Request for Order (FL-300) Questionnaire — NewLeaf Document Services

Confidential — Current Clients Only

Request for Order (FL-300) Questionnaire

Custody · Parenting Time · Support · Enforcement · Modification · NewLeaf Document Services

LDA #23-003 · Placer County · Registered & Bonded

Please complete before your appointment.
You've directed JoHanna to prepare a Request for Order for your case. Your answers here are the facts used to prepare your court forms at your direction. Only the sections that apply to your request will appear — the form opens up based on what you check in Section 2. Your progress saves automatically on this device, so you can stop and come back anytime.

NON-ATTORNEY DISCLOSURE: I am not an attorney. I cannot provide legal advice, and I cannot recommend what to ask the court for or how to ask for it. NewLeaf Document Services is not a law firm. I can only provide self-help services at your specific direction. This questionnaire gathers facts only. For legal advice, please consult a licensed California attorney.

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Case Information

County where your case is filed *

Case number *

Petitioner's full name

Respondent's full name

Your phone *

Your email *

Your mailing address

Which one are you? *

Petitioner Respondent

Where is your case right now? *

Has the other party ever filed papers or appeared? *

Yes No Not sure

💡 This affects how your papers are delivered to the other party.

Is the other party represented by an attorney?

Yes No Not sure

Attorney's name

Attorney's phone

Attorney's office address

What You Are Asking the Court to Do

Check every type of order you have decided to request. These selections are your own — JoHanna cannot suggest or recommend which to choose. If you're unsure what to request, that's a question for a licensed California attorney; once you've decided, the documents are prepared at your direction.

Child custody (legal / physical)

Parenting time / visitation

Where the child(ren) live, or whether a parent may relocate them

Child support

Spousal / partner support

Attorney's fees and costs

Property issues (control, protection, or division-related orders)

Exclusive use of property (home, vehicle, etc.)

Reimbursement / payment of expenses (including household expenses)

Enforcement of an existing order (an order isn't being followed)

Change (modification) of an existing order

Other

Timing

Is there something happening now that makes you believe you need the court to act urgently? *

Yes No Not sure

⚠️ Requests prepared on an emergency basis involve different documents and a different timeline than a standard Request for Order, and are quoted separately. Please call or text JoHanna at (916) 751-6498 so timing can be reviewed.

If something is time-sensitive, briefly describe it and give the date (optional)

Children in This Case

Children's residential history — past 5 years

💡 Used for the UCCJEA Declaration, a mandatory court form in every custody case.

Is there already a custody or parenting-time order from a court?

Yes No Not sure

Other custody or support proceedings in any court or state?

No Yes

Child Custody — Details

Legal custody you are requesting

💡 Legal custody = who makes major decisions (education, health care). Physical custody = where the children live.

Physical custody / residence you are requesting

Describe the current custody arrangement, in fact (who the children live with, who makes decisions, whether there is an order or an informal arrangement)

What orders are you asking the court to make? (your own words)

Residence, Relocation & School Stability

Check any you are asking the court to consider

Children stay at their current school or daycare until the parents agree otherwise or the court orders otherwise.

Advance written notice before either parent moves.

Neither parent changes the children's primary residence outside a specified area without written agreement or a court order.

Neither parent enrolls or withdraws the children from school or daycare without the other's agreement.

Transportation responsibilities if a parent relocates.

Long-distance parenting provisions if a move is approved.

Requested area or limit (county, school district, or miles)

When did the situation leading to this request begin? (dates if known)

Parenting Time — Details

Describe the current schedule, in fact (days, exchanges — or "no schedule exists")

Which schedule is closest to what you are asking for?

Exact days and times you are asking the court to order (your own words)

Exchange location

Exchange time

Transportation

Late arrival / cancellation terms (optional)

Any facts about transportation or exchanges the court should know?

Parenting Plan Detail

Choose how detailed a written parenting plan you would like prepared with your Request for Order. You can change this at any time — your answers are kept either way.

Basic parenting plan

The schedule, exchanges, and residence terms above. Included in your flat fee.

Detailed parenting plan

Everything above plus a full holiday rotation, travel terms, school, medical, activities, communication, and conduct provisions.

🌿 A detailed parenting plan takes more time to prepare and may adjust your quote. JoHanna will confirm before any additional work is done.

⚠️ Heads-up: your current flat fee covers a basic parenting plan. The additional sections below take more time to prepare and may adjust your quote. You are welcome to fill them in — JoHanna will review your selections and confirm any change with you before doing the additional work. If you would rather keep your current quote, choose Basic above.

3E‑1

Holiday Schedule

Which parent you are asking to have the children for each holiday. "Alternate" means it rotates each year. Leave blank if the regular schedule applies.

