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- 1 - GUID E T O C UST O DY A ND V IS IT A TIO N R IG HTS C LA USE S IN DEPE N DEN T C O UNSE L . T he P etitio ner a n d R esp onden t a re e ach r e p re se n te d b y s e p ara te le g al c o unse l w ho h av e a d v is e d t h em d urin g t h e c o urs e o f t h is p ro ceed in g. C UST O DY A N D V IS IT A TIO N. T he p hysic al c u sto dy o f t h e m in or c h ild re n , n am ely :bo rn , a g e , S ocia l S ecu rity N o. ; a n d sh all b e a w ard ed t o t h e , s u bje ct t o t h e r ig ht o f r e aso nab le v is ita tio n b y t h e . V is ita tio n s h all i n clu de t h e f o llo w in g: a. A lte rn ate w eek en dsb. W eek day v is itsc . H olid ay sd. V acatio ns L E G AL C UST O DY . l e g al c u sto dy o f t h e m in or c h ild re n a n d t h at s h all i n clu de t h e f o llo w in g co nsid era tio ns: c . Both p artie s s h all h av e t h e r ig ht t o i n sp ect a n d r e ceiv e t h e c h ild re n 's m ed ic al an d d en ta l r e co rd s a n d t h e r ig ht t o c o nsu lt w ith a n y t r e atin g p hysic ia n o r de n ti s t o f t h e c h ild re n .d. Both p artie s s h all h av e t h e r ig ht t o c o nsu lt w ith s c h ool o ffic ia ls c o ncern in g the c h ild re n 's w elf a re a n d e d ucatio nal s ta tu s a n d t h e r ig ht t o i n sp ect a n d receiv e s tu den t r e co rd s.e . Both p artie s s h all h av e t h e r ig ht t o r e ceiv e o r h av e f o rw ard ed p ro m ptly f ro m the a p pro pria te p are n t o r s c h ool, c o pie s o f a ll s c h ool r e p orts , c ale n dar o f sc h oo l e v en ts , n otic e o f p are n t- te ach er c o nfe re n ces a n d s c h ool p ro gra m s.f. In t h e e v en t o f a ccid en t o r s u dden i lln ess o r o th er e m erg en cy a ffe ctin g a ch ild , t h e p are n t w ith t h e c h ild a t t h e t im e s h all h av e a u th ority t o a ct i n t h e ch ild 's b est i n te re st i n clu din g t h e r ig ht t o a u th oriz e e m erg en cy m ed ic al, su rg ic al, h osp ita l, d en ta l, i n stitu tio nal o r p sy ch ia tr ic c are , a n d s h all n otif y t h e oth er p are n t a s s o on a s p ossib le u nder t h e c ir c u m sta n ces. - 2 - MED IA TIO N. A ny c la im o r c o ntr o vers y a ris in g u nder t h is A gre em en t i n volv in g c u sto dy o r v is ita tio n w hic h c an not b e r e so lv ed b y t h e p artie s t h ro ugh d ir e ct c o m munic atio n w ith out m ed ia tio n, sh all b e p ro m ptly s u bm itte d t o m ed ia tio n. a. Defin itio n o f M ed ia tio n. M ed ia tio n i s a v olu nta ry p ro cess e n te re d i n to b y the p artie s. I n t h is p ro cess, t h e p artie s c o ntin ue d ir e ct c o m munic atio n b ut with t h e a ssis ta n ce o f a n eu tr a l p ers o n w ho i s t h e m ed ia to r, w hic h m ed ia to r ha s n o a u th ority t o r e q uir e a n y c o ncessio n o r a g re em en ts . A g ood f a ith effo rt s h all b e m ad e t o r e so lv e a n y c la im o r c o ntr o vers y a ris in g b etw een t h e pa rti e s.b . Sele c tio n o f M ed ia to r. T he m ed ia to r s h all b e n am ed b y m utu al a g re em en t o f th e p artie s o r b y o bta in in g a l is t o f f iv e q ualif ie d p ers o ns a n d b y a lte rn ate ly str ik in g n am es.c . Dutie s a n d R esp onsib ilitie s o f M ed ia to r. T he m ed ia to r s h all h av e t h e d uty and r e sp onsib ility t o a ssis t t