Judicial Council of California · United States

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California Judicial Council Additional Provisions — Physical Custody Attachment (Form FL-341(D) / FL341D)

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For California family law attorneys, mediators, and custody paralegals

California family law practice or mediation clinic preparing Form FL-341(D) alongside Form FL-300, Form FL-100, Form FL-120, or custody stipulations? Save your standard co-parenting ground rules as a template or batch-fill case captions from Excel/CSV.

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JustFill fills the FL-341(D) PDF for you. It does not file your case, does not give legal advice, and cannot tell you which provisions are right for your family — you file the completed attachment with the document it belongs to.JustFill is not affiliated with Judicial Council of California. This is an independent third-party tool to help you complete FL-341(D). Always download the current blank form from the official source and verify your completed copy before signing or submitting. Official FL-341(D) from Judicial Council of California

Quick answer

Form FL-341(D) is the Additional Provisions — Physical Custody Attachment used in California family law cases. It is not filed alone: it attaches to a petition, response, request for order, responsive declaration, stipulation and order for custody or visitation, or findings and order after hearing or judgment. It adds seventeen numbered ground rules for co-parenting — address changes, notice before moving a child, child care, substance use, no negative comments, a log book and more. With JustFill you upload the blank FL-341(D) PDF, the AI auto-detects every field, and you download the completed attachment free.

Form
FL-341(D)
Issued by
Judicial Council of California
Country
United States
Free allowance
Watermarked preview (hand-filled PDFs up to 1 page)
Official edition
FL-341(D) [Rev. July 1, 2016] (2 pages, Optional Form, Judicial Council of California — Additional Provisions—Physical Custody Attachment)
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What is FL-341(D)?

Working out the day-to-day rules of a custody arrangement in California? Form FL-341(D) is the Judicial Council attachment that spells them out, and JustFill turns the official PDF into a fillable form in your browser. You tick the provisions that should apply and fill in the blanks — how many days’ notice before an address change, how many days before a proposed move of a child, how long a party waits before treating a visit as cancelled, how many hours of child care trigger the other parent’s first right to care for the children. The attachment is always filed with a parent document; the checkboxes at the top say which one it belongs to.

California Form FL-341(D) (FL341D) Physical Custody Attachment: Co-Parenting Ground Rules & Parent Forms

Judicial Council of California Form FL-341(D) (Additional Provisions — Physical Custody Attachment, Rev. July 1, 2016) is the two-page attachment used to write enforceable day-to-day co-parenting rules into a California custody order or stipulation. Because FL-341(D) is an attachment rather than a standalone pleading, the checkboxes at the top must tie it to a parent filing — such as Form FL-100 (Petition), Form FL-120 (Response), Form FL-300 (Request for Order), a Stipulation and Order for Custody, or a Judgment (Form FL-180).

In JustFill, parents, family law mediators, and paralegals can complete all 17 numbered custody provisions online — including Item 1 address-change notice days, Item 2 certified-mail move-away notice days, Item 3c right-of-first-refusal childcare hours, and Item 4 visitation wait minutes — and export a clean 2-page PDF.

  • Always fill in the specific numeric blanks in Items 1, 2, 3c, 4, and 8 when checking those boxes so the custody order has unambiguous deadlines.
  • Pair Form FL-341(D) with Form FL-300 (Request for Order), Form FL-100, Form FL-120, Form FL-150, and Form FL-170.

Download the FL-341(D) form PDF — free

The official 2-page Form FL-341(D) PDF (Rev. July 1, 2016, Optional Judicial Council Form) is published by the Judicial Council of California at courts.ca.gov/documents/fl341d.pdf. Click "Fill the blank FL-341(D) now" above to open an interactive FL-341(D) worksheet in JustFill or upload your blank court PDF, check the custody ground-rule provisions that apply, fill in the notice and childcare hour numbers, and download your completed attachment free.

Who fills out FL-341(D)?

  • Parents agreeing custody or visitation terms in a California family law case, including self-represented parties
  • Family law attorneys drafting a stipulation and order for custody and/or visitation of children
  • Parties filing a request for order or a responsive declaration who want specific parenting ground rules in writing
  • Anyone whose findings and order after hearing or judgment needs detailed physical custody provisions attached

Field-by-field breakdown

What each section of FL-341(D) asks for. JustFill’s AI will detect these fields automatically when you upload the PDF — review the breakdown below so you know what to enter.

Attachment target

Checkboxes naming the document this attaches to: petition, response, request for order, responsive declaration to request for order, stipulation and order for custody and/or visitation of children, or findings and order after hearing or judgment.

Item 1 — notification of current address

How many days a party has to tell the others about a change of residence, work or mailing address, telephone or message number, email or cell phone. The form notes no residence or work address is needed if a party uses California’s Safe at Home confidential address program, and that the information may not be used to harass or invade privacy.

Item 2 — proposed move of a child

How many days’ notice before any planned change in the children’s residence. The notice must state the planned address including county and state, and must be sent by certified mail, return receipt requested.

Item 3 — child care

Children not left alone without age-appropriate supervision, parties exchange the name, address and phone number of regular child-care providers, and the number of hours of care that trigger the other party’s first opportunity to look after the children. Regular child care needed while a party works is excluded unless agreed or ordered.

