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2. The Child Abduction Unit of the Merced County District Attorney's Office exists to aid parents who have had children abducted, to prosecute those who have violated the criminal laws in appropriate cases and to represent the Superior County pursuant to Civil Code Section 4604, when the Court orders the District Attorney to locate and recover missing children. The left behind parent must open a case in the county where he/she lives.
4. At no time is the District Attorney representing you as an individual. You are a victim/witness. The District Attorney represents the People of the State of California and/or the Superior Court.
6. Since we do not represent you, there is no attorney-client relationship. Therefore, any information you provide the District Attorney's Office is not confidential and may be subject to disclosure pursuant to court rules or at the discretion of the staff of the District Attorney's Office. Your address and telephone number will not be released to the other parent without your authorization. The other party's address will not be released to you without his or her authorization.
8. IF YOU DO NOT HAVE A COURT ORDER FOR CUSTODY/VISITATION, YOU MUST OBTAIN ONE AS SOON AS POSSIBLE. IT MUST BE FILED IN THE COUNTY WHERE THE CHILD HAS LIVED FOR THE LAST 6 MONTHS. If you have an ongoing visitation problem and a valid court order, you must bring the problem before the Court (Order to Show Cause re: Contempt) and show a good faith effort to resolve the problem in court before the District Attorney's Office can consider handling your case. If you have an order which states "reasonable visitation," you must petition the Court to specify your visitation rights. Otherwise, the court order is unenforceable. If you and the other party have verbally changed the terms of the order, you must go back into court for a new order. In order to bring any action before the Court, you must file the proper documents. The District Attorney is not a private attorney and cannot file papers for you. There are a few ways to file: hire an attorney, contact a paralegal, or the Self Help Center at the Court, and/or file the documents yourself.
10. Once the District Attorney initiates a case, the decision on how to proceed and resolve that case is within the sole discretion of the office of District Attorney. If prosecution is pursued, and the suspect is convicted, you as the victim/witness have a right to address the sentencing judge by giving a statement to the probation officer prior to sentencing the subject. You also can make a statement at the time of sentencing.
12. The first priority of this office is the location and return of those children who have been abducted and to protect those children.
14. The Questionnaire you file with the District Attorney's Office is a POLICE REPORT. Every person who reports to the District Attorney's Investigator or another police officer that a crime has been committed, (in this case, parental child abduction), and knows the report to be false, is guilty of a misdemeanor, and can be prosecuted (Sec. 148.5 Penal Code). Further, you are declaring UNDER PENALTY OF PERJURY that the information is true and correct (Sec. 118 Penal Code).
16. There are civil penalties, levied by the Superior Court, for filing false information on documents filed with the court. The maximum fine for those penalties is $1,000.
18. By filing out the electronic signature section below, you are acknowledging that you read and understand the above notice.
20. Electronic Signature*

    By checking the "I agree" box below, you agree and acknowledge that by signing in this electronic manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature.

    1. I agree
22. Electronic Signature*
23. Date*
25. Type of Case*

    1. Child Abduction

    1. Visitation Problems

    1. Concealment
26. Date of Report*
28. LEFT BEHIND PARENT
30. Full Name:*
31. Other Names Used:
33. Birth Date:*
34. Driver's License Number:
35. Social Security Number:
37. Race:*
38. Sex:*

    1. Male
    2. Female
39. Hair Color:*
41. Eye Color:*
42. Height:*
43. Weight:*
45. Address:*
47. City:*
48. State:*
49. Zip:*
51. Home Phone Number:
52. Cell Phone Number:*
54. Employer's Name:
55. Employer's Phone Number:
57. Employer's Address:
59. Are you related to the subject?*

    1. Yes
    2. No
60. How?
62. Were you and the subject ever married?*

    1. Yes
    2. No
63. Your relationship to the children:*
65. Have you ever received public assistance, such as welfare?*

    1. Yes
    2. No
66. What type of public assistance and in what county and state did you receive it?
68. Have there ever been any incidents of violence or abuse between you and the suspect?*

    1. Yes
    2. No
69. Briefly explain:
71. Information Regarding Suspect
    Information regarding the parent who took the child(ren) or is denying visitation:
73. Name:*
74. Other names used/maiden name:
76. Last known address:*
78. Last date the above address was good:*
79. Current location:
81. Home phone number:
82. Cell phone number:*
83. Birth date:*
84. Birth place:
86. Driver's license #:
87. Social security #:
88. Sex:*

