Declaration of Supervised Visitation and Exchange Services Provider (Professional)
California · Judicial Council of California · Effective January 1, 2026
This form is a declaration used to tell the court that a person is qualified to be appointed as a paid professional who provides supervised visitation and exchange services. It asks the provider to confirm they meet specific rules and training requirements.
The court describes it as: Tells the court that you are eligible to be appointed by the court as a paid (professional) supervised visitation provider. This lists the provider's specific qualifications and says that the person satisfies the appointment requirements.
Where this fits in a case
HearingStage: Hearing
This form is used when someone is applying to be appointed by the court to provide supervised visitation and exchange services. It can also be used to update the form after providing services.
Either party may file.
Common questions
- Who fills out this form?
- The form is for the Supervised Visitation and Exchange Services Provider to fill out and declare their qualifications to the court.
- What does this form ask for?
- It asks the provider to check off boxes showing they meet specific requirements, such as age, background checks, and training hours.
- Is there a fee mentioned?
- The form does not mention any filing fees.
Revision history
No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2026.
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