DV-105LocalFillable

Request for Child Custody and Visitation Orders

Shasta Superior Court · Form Packets

Last updated July 22, 2026

This form asks the court to make decisions about child custody and visitation when there is a domestic violence situation involved. Parents or guardians use it to request custody and visitation orders as part of a domestic violence case to protect children and establish their care arrangements.

This form has fillable fields — you can complete it directly in the viewer on the right.
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