    1. Male

    1. Female
90. Race:*
91. Hair color:*
92. Eye color:*
93. Height:*
95. Weight:*
96. Distinguishing marks, scars, facial hair, hairstyle, glasses, amputations:*
98. What language(s) does the subject speak?
99. Subject's relationship to the child(ren):*
101. Vehicle License #:
102. Vehicle year:
103. Vehicle make:
105. Vehicle color:
106. Vehicle model:
107. Who is the registered owner?
109. Other states the suspect has frequented or lived, and when:
111. Last Known Employer's Name:
112. Last Known Employer's Address and Phone Number:
114. Is the suspect receiving or has the suspect ever received SSI, VA Beneifts, Disability Benefits, etc.?*

     1. Yes
     2. No
115. Please attach a photograph of the suspect:
117. What type of benefit, when and in what county and state?
119. List any major credit cards used by suspect (with account numbers if possible):
121. First Child
123. Full Name:*
124. Other Names Used:
126. Sex:*

     1. Male
     2. Female
127. Birth Date:*
128. Birth Place:*
130. Height:*
131. Weight:*
132. Hair Color:*
133. Eye Color:*
135. Other marks, scars, braces, glasses:*
137. Does the child have medical or dental problems?*

     1. Yes
     2. No
138. Please Describe:
140. Name and address of the doctor who has been attending the child:*
142. Name and address of the dentist who has been attending the child:*
144. Grade and last known school attended (name and address):*
146. Name, address and telephone number of babysitter:*
148. What language does the child speak?*
149. Provide a photograph of the child:*
151. Is There a Second Child Involved?*

     1. Yes
     2. No
153. Full Name:
154. Other Names Used:
156. Sex:

     1. Male
     2. Female
157. Birth Date:
158. Birth Place:
160. Height:
161. Weight:
162. Hair Color:
163. Eye Color:
165. Other marks, scars, braces, glasses:
167. Does the child have medical or dental problems?

     1. Yes
     2. No
168. Please Describe:
170. Name and address of the doctor who has been attending the child:
172. Name and address of the dentist who has been attending the child:
174. Grade and last known school attended (name and address):
176. Name, address, telephone number of babysitter:
178. What language does the child speak?
179. Provide a photograph of the child:
181. Is There a Third Child Involved?*

     1. Yes
     2. No
183. Full Name:
184. Other Names Used:
186. Sex:

     1. Male
     2. Female
187. Birth Date:
188. Birth Place:
190. Height:
191. Weight:
192. Hair Color:
193. Eye Color:
195. Other marks, scars, braces, glasses:
197. Does the child have medical or dental problems?

     1. Yes
     2. No
198. Please Describe:
200. Name and address of the doctor who has been attending the child:
202. Name and address of the dentist who has been attending the child:
204. Grade and last known school attended (name and address):
206. Name, address, and telephone number of babysitter:
208. What language does the Child speak?
209. Provide a photograph of the child:
211. Is There a Fourth Child Involved?*

     1. Yes
     2. No
213. Full Name:
214. Other Names Used:
216. Sex:

     1. Male
     2. Female
217. Birth Date:
218. Birth Place:
220. Height:
221. Weight:
222. Hair Color:
223. Eye Color:
225. Other marks, scars, braces, glasses:
227. Does the child have medical or dental problems?

     1. Yes
     2. No
228. Please Describe:
230. Name and address of the doctor who has been attending the child:
232. Name and address of the dentist who has been attending to the child:
234. Grade and last known school attended (name and address):
236. Name, address and telephone number of babysitter:
238. What language does the child speak?
239. Provide a photgraph of the child:
241. Have there been any incidents of violence or abuse between you and the suspect?*

     1. Yes
     2. No
242. Briefly Explain:
244. Were the police called?

     1. Yes
     2. No
245. What Agency?
247. Were any charges filed?

     1. Yes
     2. No
248. What was the outcome?
250. If you and the suspect were previously living together, who initiated the seperation or divorce and why?
252. Previous Court Actions
254. Is there a divorce decree?*

     1. Yes
     2. No
255. List case number, where obstained and date of decree:
257. Is there a court order which addresses your custody/visitation right?*

     1. Yes
     2. No
258. What was the date of the order? What state and county was it issued?
260. Have you obtained any other orders in this matter?*

     1. Yes
     2. No
261. What type of order, date the court order was obtained, and in what county and state was the order obtained?
263. Are there any court actions pending?*

     1. Yes
     2. No
264. What type of action, case number, date action was filed, and county and state where the action was filed?
266. Has your child ever been detained by CPS?*

     1. Yes
     2. No
267. When, why and in what county was the child detained?
269. Are there any court orders issued regarding the detention of the child?*

     1. Yes
     2. No
270. Case Number:
271. Date of Order:
273. Have you ever been counseled by Merced County Mediation Services?*

     1. Yes
     2. No
274. When?
275. Are you currently being counseled by Merced County Court Mediators?*

     1. Yes
     2. No
277. Name, address and telephone number of attorney representing you in this matter:
279. When was the last child support payment made?*
280. Who is ordered to pay child support?*
282. Additional information that might help us locate the suspect
284. Is the suspect disabled?*

