:

DV-105(A) City and State Where Children Lived

Case Number:

This form is attached to (check one):   

DV-105 (For person in      : Use this form if you have children that have not lived together for the last five years.) 

1

DV-125 (For person in      : Use this form to list where your children have lived for the last five years.)

2

(Use the space below to list where the child or children have lived for the last five years. Start with their current 
location.)

Name of child or children:

Dates (month/year)

City, State, and Tribal Land

From:

To present

Check here if you want to keep your  
current location private. List the state only.

Children lived with (check all that apply):

Me

Person in  2 Other* 

From:

From:

From:

From:

From:

From:

Until:

Until:

Until:

Until:

Until:

Until:

Other* (relationship to child):

Name of child or children:

From:

From:

From:

From:

From:

From:

Until:

Until:

Until:

Until:

Until:

Until:

Other* (relationship to child):

(Use the space below to list another child or children who have not lived with the child or children listed above. List 
where they have lived for the last five years. Start with their current location.)

Dates (month/year)

City, State, and Tribal Land

From:

To present

Check here if you want to keep your  
current location private. List the state only.

Children lived with (check all that apply):

Me

Person in  2 Other* 

Check here to list other children with a different residence history than the children you've already listed. Use 
another form DV-105(A) and attach it to this form.

This is not a Court Order.

Judicial Council of California, www.courts.ca.gov 
New January 1, 2023, Mandatory Form 
Family Code, § 3400 et seq.

City and State Where Children Lived 
(Domestic Violence Prevention)

DV-105(A), Page 1 of 1

DV-105(A) City and State Where Children Lived

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 1
Fields(s): 92
Average fields per page: 92
Reading Level: Grade 6
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

