SUGGESTED WORDING FOR ORDERS OR AGREEMENTS FOR SUPERVISED ACCESS

SUGGESTED BOOKLIST FOR WORKING WITH CHILDREN (LAST
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Suggested Wording for Orders or Agreements for Supervised Access – Visits and Exchanges

Suggested Wording for Orders or Agreements for Supervised Access – Visits and Exchanges

(Use this document along with the document “Information for Court Orders or Agreements”)

Supervised Visits

The applicant / respondent (insert name) _______________________ shall have supervised visits with:

the children named in this order.

the following child(ren):

Full legal Name


Birthdate (d,m,y)



Day Month Year













The supervised visits shall be supervised by:

the supervised access centre agreed to by the parties

the following supervised access centre (insert name of access centre) _______________________________________________

other (specify) ____________________________________________

subject to the agreement of the supervised access provider.

The supervised visits shall take place as follows.

______ visit(s) of ______hour(s) duration, every ______ week(s) on such days and times as the supervised access provider is available and in accordance with the supervised access centre policy,

The applicant / respondent shall remain at the supervised access centre with the child(ren) for the entire visit,

The applicant / respondent shall remain at the supervised access centre with the child(ren) for the first __________ and the last __________ of the visit and may otherwise remove the child(ren) from the access centre.

Only the applicant / respondent may attend visits at the supervised access centre, unless otherwise agreed between the applicant and the respondent and in accordance with the supervised access centre policy.

The following other adult(s)/child(ren) may attend visits with the applicant / respondent at the supervised access centre, subject to the agreement of the supervised access provider.

Full legal Name


Birthdate (d,m,y)



Day Month Year










Supervised Exchanges

Supervised exchanges of the child(ren) for the purpose of access visits with the

applicant / respondent (insert name) _______________________ shall

occur as required in order to facilitate the access schedule set out in the order of the Honourable __________________________, dated __________________,

and shall be supervised by:

 the supervised access centre agreed to by the parties

the following supervised access centre (name of access centre) __________________________________________________

other (specify) ____________________________________________

subject to the agreement of the supervised access provider.

occur as required in order to facilitate the following access schedule:

______ visit(s) of ______hour(s) duration, every ______ week(s),

between the

the children named in this order.

the following child(ren):

Full legal Name


Birthdate (d,m,y)



Day Month Year













and shall be supervised by:

 the supervised access centre agreed to by the parties

the following supervised access centre (name of access centre) ________________________________________________

other (specify) ____________________________________________

subject to the agreement of the supervised access provider.


Other Issues

The applicant and the respondent shall each contact the supervised access centre within ______ days of this order to arrange an intake interview and complete any documents that are required in order for the visits or exchanges to occur within ____ days of their intake interview.

The costs incurred for supervised visits or exchanges shall

be apportioned in accordance with the policies of the supervised access centre.

be apportioned ______ per cent by the applicant, and ______ per cent by the respondent.

Other costs for (specify-e.g. reports, interpreters) _____________________ incurred in connection with the supervised visits/exchanges shall

be apportioned in accordance with the policies of the supervised access centre.

be apportioned ______ per cent by the applicant, and ______ per cent by the respondent.

Duration of Order

This order is made on a:

temporary basis and is adjourned to (insert date) ____________________ for review.

final basis.

Other Considerations

This court further orders that (specify- include here any requirements concerning photos, food, gifts, activities, child car restraints etc.)



3



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Tags: access –, supervised access, orders, access, suggested, wording, agreements, supervised