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Here is the text we could read:

DV-125

Response to Request for Child 
Custody and Visitation Orders

Case Number:

This form is attached to form DV-120.

How to complete this form: To answer the questions below, look at the form DV-105 filled out by the 
person in      . Tip: Where form DV-105 refers to "person in      ," that means you. If you need more space 
to complete your answer, you can use a separate piece of paper and attach it to this form. Include a title at 
the top of the paper (example: DV-125, Custody of Children).

2

1

1 Person Asking for Protection (see       on form DV-105)

1

a. Name:

b. Relationship to children:

Parent

Legal Guardian

Other (describe):

2 Your Information 

a. Name:

b. Relationship to children:

Parent

Legal Guardian

Other (describe):

3

Children (see       on form DV-105)
3
a.
b.

I am the parent of the child or children listed on form DV-105. 
I am not the parent of all the children listed on form DV-105.
I am not the parent of the following children (list names):

c.

d.

Other (describe):

4 City and State Where Children Lived (see       on form DV-105)
I agree with the information given by the person in       .    

a.

1

4

b.

I do not agree. (Use form DV-105(A) to list where the children have lived.)

5

History of Court Cases Involving Children (see       on form DV-105)
The person in        may have listed other court cases involving your children. If information is incorrect or missing, 
use the space below to give information. 

1

5

(Check all that apply. List where it was filed (city, state, or tribe), year it was filed, and case number, if known.)

Custody or Divorce
Criminal
Juvenile Court (child welfare, juvenile justice)
Guardianship
Other  (example: child support case)

(If a judge has already made a custody or visitation order for children in this case, attach a copy of the order if 
you have one.)

Judicial Council of California, 
New January 1, 2023, Mandatory Form  
Family Code, §§ 3048, 3063, 6323, 6323.5

DV-125, Page 1 of 3

This is not a Court Order.

Response to Request for Child 
Custody and Visitation Orders 
(Domestic Violence Prevention)

6

7

8

9

a.

b.

c.

a.

b.

c.

a.

b.

c.

a.

b.

c.

Case Number:

No Travel With Children Without Permission (see       on form DV-105)

6

I agree to the order requested.

I do not agree to the order requested because:

I would agree to a different order (describe the order you would agree to):

Stop Access to Children's School, Health, and Other Information (see       on form DV-105)

7

I agree to the order requested.

I do not agree to the order requested because:

I would agree to a different order (describe the order you would agree to):

Request for Orders to Prevent Child Abduction (see              on form DV-108)

10

4 –

I agree to the order requested.

I do not agree to the order requested because:

I would agree to a different order (describe the order you would agree to):

Custody of Children (see       on form DV-105)

9
I agree to the order requested.

I do not agree to the order requested because:

I would agree to a different order:

Legal Custody (The person that makes decisions about the child's health, education, and welfare.) 
(check one): 
Sole to me
Sole to person in 1
Jointly (shared) by persons in       and me.
Other (describe):

1

Physical Custody (The person that the child regularly lives with.)
(check one): 
Sole to me
Sole to person in 1
Jointly (shared) by persons in       and me.
Other (describe):

1

This is not a Court Order.

Response to Request for Child 
Custody and Visitation Orders 
(Domestic Violence Prevention)

New. January 1, 2023

DV-125, Page 2 of 3

Case Number:

10

Your Visitation (Parenting TIme) with Children (see pages 3–5 on form DV-105)

a.

b.

c.

I agree to the order requested.

I do not agree to the order requested because:

I would agree to a different order:

(Use the lines or chart below to describe the parenting time you want. Give as much detail as you can.)  

Person to bring children to 
 and from visit

Location of drop-off/pick-up 

Wednesday Start:

Time

Start:
End, if applies:

Start:
End, if applies:

End, if applies:

Start:
End, if applies:

Start:
End, if applies:

Start:
End, if applies:

Start:
End, if applies:

Monday

Tuesday

Thursday

Friday

Saturday

Sunday

Follow the schedule listed above (check one):

Every week

Every other week

Other

Start date for visits (month, day, year)

11 The statements made on this form are made under penalty of perjury as declared on form DV-120. 

New. January 1, 2023

DV-125, Page 3 of 3

This is not a Court Order.

Response to Request for Child 
Custody and Visitation Orders 
(Domestic Violence Prevention)

DV-125 Response to Request for Child Custody and Visitation Orders (Domestic Violence Prevention)

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): 3
Fields(s): 121
Average fields per page: 40
Reading Level: Grade 5
LIST Grouping(s): FA-00-00-00-00.

