Form FL-105/GC-120, Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Completed Form Examples and Samples

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Filled Form FL-105/GC-120 showing extracted UCCJEA custody data

Source document used: Attorney Consultation Notes

Attorney Consultation Memo: Re: Sarah Jenkins vs. David Jenkins. Sarah came in today to discuss her upcoming custody filing. She is looking to secure a standard visitation schedule for their two children: Marcus (born May 12, 2018, in San Diego, CA) and Elena (born August 30, 2020, in San Diego, CA). The children have lived consistently with Sarah at 442 Maple Lane, San Diego, CA 92101 for the entire five-year period from January 2021 to the present. Sarah mentioned that David hasn't seen them since he moved to Nevada last year, though he pays sporadic child support. We discussed the fact that there are no current custody orders from any other court, and no juvenile or adoption proceedings are active. Sarah does have an active domestic violence restraining order against David issued by the San Diego Superior Court, Case Number DV-2025-0045, which is set to expire on December 15, 2027. She was worried about whether her past mediation attempts counted as court cases, but I clarified that those were informal sessions and need not be listed under item 4. She also confirmed no one else claims custody rights, though her mother occasionally helps with school pickup. I advised her that we need to file the FL-105 as part of the initial petition packet by next Tuesday. Sarah is feeling quite anxious about the court hearing but is ready to proceed.