page_right_caption_case_number was DV-105A[0].Page1[0].RightCaption[0].CaseNumber[0] (0.47 conf)
v_page_instr_sub_check_box_right_caption_inro__1 was DV-105A[0].Page1[0].InstrSub[0].CheckBoxRightCaptionInro[0] (0.31 conf)
v_page_instr_sub_check_box_right_caption_inro__2 was DV-105A[0].Page1[0].InstrSub[0].CheckBoxRightCaptionInro[1] (0.31 conf)
v_page_intro_sub_text_field__1 was DV-105A[0].Page1[0].Intro1Sub[0].TextField[0] (0.34 conf)
v_page_intro_sub_tf__1 was DV-105A[0].Page1[0].Intro1Sub[0].tf1[0] (0.29 conf)
v_page_intro_sub_tf__2 was DV-105A[0].Page1[0].Intro1Sub[0].tf2[0] (0.29 conf)
v_page_intro_sub_chb__1 was DV-105A[0].Page1[0].Intro1Sub[0].chb1[0] (0.29 conf)
page_intro_choice_child_live_w__1 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW1[0] (0.29 conf)
page_intro_choice_child_live_w__2 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW1[1] (0.29 conf)
page_intro_choice_child_live_w__3 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW1[2] (0.29 conf)
v_page_intro_sub_tf__3 was DV-105A[0].Page1[0].Intro1Sub[0].tf3[0] (0.29 conf)
v_page_intro_sub_tf__4 was DV-105A[0].Page1[0].Intro1Sub[0].tf4[0] (0.29 conf)
v_page_intro_sub_tf__5 was DV-105A[0].Page1[0].Intro1Sub[0].tf6[0] (0.29 conf)
page_intro_choice_child_live_w__4 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW2[0] (0.29 conf)
page_intro_choice_child_live_w__5 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW2[1] (0.29 conf)
page_intro_choice_child_live_w__6 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW2[2] (0.29 conf)
v_page_intro_sub_tf__6 was DV-105A[0].Page1[0].Intro1Sub[0].tf7[0] (0.29 conf)
v_page_intro_sub_tf__7 was DV-105A[0].Page1[0].Intro1Sub[0].tf8[0] (0.29 conf)
v_page_intro_sub_tf__8 was DV-105A[0].Page1[0].Intro1Sub[0].tf9[0] (0.29 conf)
page_intro_choice_child_live_w__7 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW3[0] (0.29 conf)
page_intro_choice_child_live_w__8 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW3[1] (0.29 conf)
page_intro_choice_child_live_w__9 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW3[2] (0.29 conf)
v_page_intro_sub_tf__9 was DV-105A[0].Page1[0].Intro1Sub[0].tf10[0] (0.29 conf)
v_page_intro_sub_tf__10 was DV-105A[0].Page1[0].Intro1Sub[0].tf11[0] (0.29 conf)
v_page_intro_sub_tf__11 was DV-105A[0].Page1[0].Intro1Sub[0].tf12[0] (0.29 conf)
page_intro_choice_child_live_w__10 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW4[0] (0.29 conf)
page_intro_choice_child_live_w__11 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW4[1] (0.29 conf)
page_intro_choice_child_live_w__12 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW4[2] (0.29 conf)
v_page_intro_sub_tf__12 was DV-105A[0].Page1[0].Intro1Sub[0].tf13[0] (0.29 conf)
v_page_intro_sub_tf__13 was DV-105A[0].Page1[0].Intro1Sub[0].tf14[0] (0.29 conf)
v_page_intro_sub_tf__14 was DV-105A[0].Page1[0].Intro1Sub[0].tf15[0] (0.29 conf)
page_intro_choice_child_live_w__13 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW5[0] (0.29 conf)
page_intro_choice_child_live_w__14 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW5[1] (0.29 conf)
page_intro_choice_child_live_w__15 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW5[2] (0.29 conf)
v_page_intro_sub_tf__15 was DV-105A[0].Page1[0].Intro1Sub[0].tf16[0] (0.29 conf)
v_page_intro_sub_tf__16 was DV-105A[0].Page1[0].Intro1Sub[0].tf17[0] (0.29 conf)
v_page_intro_sub_tf__17 was DV-105A[0].Page1[0].Intro1Sub[0].tf18[0] (0.29 conf)
page_intro_choice_child_live_w__16 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW6[0] (0.29 conf)
page_intro_choice_child_live_w__17 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW6[1] (0.29 conf)
page_intro_choice_child_live_w__18 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW6[2] (0.29 conf)
v_page_intro_sub_tf__18 was DV-105A[0].Page1[0].Intro1Sub[0].tf19[0] (0.29 conf)
v_page_intro_sub_tf__19 was DV-105A[0].Page1[0].Intro1Sub[0].tf20[0] (0.29 conf)
v_page_intro_sub_tf__20 was DV-105A[0].Page1[0].Intro1Sub[0].tf21[0] (0.29 conf)
page_intro_choice_child_live_w__19 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW7[0] (0.29 conf)
page_intro_choice_child_live_w__20 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW7[1] (0.29 conf)
page_intro_choice_child_live_w__21 was DV-105A[0].Page1[0].Intro1Sub[0].ChoiceChildLiveW7[2] (0.29 conf)
