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Information Form For Custody And/Or Visitation Matters

Butte Superior Court · Family Court Services

Verified current as of September 10, 2026

Intake form for a parent (petitioner or respondent) attending Butte County Family Court Services mediation on child custody or visitation, collecting contact details, children's information, and disclosure of any domestic violence history.

This form must be printed and filled by hand, or opened in Adobe Acrobat.
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