Family Intake Questionnaire {VN163}

VN163 - FAMILY COURT SERVICES INTAKE FORM FOR CHILD CUSTODY RECOMMENDING COUNSELING. This form is a confidential document used in the Superior Court of California, County of Ventura. It must be completed by all parties prior to the start of the Child Custody Recommending Counseling (CCRC) session. All files and records in Family Court Services are confidential, unless a mandated report is necessary (e.g. suspected child abuse or threats to harm yourself or others). The form collects critical information to help the court and mediator understand the family dynamics, especially any history of domestic violence, abuse, substance use, or safety concerns. It asks about the need for interpreters, attorneys, and support persons during mediation, and determines whether the parties should be seen together or separately based on risk or protective orders. It also includes questions about prior involvement with child welfare agencies, restraining orders, criminal history, firearm access, and past mediation or custody evaluations. Mandatory Form. www.FormsWorkflow.com