v_page_intro_sub_tf__21 was DV-105A[0].Page1[0].Intro1Sub[0].tf22[0] (0.29 conf)
v_page_intro_sub_text_field__2 was DV-105A[0].Page1[0].IntroSub2[0].TextField[0] (0.30 conf)
v_page_intro_sub_tf__22 was DV-105A[0].Page1[0].IntroSub2[0].tf1[0] (0.33 conf)
v_page_intro_sub_tf__23 was DV-105A[0].Page1[0].IntroSub2[0].tf2[0] (0.33 conf)
v_page_intro_sub_chb__2 was DV-105A[0].Page1[0].IntroSub2[0].chb1[0] (0.33 conf)
page_intro_choice_child_live_w__22 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW8[0] (0.30 conf)
page_intro_choice_child_live_w__23 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW8[1] (0.30 conf)
page_intro_choice_child_live_w__24 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW8[2] (0.30 conf)
v_page_intro_sub_tf__24 was DV-105A[0].Page1[0].IntroSub2[0].tf3[0] (0.33 conf)
v_page_intro_sub_tf__25 was DV-105A[0].Page1[0].IntroSub2[0].tf4[0] (0.33 conf)
v_page_intro_sub_tf__26 was DV-105A[0].Page1[0].IntroSub2[0].tf6[0] (0.33 conf)
page_intro_choice_child_live_w__25 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW9[0] (0.30 conf)
page_intro_choice_child_live_w__26 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW9[1] (0.30 conf)
page_intro_choice_child_live_w__27 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW9[2] (0.30 conf)
v_page_intro_sub_tf__27 was DV-105A[0].Page1[0].IntroSub2[0].tf7[0] (0.33 conf)
v_page_intro_sub_tf__28 was DV-105A[0].Page1[0].IntroSub2[0].tf8[0] (0.33 conf)
v_page_intro_sub_tf__29 was DV-105A[0].Page1[0].IntroSub2[0].tf9[0] (0.33 conf)
page_intro_choice_child_live_w__28 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW10[0] (0.30 conf)
page_intro_choice_child_live_w__29 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW10[1] (0.30 conf)
page_intro_choice_child_live_w__30 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW10[2] (0.30 conf)
v_page_intro_sub_tf__30 was DV-105A[0].Page1[0].IntroSub2[0].tf10[0] (0.33 conf)
v_page_intro_sub_tf__31 was DV-105A[0].Page1[0].IntroSub2[0].tf11[0] (0.33 conf)
v_page_intro_sub_tf__32 was DV-105A[0].Page1[0].IntroSub2[0].tf12[0] (0.33 conf)
page_intro_choice_child_live_w__31 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW11[0] (0.30 conf)
page_intro_choice_child_live_w__32 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW11[1] (0.30 conf)
page_intro_choice_child_live_w__33 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW11[2] (0.30 conf)
v_page_intro_sub_tf__33 was DV-105A[0].Page1[0].IntroSub2[0].tf13[0] (0.33 conf)
v_page_intro_sub_tf__34 was DV-105A[0].Page1[0].IntroSub2[0].tf14[0] (0.33 conf)
v_page_intro_sub_tf__35 was DV-105A[0].Page1[0].IntroSub2[0].tf15[0] (0.33 conf)
page_intro_choice_child_live_w__34 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW12[0] (0.30 conf)
page_intro_choice_child_live_w__35 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW12[1] (0.30 conf)
page_intro_choice_child_live_w__36 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW12[2] (0.30 conf)
v_page_intro_sub_tf__36 was DV-105A[0].Page1[0].IntroSub2[0].tf16[0] (0.33 conf)
v_page_intro_sub_tf__37 was DV-105A[0].Page1[0].IntroSub2[0].tf17[0] (0.33 conf)
v_page_intro_sub_tf__38 was DV-105A[0].Page1[0].IntroSub2[0].tf18[0] (0.33 conf)
page_intro_choice_child_live_w__37 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW13[0] (0.30 conf)
page_intro_choice_child_live_w__38 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW13[1] (0.30 conf)
page_intro_choice_child_live_w__39 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW13[2] (0.30 conf)
v_page_intro_sub_tf__39 was DV-105A[0].Page1[0].IntroSub2[0].tf19[0] (0.33 conf)
v_page_intro_sub_tf__40 was DV-105A[0].Page1[0].IntroSub2[0].tf20[0] (0.33 conf)
v_page_intro_sub_tf__41 was DV-105A[0].Page1[0].IntroSub2[0].tf21[0] (0.33 conf)
page_intro_choice_child_live_w__40 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW14[0] (0.30 conf)
page_intro_choice_child_live_w__41 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW14[1] (0.30 conf)
page_intro_choice_child_live_w__42 was DV-105A[0].Page1[0].IntroSub2[0].ChoiceChildLiveW14[2] (0.30 conf)
v_page_intro_sub_tf__42 was DV-105A[0].Page1[0].IntroSub2[0].tf22[0] (0.33 conf)
v_page_multiline_check_box was DV-105A[0].Page1[0].MultilineCheckBox[0] (0.37 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

