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DV-105(A)Mandatory

City and State Where Children Lived (Domestic Violence Prevention)

California · Judicial Council of California · Effective January 1, 2025

This form asks for a list of the city and state where children have lived over the last five years. It requires listing the child's name, the dates they lived at an address, and who the child lived with during those times.

Open the official PDFfrom Judicial Council of California

Where this fits in a case

General & info

Information / general use — not tied to one step of a case

This form is used in connection with domestic violence prevention matters to document the living history of children. The form directs the user to check which related form (DV-105, DV-125, DV-305, or DV-325) applies to their situation.

Either party may file.

Official instructions

How-to guides published by the court for this form.

Common questions

What is this form for?
This form is used to list the city and state where children have lived over the last five years for domestic violence prevention purposes.
Do I need to fill out all sections?
The form has sections for listing children who lived with Person in 1, Person in 2, or other people, and it also has a section for other children.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2025.

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