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.

v_page_stamp_case_number_ft was DV-125[0].Page1[0].stamp[0].CaseNumber_ft[0] (0.53 conf)
v_page_list_li_text_field__1 was DV-125[0].Page1[0].List1[0].Li1[0].TextField2[0] (0.38 conf)
v_page_list_li_item_b__1 was DV-125[0].Page1[0].List1[0].Li2[0].item1b[0] (0.29 conf)
v_page_list_li_item_b__2 was DV-125[0].Page1[0].List1[0].Li2[0].item1b[1] (0.29 conf)
v_page_list_li_item_b__3 was DV-125[0].Page1[0].List1[0].Li2[0].item1b[2] (0.29 conf)
v_page_list_li_text_field__2 was DV-125[0].Page1[0].List1[0].Li2[0].TextField[0] (0.38 conf)
v_page_list_li_text_field__3 was DV-125[0].Page1[0].List2[0].Li1[0].TextField2[0] (0.38 conf)
v_page_list_li_item_b__4 was DV-125[0].Page1[0].List2[0].Li2[0].item2b[0] (0.29 conf)
v_page_list_li_item_b__5 was DV-125[0].Page1[0].List2[0].Li2[0].item2b[1] (0.29 conf)
v_page_list_li_item_b__6 was DV-125[0].Page1[0].List2[0].Li2[0].item2b[2] (0.29 conf)
v_page_list_li_text_field__4 was DV-125[0].Page1[0].List2[0].Li2[0].TextField[0] (0.38 conf)
v_page_list_item_abcd_cb was DV-125[0].Page1[0].List3[0].item3abcd_cb[0] (0.26 conf)
v_page_list_li_item_abcd_cb__1 was DV-125[0].Page1[0].List3[0].Li2[0].item3abcd_cb[0] (0.29 conf)
v_page_list_li_item_abcd_cb__2 was DV-125[0].Page1[0].List3[0].Li3[0].item3abcd_cb[0] (0.29 conf)
v_page_list_li_text_field__5 was DV-125[0].Page1[0].List3[0].Li3[0].TextField[0] (0.38 conf)
v_page_list_li_item_abcd_cb__3 was DV-125[0].Page1[0].List3[0].Li4[0].item3abcd_cb[0] (0.29 conf)
v_page_list_li_text_field__6 was DV-125[0].Page1[0].List3[0].Li4[0].TextField[0] (0.38 conf)
v_page_list_li_item_ab_cb__1 was DV-125[0].Page1[0].List4[0].Li1[0].item4ab_cb[0] (0.29 conf)
v_page_list_li_item_ab_cb__2 was DV-125[0].Page1[0].List4[0].Li2[0].item4ab_cb[0] (0.29 conf)
v_page_list_li_check_box__1 was DV-125[0].Page1[0].List5[0].Li1[0].CheckBox[0] (0.34 conf)
v_page_list_li_text_field__7 was DV-125[0].Page1[0].List5[0].Li1[0].TextField[0] (0.38 conf)
v_page_list_li_check_box__2 was DV-125[0].Page1[0].List5[0].Li1[0].CheckBox1[0] (0.34 conf)
v_page_list_li_text_field__8 was DV-125[0].Page1[0].List5[0].Li1[0].TextField1[0] (0.38 conf)
v_page_list_li_check_box__3 was DV-125[0].Page1[0].List5[0].Li1[0].CheckBox2[0] (0.34 conf)
v_page_list_li_text_field__9 was DV-125[0].Page1[0].List5[0].Li1[0].TextField2[0] (0.38 conf)
v_page_list_li_check_box__4 was DV-125[0].Page1[0].List5[0].Li1[0].CheckBox3[0] (0.34 conf)
v_page_list_li_text_field__10 was DV-125[0].Page1[0].List5[0].Li1[0].TextField3[0] (0.38 conf)
v_page_list_li_check_box__5 was DV-125[0].Page1[0].List5[0].Li1[0].CheckBox4[0] (0.34 conf)
v_page_list_li_text_field__11 was DV-125[0].Page1[0].List5[0].Li1[0].TextField4[0] (0.38 conf)
v_page_caption_case_number_ft was DV-125[0].Page2[0].Caption[0].CaseNumber_ft[0] (0.38 conf)
v_page_list_check_box_right__1 was DV-125[0].Page2[0].List6[0].CheckBoxRightCaption[0] (0.37 conf)
v_page_list_li_check_boxitem_abc__1 was DV-125[0].Page2[0].List6[0].Li1[0].CheckBoxitem6abc[0] (0.34 conf)