page_right_caption_case_number
v_page_instr_sub_check_box_right_caption_inro__1
v_page_instr_sub_check_box_right_caption_inro__2
v_page_intro_sub_text_field__1
v_page_intro_sub_tf__1
v_page_intro_sub_tf__2
v_page_intro_sub_chb__1
page_intro_choice_child_live_w__1
page_intro_choice_child_live_w__2
page_intro_choice_child_live_w__3
v_page_intro_sub_tf__3
v_page_intro_sub_tf__4
v_page_intro_sub_tf__5
page_intro_choice_child_live_w__4
page_intro_choice_child_live_w__5
page_intro_choice_child_live_w__6
v_page_intro_sub_tf__6
v_page_intro_sub_tf__7
v_page_intro_sub_tf__8
page_intro_choice_child_live_w__7
page_intro_choice_child_live_w__8
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v_page_intro_sub_tf__9
v_page_intro_sub_tf__10
v_page_intro_sub_tf__11
page_intro_choice_child_live_w__10
page_intro_choice_child_live_w__11
page_intro_choice_child_live_w__12
v_page_intro_sub_tf__12
v_page_intro_sub_tf__13
v_page_intro_sub_tf__14
page_intro_choice_child_live_w__13
page_intro_choice_child_live_w__14
page_intro_choice_child_live_w__15
v_page_intro_sub_tf__15
v_page_intro_sub_tf__16
v_page_intro_sub_tf__17
page_intro_choice_child_live_w__16
page_intro_choice_child_live_w__17
page_intro_choice_child_live_w__18
v_page_intro_sub_tf__18
v_page_intro_sub_tf__19
v_page_intro_sub_tf__20
page_intro_choice_child_live_w__19
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page_intro_choice_child_live_w__21
v_page_intro_sub_tf__21
v_page_intro_sub_text_field__2
v_page_intro_sub_tf__22
v_page_intro_sub_tf__23
v_page_intro_sub_chb__2
page_intro_choice_child_live_w__22
page_intro_choice_child_live_w__23
page_intro_choice_child_live_w__24
v_page_intro_sub_tf__24
v_page_intro_sub_tf__25
v_page_intro_sub_tf__26
page_intro_choice_child_live_w__25
page_intro_choice_child_live_w__26
page_intro_choice_child_live_w__27
v_page_intro_sub_tf__27
v_page_intro_sub_tf__28
v_page_intro_sub_tf__29
page_intro_choice_child_live_w__28
page_intro_choice_child_live_w__29
page_intro_choice_child_live_w__30
v_page_intro_sub_tf__30
v_page_intro_sub_tf__31
v_page_intro_sub_tf__32
page_intro_choice_child_live_w__31
page_intro_choice_child_live_w__32
page_intro_choice_child_live_w__33
v_page_intro_sub_tf__33
v_page_intro_sub_tf__34
v_page_intro_sub_tf__35
page_intro_choice_child_live_w__34
page_intro_choice_child_live_w__35
page_intro_choice_child_live_w__36
v_page_intro_sub_tf__36
v_page_intro_sub_tf__37
v_page_intro_sub_tf__38
page_intro_choice_child_live_w__37
page_intro_choice_child_live_w__38
page_intro_choice_child_live_w__39
v_page_intro_sub_tf__39
v_page_intro_sub_tf__40
v_page_intro_sub_tf__41
page_intro_choice_child_live_w__40
page_intro_choice_child_live_w__41
page_intro_choice_child_live_w__42
v_page_intro_sub_tf__42
v_page_multiline_check_box

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

DV-105(A) City and State Where Children Lived

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Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02