Printable blank FL-341D Additional Provisions - Physical Custody Attachment

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What is FL-341D?

The full name of the form FL-341D is Additional Provisions, Physical Custody Attachment. It is used within California to supply additional information where child custody and visitation orders have been issued by the court.

What do I need FL-341D for?

  • FL-341D is used as an attachment to FL-341D to report additional custody provisions where such provisions apply to a custody or visitation order pertaining to a child in California.

Please note that the form is not applicable in the following cases:

  • Outside of California;
  • To provide information on the child’s holiday schedule (use form FL-341B).

How to fill out FL-341D?

You can use a fillable PDF version of the blank to enter any additional provisions. Make sure you download a printable PDF so that you can submit it as a hard copy.

  • The document consists of two pages. The top part is to contain the names and signatures of the petitioner, the responder, and any third parties involved. The case number is to be entered in the top right corner.
  • Below, the reason why the form is being used should be marked.
  • Make sure only the sections that apply to your particular case are ticked. When ticking a condition that contains multiple options, also make sure the appropriate option is ticked.

Organizations that work with FL-341D

  • Courts in California

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