Huntington Beach Police Department Custody Visitation Court Order Violation Report

Important – See Page 2 for Instructions

I agree and understand that by submitting this form I am declaring under penalty of perjury that the information I supplied is true and correct.

Created 03/20 – SC2635

Information Completed By Police Department Personnel Case Number: By: Badge No.: Date:

Your Name/Date of Birth/Driver’s License/Email Address Last: First: Middle: DOB:

Driver’s License No.: Email:

Your Street Address/City/ State/ZIP Number/Street: City: State: Zip:

Your Contact Numbers Primary: Secondary:

Your Relationship to the Child Mother Father Legal Guardian Other-Specify

Child Information – Name/Date of Birth Child 1 – Last: First: Middle: DOB: Child 2 – Last: First: Middle: DOB: Child 3 – Last: First: Middle: DOB: Child 4 – Last: First: Middle: DOB:

Person Violating Order – Name/Date of Birth/Driver’s License/Email Address Last: First: Middle: DOB:

Driver’s License No.: Email:

Person Violating Order – Street Address/City/ State/ZIP Number/Street: City: State: Zip: Person Violating Order – Contact Numbers

Primary: Secondary:

Person Violating Order – Relationship to the Child Mother Father Legal Guardian Other-Specify

When Did You Last See Your Children? Have You Reported Violations to the Police Department This Year? Yes No Case Number:

Family Court Information Family Court Case No.: Name of Court: Date Issued:

You Have: Visitation Supervised Visitation Joint Legal Custody Joint Physical Custody

Sole Physical Custody Guardianship Other – Specify

Explain how the violation occurred. Include date(s), times(s) and locations(s):

Huntington Beach Police Department Custody Visitation Court Order Violation Instruction and Info Sheet

Created 03/20 – SC2635

Instructions: Use this form to self-report violation(s) of a Family Court Order related to visitation. Please fill out this form as completely as possible - required fields are indicated in RED. Please email this form to police records personnel at records@hbpd.org. Police department personnel will process your report and return via the email address provided with a case number, keep a copy for your records. Please allow up to (5) business days for the police department’s response. Important Notice Upon acceptance of this report, NO FURTHER ACTION WILL BE TAKEN by the Huntington Beach Police Department or the District Attorney's Office. Should you need assistance in pursuing a civil enforcement remedy, contact a private attorney. After you complete this report, it will be kept on file with the Huntington Beach Police Department and forwarded to the Orange County District Attorney’s Office. Options and Resources if a parent does not follow the Custody/Visitation Court Order: Should you have to go back to court, keep accurate records of all visitation violations. Keep a journal, or mark up a calendar, or use the Child Custody Visitation Violation form with the dates and times that the other parent did not follow the order and did not show up, or showed up late, or created other problems. Contact the Family Court Services office at Lamoreaux Justice Center – Click Here. They offer, at no cost, mediation services to parents who want to resolve custody or visitation disputes without filing for a court hearing. This is called "informal mediation" and can be scheduled by calling (657) 622-6196 for an appointment.

If there is a dispute or disagreement regarding the terms of custody and visitation, you can ask for modification of child custody or visitation orders – Click Here. This can help prevent situations where one or both parents are trying to take matters in their own hands and are trying to create a new arrangement. Any changes should be approved by the court first before they are implemented.

Consider filing an action for “contempt” with the court. In contempt actions, you ask the court to enforce the order and make a finding that the other parent willfully disobeyed the court order. This is very complicated and can have serious consequences. Talk to a lawyer to find out what is best in your case.

Helpful Links: Child custody-visitation frequently asked questions Family Court Services of Superior Court of Orange County – Parenting Plan Guideline OC Courts Legal Resource Sheet OC Courts Supervised Visitation and Keeping Kids Safe Program Orange County Superior Court Family Law information Parenting Plan Guideline – Family Court Services of Superior Court of Orange County Reducing Custody-Related Conflicts Helpful Videos: Orientation to Family Court Mediation and Child Custody Recommending Orientation to Mediation Child Custody Information Sheets: Child Custody Mediation Child Custody Information Sheet

Direct Numbers of Community Resources are: Parenting Classes and Counseling Referrals, Info Link: (949) 646-4357 Child Abuse Registry: (714) 940-1000 National Domestic Violence Hotline: (800) 799-7233 Local Domestic Violence Hotlines: Human Options (877) 854-3594, Interval House (714) 891-8121, Laura's House (866) 498-1511, WTLC (714) 992-1934