     1. Yes
     2. No
285. How?
287. What type of work does the suspect normally do?
288. Has the suspect ever been arrested?*

     1. Yes
     2. No
290. For what, when, and in what city/county was the suspect arrested?
292. Does the suspect have a violent temper?*

     1. Yes
     2. No
293. Please explain:
295. Does the suspect have any habits or hobbies that would help us locate him/her?*

     1. Yes
     2. No
296. Please explain:
298. Does the suspect have a history of any physical or mental problem that would be a danger to the child(ren)'s health or welfare?*

     1. Yes
     2. No
299. Please explain:
301. Is there a police or medical record on file regarding this problem?*

     1. Yes
     2. No
302. What agency?
303. Date of report:
305. Can anyone testify to this behavior?*

     1. Yes
     2. No
306. Please give names and addresses of such persons:
308. If the suspect and the child(ren) left the county, how did the suspect travel?*
310. Is the suspect a member of any church?*

     1. Yes
     2. No
311. Name and address of church:
313. Is the suspect a member of any organizations?*

     1. Yes
     2. No
314. Name and addresses of any organizations:
316. Provide the following information regarding the suspect's family (including brothers and sisters, whether natural, step, or half), and friends. Indicate those that will help the suspect, and those that won't:
318. Full Name:
319. Age/Date of Birth:
320. Relationship:
322. Address:
323. Phone Number:
325. Full Name:
326. Age/Date of Birth:
327. Relationship:
329. Address:
330. Phone Number:
332. Full Name:
333. Age/Date of Birth:
334. Relationship:
336. Address:
337. Phone Number:
339. Full Name:
340. Age/Date of Birth:
341. Relationship:
343. Address:
344. Phone Number:
346. Which of these family and/or friends do you think would assist the suspect in this case?
348. Name of the suspect's current spouse, live-in-boyfriend, live-in-girlfriend, and provide general information regarding this person (date of birth, physical description, employer, arrest record, etc.):*
350. If the suspect left the area, where do you think that he/she would go and why?*
352. What reason do you think the suspect will give for his/her actions in this case?*
354. Name, address and telephone number of the attorney representing the suspect in this matter:
356. Were there any special circumstances of the crime (did the suspect use force, trickery, etc.)?*

     1. Yes
     2. No
357. Please explain in greater detail:
359. Does the suspect have any child(ren) other than those that were taken in this case?*

     1. Yes
     2. No
360. Please list the child(ren):
362. Information needed to evaluate the problem
364. Is this an abduction situation?*

     1. Yes
     2. No
365. Briefly describe the circumstances surrounding the abduction (how was the suspect able to take the child(ren), from where, and on what date was the child(ren) taken, etc.):
367. Did the suspect have assistance from anyone else in taking the children?*

     1. Yes
     2. No
368. Give names and addresses of all such persons and describe how they assisted:
370. What measures have you taken to try to locate the suspect and child(ren)?*
372. If this is a visitation problem, briefly describe the problems that you are having in enforcing your visitation rights, and what steps have been taken to fix the problem:*
374. How, where, and on what date was the last contact with the child(ren) made?*
376. Please explain in detail the dates and times you exercised your visitation rights within the past six (6) months:*
378. The following questions are not asked to pry into your personal life. This information is needed to anticipate a possible defense by the uspect in court
380. Date you last had contact with the suspect:*
381. How and where was this last contact made?*
383. Have you ever received or refused any correspondence from the suspect since your seperation?*

     1. Yes
     2. No
384. Describe the correspondence:
386. Have you ever been arrested?*

     1. Yes
     2. No
387. By which agency, date(s) arrested and charges:
389. Have you ever been charged with any crimes against children (child abuse, abandoment, failure to pay child support, etc.)?*

     1. Yes
     2. No
390. Please describe:
392. Have you ever had any physical or mental defect that could affect your ability to care for the child(ren)?*

     1. Yes
     2. No
393. Please Describe:
395. Statement of intent
397. Are you willing to appear at all court hearings necessary regarding this issue?*

     1. Yes
     2. No
398. Are you willing to appear at all investigative interviews necessary regarding this issue?*

     1. Yes
     2. No
400. I declare under penalty of perjury that the foregoing, consisting of the above questions, is true and correct to the best of my information and belief, and that I have not willfully and knowingly misrepresented or omitted any material facts relative to this case.
402. Electronic Signature*

     By checking the "I agree" box below, you agree and acknowledge that by signing in this electronic manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature.

     1. I agree
404. Electronic Signature*
405. Note: If you move, obtain custody of the children, or decide that you do not want the assistance of this office, you must notify the child abduction unit immediately.
406. Date:*
Leave This Blank:


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409. Email address

     This field is not part of the form submission.

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