Child Custody Parenting Plan Petition

Child Custody Parenting Plan Petition

Petitioner Name: Petitioner Address:
Respondent Name: Respondent Address:

RECITALS

WHEREAS, Petitioner and Respondent are the parents of the following minor child(ren): Child 1 Name: Date of Birth: ; Child 2 Name: Date of Birth:

WHEREAS, the parties seek a judicial determination and entry of a parenting plan that sets forth allocation of parental responsibilities, parenting time, and procedures for decision-making for the minor child(ren) in the best interests of the child(ren).

WHEREAS, the parties desire to reduce their agreement and requests to the court into a written parenting plan that addresses custody, parenting time, communication, health care, education, and dispute resolution.

NOW, THEREFORE

The parties request that the court enter an order adopting the following Parenting Plan and incorporating its terms into any decree of custody or parenting order.

1. JURISDICTION AND PARTIES

1.1 Jurisdiction: The parties represent that this court has jurisdiction over the minor child(ren) and the parties under applicable state law, and that the child(ren) have resided in this state for the statutory period required for jurisdiction.

1.2 Representation of Parties: Petitioner Name: Respondent Name:

2. PARENTAL RESPONSIBILITIES (CUSTODY)

2.1 Legal Custody (decision-making authority): The parties agree to the following allocation of legal custody (check one or provide alternative):
Joint legal custody — parties share decision-making responsibility for health, education, and welfare. Sole legal custody to Petitioner Sole legal custody to Respondent

2.2 Physical Custody (residence and primary care): The parties agree to the following allocation of physical custody and primary residence:

3. PARENTING TIME SCHEDULE

3.1 Regular Schedule: The following schedule is established as the baseline parenting time arrangement. Weekday schedule: Weekend schedule:

3.2 Holidays and Special Events: The parties shall follow the holiday schedule below. Specific holidays and allocation:

3.3 Transportation and Exchanges: The party beginning the parenting time shall be responsible for pick-up unless otherwise agreed. Exchange location: Transportation responsibilities:

4. DECISION-MAKING AND AUTHORITY

4.1 Major Decisions: "Major" decisions related to the child(ren) include medical (non-emergency), educational placement, and religious upbringing. Where parties have joint legal custody, major decisions shall be made by mutual agreement. In the event of a bona fide disagreement, the parties agree to the tie-breaker procedure set forth in Section 11.

4.2 Routine Day-to-Day: Each parent shall make routine day-to-day decisions while the child(ren) are in that parent's care, provided such decisions are consistent with the child's welfare.

5. HEALTHCARE, EDUCATION, AND RECORDS

5.1 Medical Care and Emergencies: Each parent shall have the right to consent to emergency medical treatment for the child(ren) while in that parent's care. Non-emergency medical treatment shall be provided consistent with Section 4.1. Primary pediatrician:

Emergency contact information (other than parents):

5.2 Educational Decisions and Records: Both parties shall have access to educational records. School placement:

6. CHILD SUPPORT AND EXPENSES

6.1 Child Support: Child support shall be determined and/or approved through the court's child support guidelines. Interim support, if any, shall be ordered by the court as requested by the parties. Current contribution agreement (if any):

6.2 Extraordinary Expenses: The parties shall share extraordinary medical, educational, or childcare expenses as follows:

7. COMMUNICATION

7.1 Parent-to-Parent: Parties shall communicate regarding the child(ren) in a respectful manner. Preferred primary method of communication:

7.2 Child Contact: The child(ren) shall have reasonable contact with the non-custodial parent while in the custodial parent's care, including telephone or video calls at reasonable times.

8. SAFETY, SUPERVISION, AND RESTRICTIONS

8.1 Supervision: If a parent poses a safety risk, the parties agree that supervised visitation may be ordered. Current concerns (if any):

8.2 Substance Use and Background Checks: The parties acknowledge the court may require background checks or drug testing where reasonably necessary to protect the child(ren). Any such orders will be enforced by the court.

9. NOTICES

Notices shall be effective upon personal delivery or three (3) business days after deposit in the United States mail to the addresses provided above, or upon confirmation of delivery if sent by electronic means agreed to by the parties.

10. DISPUTE RESOLUTION AND MODIFICATION

10.1 Mediation: Prior to seeking a judicial determination on any disputed matter under this Parenting Plan (other than emergency relief), the parties agree to attempt non-binding mediation. Mediator name or provider (if agreed): Mediation timeframe:

10.2 Modification: Any material modification of this Parenting Plan shall require a showing of a substantial change in circumstances affecting the best interests of the child(ren) and shall be made by order of the court.

11. GENERAL PROVISIONS

Governing Law: This Parenting Plan shall be construed and enforced in accordance with the laws of the state in which the court sits.

Entire Agreement: This document represents the entire Parenting Plan agreed to by the parties and supersedes any prior oral or written agreements between them regarding parenting time and parental responsibilities.

Severability: If any provision of this Parenting Plan is held to be invalid or unenforceable, such determination shall not affect any other provision hereof, and the remaining provisions shall remain in full force and effect.

Waiver: No waiver by either party of any breach of any provision of this Parenting Plan shall operate as a waiver of any subsequent breach.

Counterparts: This Parenting Plan may be executed in counterparts, each of which shall be deemed an original, and all of which together shall constitute one and the same instrument.

CERTIFICATION

The undersigned parties certify under penalty of perjury that the information contained in this Petition and Parenting Plan is true and correct to the best of their knowledge, and that they understand this Parenting Plan is a formal request to the court and may be incorporated into an order enforceable by law.

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