h e p artie s i n r e so lv in g a ll i s su es s u bm itte d f o r me d ia tio n.d. Dutie s o f P artie s. B oth p artie s s h all c o opera te a n d o pera te i n g ood f a ith t o reso lv e t h e m atte r(s ) i n d is p ute w ith t h e a ssis ta n ce o f t h e m ed ia to r.e . Pay m en t o f C osts . B oth p artie s s h all s h are t h e m ed ia to r's f e es a n d dis b u rs e m en ts e q ually u nle ss t h ey m utu ally a g re e o th erw is e . T he m ed ia to r sh all p ro vid e t h e p artie s w ith h is /h er f e e a n d d is b urs e m en t s c h ed ule i n advan ce o f m ed ia tio n.f. Confid en tia lity a n d P riv ile g e. W ith in t h e l im its o f t h e l a w , t h e m ed ia to r w ill ac co rd c o nfid en tia lity a n d p riv ile g e t o a ll c o m munic atio ns w ith t h e p artie s.g . Restr ic tio ns. T he m ed ia to r s h all n ot p artic ip ate a s a w itn ess, c o lla te ra l co nta ct o r a tto rn ey i n a c u sto dy o r v is ita tio n s tu dy o r i n quir y i n volv in g e ith er pa rty . F urth er, n eith er p arty m ay e v er c all t h e m ed ia to r a s a w itn ess t o testif y i n a n y p ro ceed in g i n volv in g t h eir c h ild re n o r t h e s u bje ct m atte r o f t h e me d ia tio n.h. Com pro m is e o r O ffe rs o f C om pro m is e D urin g M ed ia tio n o r A rb itr a tio n. St a te s ta tu te s h all b e a p plic ab le t h ro ughout t h e e n tir e p ro cess o f m ed ia tio n.i. App lic ab ility o f D is p ute S ettle m en t P ro ced ure s. T he a b ove p ro ced ure (s ) sh all a p ply t o a n y c la im s o r c o ntr o vers ie s r e g ard in g c u sto dy a n d v is ita tio n.j. Exhau stio n o f R em ed ie s. T he a b ove p ro ced ure s h all b e f o llo w ed b efo re eith er p arty m ay a p ply t o t h e C ou rt f o r r e lie f. - 3 - CH IL D S U PPO RT. T he s h all p ay t o t h e a s a n d f o r t h e c are a n d s u pport o f t h e m in or c h ild re n o f th e p arti e s t h e s u m o f $ ____ _____ p er m onth , p ay ab le i n e q ual i n sta llm en ts o n t h e f ir s t ( 1 st) a n d fif te en th ( 1 5th ) d ay s o f e ach a n d e v ery m onth c o m men cin g . C hild s u pport s h all c o ntin ue u ntil e ach o f t h e m in or c h ild re n r e ach es t h e a g e o f 1 8, o r gr a d uate s f ro m h ig h s c h ool, w hic h ev er o ccu rs l a te r, b ut i n n o e v en t b ey ond a g e 2 0; d ie s o r i s oth erw is e e m an cip ate d . A PPE N DIX A . T he a tta ch ed A ppen dix A i s i n co rp ora te d a n d m ad e a p art o f t h is O rd er o r J u dgm en t. T he a p pen dix i n clu des p ro vis io ns r e g ard in g A uto m atic I n co m e W ith hold in g p urs u an t t o M.S . § 518.6 13; N on-A uto m atic I n co m e W ith hold in g p u rs u an t t o M .S . § 518.6 11; F am ily C ourt Ru le 3 03.0 6; C ost- o f-L iv in g A dju stm en ts p urs u an t t o M .S . § 518.6 41; P ay m en ts t o P ublic A gen cy pu rs u an t t o M .S . § 518.5 51; D ock etin g o f J u dgm en ts f o r C hild S upport A rre ara g es p urs u an t t o M .S . §5 48.0 9 1; D ock etin g o f J u d gm en t f o r M ain te n an ce A rre ara g es p urs u an t t o M .S . § 548.0 91; C han ge of A ddre ss p u rs u an t t o M .S . § 518.5 5; M ed ic al I n su ra n ce a n d E xpen se s; D ep riv atio n o f C usto dia l o r Pa re n ta l R ig hts p urs u an t t o M .S . § 609.2 6; N otic e o f C erta in P are n ta l R ig hts