Declaration of Supervised Visitation Provider

Shasta Superior Court · Family Law

Verified current as of September 10, 2026

This form is used by a professional or trained individual to declare that they are qualified and willing to supervise visits between a parent (or other relative) and a child when a court has ordered that visits must be supervised for safety reasons. A person would need this form if they work for or operate a supervised visitation service and are assigned to oversee these court-ordered visits.