v_page_list_li_check_boxitem_abc__2 was DV-125[0].Page2[0].List6[0].Li2[0].CheckBoxitem6abc[0] (0.34 conf)
v_page_list_text_fielditem_b was DV-125[0].Page2[0].List6[0].Li2[0].TextFielditem6b[0] (0.38 conf)
v_page_list_text_b_cont was DV-125[0].Page2[0].List6[0].Li2[0].TextFielditem6bCont[0] (0.38 conf)
v_page_list_l_check_abc was DV-125[0].Page2[0].List6[0].L3[0].CheckBoxitem6abc[0] (0.34 conf)
v_page_list_l_text_field was DV-125[0].Page2[0].List6[0].L3[0].TextField[0] (0.38 conf)
v_page_list_check_box_right__2 was DV-125[0].Page2[0].List7[0].CheckBoxRightCaption[0] (0.37 conf)
v_page_list_li_check_boxitem_abc__3 was DV-125[0].Page2[0].List7[0].Li1[0].CheckBoxitem7abc[0] (0.34 conf)
v_page_list_li_check_boxitem_abc__4 was DV-125[0].Page2[0].List7[0].Li2[0].CheckBoxitem7abc[0] (0.34 conf)
v_page_list_li_text_field_b__1 was DV-125[0].Page2[0].List7[0].Li2[0].TextField7b[0] (0.38 conf)
v_page_list_text_field_b_cont__1 was DV-125[0].Page2[0].List7[0].Li2[0].TextField7bCont[0] (0.38 conf)
v_page_list_li_check_boxitem_abc__5 was DV-125[0].Page2[0].List7[0].Li3[0].CheckBoxitem7abc[0] (0.34 conf)
v_page_list_li_text_field__12 was DV-125[0].Page2[0].List7[0].Li3[0].TextField[0] (0.38 conf)
v_page_list_check_box_right__3 was DV-125[0].Page2[0].List8[0].CheckBoxRightCaption[0] (0.37 conf)
v_page_list_li_check_boxitem_abc__6 was DV-125[0].Page2[0].List8[0].Li1[0].CheckBoxitem8abc[0] (0.34 conf)
v_page_list_li_check_boxitem_abc__7 was DV-125[0].Page2[0].List8[0].Li2[0].CheckBoxitem8abc[0] (0.34 conf)
v_page_list_li_text_field_b__2 was DV-125[0].Page2[0].List8[0].Li2[0].TextField8b[0] (0.38 conf)
v_page_list_text_field_b_cont__2 was DV-125[0].Page2[0].List8[0].Li2[0].TextField8bCont[0] (0.38 conf)
v_page_list_li_check_boxitem_abc__8 was DV-125[0].Page2[0].List8[0].Li3[0].CheckBoxitem8abc[0] (0.34 conf)
v_page_list_li_text_field__13 was DV-125[0].Page2[0].List8[0].Li3[0].TextField[0] (0.38 conf)
v_page_list_cty_child_freed_cb__1 was DV-125[0].Page2[0].List9[0].CtyChildFreed_cb[0] (0.29 conf)
v_page_list_li_check_boxitem_abc__9 was DV-125[0].Page2[0].List9[0].Li1[0].CheckBoxitem9abc[0] (0.34 conf)
v_page_list_li_check_boxitem_abc__10 was DV-125[0].Page2[0].List9[0].Li2[0].CheckBoxitem9abc[0] (0.34 conf)
v_page_list_li_text_field_b__3 was DV-125[0].Page2[0].List9[0].Li2[0].TextField9b[0] (0.38 conf)
v_page_list_text_field_b_cont__3 was DV-125[0].Page2[0].List9[0].Li2[0].TextField9bCont[0] (0.38 conf)
v_page_list_li_check_boxitem_abc__11 was DV-125[0].Page2[0].List9[0].Li3[0].CheckBoxitem9abc[0] (0.34 conf)
v_page_list_li_check_box_right_caption_item_c__1 was DV-125[0].Page2[0].List9[0].Li3[0].CheckBoxRightCaptionItem9c1[0] (0.36 conf)
v_page_list_li_check_box_right_caption_item_c__2 was DV-125[0].Page2[0].List9[0].Li3[0].CheckBoxRightCaptionItem9c1[1] (0.36 conf)
v_page_list_li_check_box_right_caption_item_c__3 was DV-125[0].Page2[0].List9[0].Li3[0].CheckBoxRightCaptionItem9c1[2] (0.36 conf)
v_page_list_li_check_box_right_caption_item_c__4 was DV-125[0].Page2[0].List9[0].Li3[0].CheckBoxRightCaptionItem9c1[3] (0.36 conf)
v_page_list_li_text_field__14 was DV-125[0].Page2[0].List9[0].Li3[0].TextField1[0] (0.38 conf)