Fall Break

Spring Break

Easter

Mother's Day

Father's Day

Memorial Day

4th of July

Labor Day

Halloween

Thanksgiving

Winter / Christmas Break

Christmas Eve

Christmas Day

New Year's

Child's Birthday

Each Parent's Birthday

3-Day Weekends / In-Service

Religious / Cultural Holidays

Holiday notes (optional)

3E‑2

Summer & Travel

Summer schedule you are asking for

Extended vacation notice

Travel notes (optional)

Travel provisions to include (check any that apply)

Traveling parent provides itinerary, lodging, flight details, and an emergency contact.

Domestic travel allowed without extra consent, as long as notice is given.

Written notice before any out-of-state travel.

3E‑3

School, Medical & Activities

Education & school (check any that apply)

Both parents have access to school records, online portals, teachers, and school events.

Both parents listed as emergency contacts when the school allows it.

Both parents participate in tutoring, special education, IEP, or 504 meetings.

Homework, attendance, and schoolwork expectations are the same in both homes.

Medical, dental & mental health (check any that apply)

Both parents have access to medical, dental, and mental-health records.

Both parents may communicate directly with doctors and providers.

Both parents agree before non-emergency treatment.

Either parent may get emergency care and must tell the other right away.

Medication is handed off between homes with written instructions.

Health notes (optional)

Activities & childcare (check any that apply)

Both parents agree before enrolling the children in activities that use the other parent's time.

Each parent may enroll the children in activities during their own time only.

Both parents may attend school events, sports, and performances.

Right of first refusal — offer the other parent first if alternate care is needed for more than 4 hours.

Terms for the childcare or daycare provider.

3E‑4

Communication & Conduct

Communication between parents (check any that apply)

Use a specific co-parenting communication app (TalkingParents / OurFamilyWizard).

Parents keep each other informed of school, medical, activity, and emergency information.

Parents keep each other updated on current address, phone, and emergency contacts.

A reasonable response-time expectation for messages about the children.

Communication with the children (check any that apply)

Reasonable telephone contact while with the other parent.

Scheduled phone calls at set times.

Video calls / virtual parenting time.

The children may contact either parent privately at reasonable times.

Conduct provisions (check any that apply)

Neither parent speaks negatively about the other in the children's presence.

Neither parent discusses court proceedings or adult disputes with the children.

Neither parent uses the children as messengers or to get information about the other household.

Both parents support the children's relationship with the other parent.

Neither parent will be under the influence of alcohol or drugs while the children are in their care.

Consistent bedtime, homework, or medication routine in both homes.

Anything else for the detailed plan (optional)

Safety & Travel Concerns

Are you asking the court to consider any limits on parenting time, or any restrictions on travel with the children, because of a safety concern?

No Yes Not sure

💡 Answer honestly either way. Choosing "no" keeps this section closed.

3F‑1

Requested Limits & Facts

⚠️ Requests of this kind often involve additional facts and additional forms, and are quoted separately from a standard Request for Order. Please describe the facts below; JoHanna will review them with you and confirm what is needed and what it would cost before any additional work is done.

Limits on parenting time you are asking the court to consider (check any that apply)

Supervised parenting time by a professional provider.

Supervised parenting time by an agreed non-professional supervisor.

A specific location for supervised visits.

No overnight visits at this time.

Conditions to be met before unsupervised or overnight parenting time begins.

Travel restrictions you are asking the court to consider (check any that apply)

Travel with the children limited to specified locations.

Written consent before specified travel.

Itinerary and contact information provided before any travel.

The children may not be taken out of a specified area without written agreement or a court order.

Terms about who holds the children's travel documents.

The facts behind these requests, in your own words (what happened, with dates wherever you can)

Is there an existing restraining order, police report, or agency involvement related to these facts?

No Yes Not sure

Child Support — Details

Is there currently a child support order?

Yes No Not sure

Current parenting time split (approximate % with each parent)

Current amount per month

Date of that order / other case number

What order are you asking the court to make? (your own words)

Monthly childcare cost (work/school-related)

Children's monthly health insurance cost

Insurance available through your job?

Spousal / Partner Support — Details

Is there currently a spousal support order?

Yes No Not sure

Temporary or ongoing?

Current amount per month

Date of that order (approximate ok)

What order are you asking the court to make? (your own words)

If temporary — until what event?

When did the situation begin? (date or timeframe)

Attorney's Fees and Costs — Details

Amount you are asking for (if you have a figure)

Fees/costs paid to date

Fees/costs still owed

Source of money paid so far (savings, borrowed, credit card)

Facts about the income difference between you and the other party

Property Issues — Details

What property is involved? (address, account, vehicle, etc.)

What order are you asking for? (your own words)

When did the situation begin? (dates if known)

Exclusive Use of Property — Details

What property?

