FL-015Local

Agreement for Child Visitation Supervision

Alameda Superior Court · Frequently Used Forms

Verified current as of July 16, 2026

This form is used when a parent or guardian needs another adult to supervise visits between a child and the other parent, typically because a court has ordered supervised visitation due to safety concerns or other family issues. A parent, guardian, or someone else with custody would use this form to set up and document an agreement about who will supervise the visits, where they'll happen, and what the rules will be.

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