v_page_list_li_check_box_right_caption_item_c__5 was DV-125[0].Page2[0].List9[0].Li3[0].CheckBoxRightCaptionItem9c2[0] (0.36 conf)
v_page_list_li_check_box_right_caption_item_c__6 was DV-125[0].Page2[0].List9[0].Li3[0].CheckBoxRightCaptionItem9c2[1] (0.36 conf)
v_page_list_li_check_box_right_caption_item_c__7 was DV-125[0].Page2[0].List9[0].Li3[0].CheckBoxRightCaptionItem9c2[2] (0.36 conf)
v_page_list_li_check_box_right_caption_item_c__8 was DV-125[0].Page2[0].List9[0].Li3[0].CheckBoxRightCaptionItem9c2[3] (0.36 conf)
v_page_list_text_field was DV-125[0].Page2[0].List9[0].TextField[0] (0.35 conf)
v_page_case_number_ft was DV-125[0].Page3[0].CaseNumber_ft[0] (0.34 conf)
v_page_list_cty_child_freed_cb__2 was DV-125[0].Page3[0].List10[0].CtyChildFreed_cb[0] (0.29 conf)
v_page_list_li_check_boxitem_abc__12 was DV-125[0].Page3[0].List10[0].Li1[0].CheckBoxitem10abc[0] (0.34 conf)
v_page_list_li_check_boxitem_abc__13 was DV-125[0].Page3[0].List10[0].Li2[0].CheckBoxitem10abc[0] (0.34 conf)
v_page_list_li_text_field_b__4 was DV-125[0].Page3[0].List10[0].Li2[0].TextField10b[0] (0.38 conf)
v_page_list_text_field_b_cont__4 was DV-125[0].Page3[0].List10[0].Li2[0].TextField10bCont[0] (0.38 conf)
v_page_list_li_check_boxitem_abc__14 was DV-125[0].Page3[0].List10[0].Li3[0].CheckBoxitem10abc[0] (0.34 conf)
v_page_list_li_textfield was DV-125[0].Page3[0].List10[0].Li3[0].textfield[0] (0.29 conf)
v_page_list_li_tf__1 was DV-125[0].Page3[0].List10[0].Li3[0].tf1[0] (0.29 conf)
v_page_list_li_tf__2 was DV-125[0].Page3[0].List10[0].Li3[0].tf2[0] (0.29 conf)
v_page_list_li_tf__3 was DV-125[0].Page3[0].List10[0].Li3[0].tf3[0] (0.29 conf)
v_page_list_li_tf__4 was DV-125[0].Page3[0].List10[0].Li3[0].tf4[0] (0.29 conf)
v_page_list_li_tf__5 was DV-125[0].Page3[0].List10[0].Li3[0].tf5[0] (0.29 conf)
v_page_list_li_tf__6 was DV-125[0].Page3[0].List10[0].Li3[0].tf6[0] (0.29 conf)
v_page_list_li_tf__7 was DV-125[0].Page3[0].List10[0].Li3[0].tf7[0] (0.29 conf)
v_page_list_li_tf__8 was DV-125[0].Page3[0].List10[0].Li3[0].tf8[0] (0.29 conf)
v_page_list_li_tf__9 was DV-125[0].Page3[0].List10[0].Li3[0].tf9[0] (0.29 conf)
v_page_list_li_tf__10 was DV-125[0].Page3[0].List10[0].Li3[0].tf10[0] (0.29 conf)
v_page_list_li_tf__11 was DV-125[0].Page3[0].List10[0].Li3[0].tf11[0] (0.29 conf)
v_page_list_li_tf__12 was DV-125[0].Page3[0].List10[0].Li3[0].tf12[0] (0.29 conf)
v_page_list_li_tf__13 was DV-125[0].Page3[0].List10[0].Li3[0].tf13[0] (0.29 conf)
v_page_list_li_tf__14 was DV-125[0].Page3[0].List10[0].Li3[0].tf14[0] (0.29 conf)
v_page_list_li_tf__15 was DV-125[0].Page3[0].List10[0].Li3[0].tf15[0] (0.29 conf)
v_page_list_li_tf__16 was DV-125[0].Page3[0].List10[0].Li3[0].tf16[0] (0.29 conf)
v_page_list_li_tf__17 was DV-125[0].Page3[0].List10[0].Li3[0].tf17[0] (0.29 conf)
v_page_list_li_tf__18 was DV-125[0].Page3[0].List10[0].Li3[0].tf18[0] (0.29 conf)
v_page_list_li_tf__19 was DV-125[0].Page3[0].List10[0].Li3[0].tf19[0] (0.29 conf)
v_page_list_li_tf__20 was DV-125[0].Page3[0].List10[0].Li3[0].tf20[0] (0.29 conf)
