Declaration of Supervised Visitation Provider

Merced Superior Court · Important Information

Verified current as of September 13, 2026

This form is used by someone (like a counselor, social worker, or family friend) to officially state that they are qualified and willing to supervise visits between a parent and child when the court has determined that direct, unsupervised contact would not be safe or appropriate. The person filling it out needs to provide background information and confirm they understand their responsibilities to keep detailed records and ensure the child's safety during these visits.