Who currently lives in / uses it?

Whose name is on the title, deed, or lease?

Temporary? If so, until what event?

What order are you asking for? (your own words)

Reimbursement / Expenses — Details

Ongoing expenses, money already spent, or both?

Is the other party currently living in the home?

List each expense involved

Since when has this been an issue?

Temporary? Until what event?

What has each party actually been paying? (facts only)

What order are you asking for? (your own words)

Enforcement of an Existing Order — Details

Which order isn't being followed? (date made and what it says)

Describe, in fact, what has not been followed (with dates if known)

If money is owed under the order, how much and for what period?

Change (Modification) of an Existing Order — Details

Which order are you asking to change? (date made)

What does that order currently say?

What has changed since that order was made? (facts and dates)

What change are you asking for? (your own words)

Other Request — Details

Describe the order you are asking for, in your own words

Relevant facts and dates

Supporting Facts — In Your Own Words

Your declaration to the court is your statement. What you write below goes into your declaration in your own words — it will not be rewritten or summarized for you. Write as if you're explaining to the judge, and include dates wherever you can.

Describe what has happened *

What has changed, if anything, that led to this request?

Explain why you are requesting this order *

Do you have documents, messages, or records you want included as exhibits?

None A few (1–5) Several (6+)

🌿 A larger set of documents takes more time to organize, label, and reference in your paperwork, which may adjust your quote.

Financial Information

Because your request involves money, the court will want a current Income and Expense Declaration (FL-150) from you — "current" means completed within the last 90 days.

Have you completed an FL-150 in this case before?

Yes — within 90 days Yes — but older No Not sure

Employment & Income

Employer (or most recent)

Occupation

Gross pay (before taxes)

Paid per

Hours per week

Other income (type and monthly amount)

Monthly Expenses (estimates are fine)

Rent / mortgage

Utilities

Groceries

Auto / transportation

Installment payments

Other

💡 Please have your last two months of pay stubs ready to send (black out Social Security numbers).

Best estimate of the other party's gross monthly income

What is that estimate based on?

Existing Court Orders

Are there existing court orders in this case? *

Yes No Not sure

Do you have copies of these orders?

Yes — I'll send copies Some No

Supporting Documents

Check everything you have. After you submit, please email copies to newleafoffice.us@gmail.com — clear photos or scans are fine. Black out Social Security numbers and full account numbers first.

Pay stubs (mine)

Pay stubs or income proof (other party)

Mortgage statements

Utility bills

Bank statements

Tax returns

Emails

Text messages

Photos

Receipts / proof of payments

School or daycare records

Copies of existing court orders

Anything to note about your documents?

Serving the Other Party

After filing, the other party must be given copies of your Request for Order before the hearing. Depending on your case, this may need to be done by personal delivery by an adult who is not you.

Other party's current home address *

Best place and time to personally deliver papers

Other party's work address (if known)

Is there an adult (18+, not you) who can deliver the papers?

Any known difficulties with serving them?

Your Hearing

The court sets a hearing date when your Request for Order is filed. You attend and speak for yourself; JoHanna cannot appear or speak for you.

Dates you are NOT available in the next 3 months

Do you need a court interpreter?

No Yes

Do you need any disability (ADA) accommodations?

No Yes

Would you like to request a remote (video/phone) appearance if the court allows it?

Yes In person Not sure yet

Any childcare concerns for the hearing date?

Final Review & Acknowledgments

I confirm the information I've provided is true and accurate to the best of my knowledge. *

I understand this information will be used to prepare documents at my specific direction, and the requests described are my own decisions. *

I understand NewLeaf Document Services is not a law firm. *

I understand JoHanna C. Cody is a Registered & Bonded California Legal Document Assistant who cannot provide legal advice or recommend legal strategies. *

Leave this field empty

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🌿 Thank You — Questionnaire Received!

JoHanna will review your information and follow up with next steps. Please email your supporting documents to newleafoffice.us@gmail.com.

(916) 751-6498 — Call or text

NewLeaf Document Services · LDA #23-003 · Not a Law Firm · Not an Attorney

NewLeaf Document Services · JoHanna C. Cody, LDA #23-003 · Placer County · Exp. 02/20/2027 · Registered & Bonded
3334 Sankey Road, Pleasant Grove, CA 95668 · (916) 751-6498 · newleafoffice.us@gmail.com · NewLeafDocumentServices.com
NON-ATTORNEY DISCLOSURE: I am not an attorney. I cannot provide legal advice. NewLeaf Document Services is not a law firm. I can only provide self-help services at your specific direction.

Request for Order (FL-300) Questionnaire

Employment & Income

Monthly Expenses (estimates are fine)

🌿 Thank You — Questionnaire Received!

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