v_page_list_li_tf__21 was DV-125[0].Page3[0].List10[0].Li3[0].tf21[0] (0.29 conf)
v_page_list_li_tf__22 was DV-125[0].Page3[0].List10[0].Li3[0].tf22[0] (0.29 conf)
v_page_list_li_tf__23 was DV-125[0].Page3[0].List10[0].Li3[0].tf23[0] (0.29 conf)
v_page_list_li_tf__24 was DV-125[0].Page3[0].List10[0].Li3[0].tf24[0] (0.29 conf)
v_page_list_li_tf__25 was DV-125[0].Page3[0].List10[0].Li3[0].tf25[0] (0.29 conf)
v_page_list_li_tf__26 was DV-125[0].Page3[0].List10[0].Li3[0].tf26[0] (0.29 conf)
v_page_list_li_tf__27 was DV-125[0].Page3[0].List10[0].Li3[0].tf27[0] (0.29 conf)
v_page_list_li_tf__28 was DV-125[0].Page3[0].List10[0].Li3[0].tf28[0] (0.29 conf)
v_page_list_li_tf__29 was DV-125[0].Page3[0].List10[0].Li3[0].tf29[0] (0.29 conf)
v_page_list_li_tf__30 was DV-125[0].Page3[0].List10[0].Li3[0].tf30[0] (0.29 conf)
v_page_list_li_tf__31 was DV-125[0].Page3[0].List10[0].Li3[0].tf31[0] (0.29 conf)
v_page_list_li_tf__32 was DV-125[0].Page3[0].List10[0].Li3[0].tf32[0] (0.29 conf)
v_page_list_li_tf__33 was DV-125[0].Page3[0].List10[0].Li3[0].tf33[0] (0.29 conf)
v_page_list_li_tf__34 was DV-125[0].Page3[0].List10[0].Li3[0].tf34[0] (0.29 conf)
v_page_list_li_tf__35 was DV-125[0].Page3[0].List10[0].Li3[0].tf35[0] (0.29 conf)
v_page_list_li_tf__36 was DV-125[0].Page3[0].List10[0].Li3[0].tf36[0] (0.29 conf)
v_page_list_li_tf__37 was DV-125[0].Page3[0].List10[0].Li3[0].tf37[0] (0.29 conf)
v_page_list_li_tf__38 was DV-125[0].Page3[0].List10[0].Li3[0].tf38[0] (0.29 conf)
v_page_list_li_tf__39 was DV-125[0].Page3[0].List10[0].Li3[0].tf39[0] (0.29 conf)
v_page_list_li_tf__40 was DV-125[0].Page3[0].List10[0].Li3[0].tf40[0] (0.29 conf)
v_page_list_li_tf__41 was DV-125[0].Page3[0].List10[0].Li3[0].tf41[0] (0.29 conf)
v_page_list_li_tf__42 was DV-125[0].Page3[0].List10[0].Li3[0].tf42[0] (0.29 conf)
list_check_box_right_caption_b__1 was DV-125[0].Page3[0].List10[0].Li3[0].CheckBoxRightCaption12b[0] (0.36 conf)
list_check_box_right_caption_b__2 was DV-125[0].Page3[0].List10[0].Li3[0].CheckBoxRightCaption12b[1] (0.36 conf)
list_check_box_right_caption_b__3 was DV-125[0].Page3[0].List10[0].Li3[0].CheckBoxRightCaption12b[2] (0.36 conf)
v_page_list_li_text_field__15 was DV-125[0].Page3[0].List10[0].Li3[0].TextField[0] (0.38 conf)
v_page_list_li_text_field__16 was DV-125[0].Page3[0].List10[0].Li3[0].TextField33[0] (0.38 conf)

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

Suggested Screen 0:

v_page_stamp_case_number_ft
v_page_list_li_text_field__1
v_page_list_li_item_b__1
v_page_list_li_item_b__2
v_page_list_li_item_b__3
v_page_list_li_text_field__2
v_page_list_li_text_field__3
v_page_list_li_item_b__4
v_page_list_li_item_b__5
v_page_list_li_item_b__6
v_page_list_li_text_field__4
v_page_list_item_abcd_cb
v_page_list_li_item_abcd_cb__1
v_page_list_li_item_abcd_cb__2
v_page_list_li_text_field__5
v_page_list_li_item_abcd_cb__3
v_page_list_li_text_field__6
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DV-125 Response to Request for Child Custody and Visitation Orders (Domestic Violence Prevention)

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