Visitation logistics

How many minutes the custodial party waits before treating a visit as cancelled, how the noncustodial party gives notice of a missed visit, and what is required when children are ill — a doctor’s excuse, as much notice as possible, or another specified arrangement.

Items 7–15 — conduct provisions

No negative comments about the other party, no alcohol, narcotics or restricted drugs for a specified number of hours before or during time with the children, no use of the children as messengers, no exposure to secondhand cigarette or medical marijuana smoke, no scheduling over the other party’s time without agreement, named third parties the children may not contact or be left with, clothing and belongings returned with the children, and a log book carried between homes for health, education and welfare notes.

Items 16–17 — changes and other terms

A statement that terms may be added to or changed as needs change — in writing, dated and signed, and filed as a court document if the parties want the change to be a court order — plus a free-text “Other” provision.

Common mistakes to avoid

  • 1Filing FL-341(D) on its own. It is an attachment — the checkboxes at the top must name the petition, response, order or judgment it belongs to.
  • 2Leaving the numeric blanks empty. Provisions like notice periods, waiting time and child-care hours only work once a number is specified.
  • 3Sending a move notice by ordinary post. The form requires certified mail, return receipt requested, and the notice must state the county and state of the new address.
  • 4Assuming the child-care provision covers work hours. It expressly does not include regular child care needed while a party is working, unless agreed or ordered.
  • 5Treating a later change as automatically binding on the court. Changes are valid between the parties in writing, dated and signed — but they only become a court order once filed as a court document.
  • 6Entering a residence or work address for a party enrolled in California’s Safe at Home confidential address program, which the form says is not needed.

FL-341(D) example — what a filled-out form looks like

Two fictional parents in a Sacramento County Superior Court family law case attach Form FL-341(D) to their Stipulation and Order for Custody and/or Visitation of Children (Form FL-355) and Request for Order (Form FL-300) to set clear co-parenting ground rules on address-change notice, move-away notice, right of first refusal for childcare, and a shared parenting log book.

Caption — Petitioner, Respondent, Case Number & Attachment Target

Petitioner: CLAIRE M. SAMPLE · Respondent: DAVID R. SAMPLE · Case No. 26FL•••••• · Attachment to: ☑ Stipulation and Order for Custody and/or Visitation of Children

Identifies the parties, the Superior Court case number, and the parent filing or order to which FL-341(D) attaches.

Item 1 & Item 2 — Address Notification & Proposed Move of a Child

Item 1 checked: Notify the other party within 5 days of any change of residence, mailing address, phone, or email · Item 2 checked: 45 days advance written notice by certified mail before any planned change in the children's residence

Sets enforceable day-count deadlines for routine contact updates (Item 1) and formal move-away notice (Item 2).

Item 3 & Items 4–6 — Child Care First Refusal & Visitation Logistics

Item 3c checked: If a parent needs child care for 8 or more hours (excluding regular work hours), the other parent must be offered first opportunity to care for the children · Item 4 checked: Custodial parent waits 30 minutes before treating a visit as cancelled

Defines the exact hour threshold for right-of-first-refusal childcare and the grace period for exchange pick-ups.

Items 7–16 — Conduct Ground Rules, Log Book & Page Count

Items 7, 8 (12 hours alcohol-free), 9, 10, 11, 14 & 15 (log book carried between homes) checked · Item 16 checked (written changes signed & dated) · Page 1 of 2 / Page 2 of 2

Establishes mutual co-parenting conduct rules and confirms how future written modifications are handled.

These values are made up. They are here to show what belongs on each line, not to be copied — every name, number, and address on your own FL-341(D) has to be your own.

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For California family law attorneys, mediators, and custody paralegals

Attaching Form FL-341(D) Physical Custody Provisions across multiple parenting plans?

Pre-configure your firm’s standard notice periods (Item 1 address change days, Item 2 move-away certified-mail days, Item 3c right-of-first-refusal childcare hours, and Item 4 exchange grace minutes) once, and populate petitioner, respondent, and case numbers from CSV.

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Frequently asked questions

No. It is an attachment to another document — a petition, response, request for order, responsive declaration, stipulation and order for custody or visitation, or findings and order after hearing or judgment.
Whatever number of days you write into item 2. The notice must state the planned address including county and state and be sent by certified mail, return receipt requested.
No. The form excludes regular child care needed when a party is working, unless that is specifically agreed or ordered by the court.
It travels with the children between homes and records businesslike notes — no personal comments — about health, education and welfare issues that come up during each party’s time.
Yes, in writing, dated and signed by the parties, each keeping a copy. To make a change a court order it must be filed with the court as a court document.

Official source: FL-341(D) on Judicial Council of California’s website

Edition checked: FL-341(D) [Rev. July 1, 2016] (2 pages, Optional Form, Judicial Council of California — Additional Provisions—Physical Custody Attachment). Verified against the official source on · Verified in our Government Forms Fillability Study.

Form FL-341(D) is published by the Judicial Council of California. JustFill is not affiliated with the Judicial Council or any California court.

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