p urs u an t t o M .S . §5 18.1 7 ; N otic e o f C ap ita l G ain s T ax . F IN ANCIA L C IR CUM ST A NCES. T he f in an cia l c ir c u m sta n ces u pon w hic h t h is A gre em en t i s b ase d a re a s f o llo w s: a . The P etitio ner i s e m plo yed t im e a n d e arn s $ _________. T he P etitio ner c la im s r e aso nab le l iv in g e x pen se s f o r h ers e lf /h im se lf a n d t h e m in or c h ild re n in t h e a m ount o f $ _________ p er m onth . b. The R esp onden t i s e m plo yed t im e a n d e arn s $ _ ________. T he R esp onden t c la im s r e aso nab le l iv in g e x pen se s f o r h ers e lf /h im se lf a n d t h e m in or c h ild re n in t h e a m ount o f $ _________ p er m onth . A RREA RS. T he p artie s a g re e t h at t h ere s h ould b e n o d is p ositio n o f t h e a rre ara g es t h at m ay e x is t u n der t h e O rd er f o r T em pora ry R elie f d ate d b ut t h at s a id m atte r s h ould b e r e se rv ed u ntil f u rth er - 4 - motio n b y e ith er o f t h e p artie s. H ow ev er, s a id m otio n c o ncern in g s a id a rre ara g es s h all b e f ile d w ith in o ne y ear o f t h e e n tr y of t h e J u dgm en t a n d D ecre e h ere in . M ED IC AL H OSP IT A LIZ A TIO N A ND D EN TA L I N SU RANCE F O R T H E M IN O R C H IL D REN . ( A s a n d f o r a d ditio nal c h ild s u pport) t h e s h all m ain ta in i n f u ll f o rc e a n d e ffe ct, f o r th e b en efit o f t h e m in or c h il d re n o f t h e p artie s, t h e m ed ic al, h osp ita liz atio n a n d d en ta l i n su ra n ce wh ic h i s p re se n tly a v aila b le t o t h e t h ro ugh e m plo yer. T he p artie s s h all e q u ally s h are a ll u nin su re d m ed ic al, h osp ita liz atio n, d en ta l a n d o rth odontic ex pen se s i n cu rre d o n b eh alf o f t h e m in or c h ild re n . S aid e x pen se s s h all b e p aid e q ually b y t h e pa rtie s a s t h ey b eco m e d ue a n d p ay ab le . L IF E I N SU RA NCE. T he P etitio ner s h all m ain ta in i n f u ll f o rc e a n d e ffe ct f o r t h e b en efit o f t h e m in or c h ild re n a n d t o s e cu re t h e p ay m en t o f c h ild s u pport, t h e l if e i n su ra n ce h as t h ro ugh p olic y nu m ber _ ____ _________ . T he d eath b en efits s h all b e p ay ab le t o t h e o th er p arty o r a t r u st f o r t h e b en efit o f t h e m in or ch ild re n , a s i r re v ocab le b en efic ia rie s. T he p artie s s h all, a t t h e r e q uest o f t h e o th er p arty , f u rn is h pro of o f c o m plia n ce w ith t h is p ro vis io n. I f, f o r a n y r e aso n, t h e i n su ra n ce c o vera g e a s r e q uir e d here in s h all n ot h av e b een m ain ta in ed a n d k ep t i n f u ll f o rc e a n d e ffe ct, t h e p ro ceed s a n d d eath ben efits w hic h w ould o th erw is e h av e b een a ctu ally p aid f o r t h e b en efit o f t h e m in or c h ild re n o f t h e pa rtie s a s b en efic ia rie s s h all c o nstitu te a c h arg e a g ain st t h e e sta te o f t h e d ecease d p arty a n d s h all b e pa id i n f u ll f ro m t h e a sse ts t h ere o f. F U TU RE I N TER PR ETA TIO N. P ara g ra p h h ead in gs a re f o r c o nven ie n ce o nly . T hey a re n ot p art o f t h e A gre em en t o f t h e p artie s a n d s h all n ot b e u se d i n t h e c o nstr u ctio n t h ere o f. A TTO RNEY 'S F E ES A N D C O ST S. E ach o f t h e p artie s s h all b e r e sp onsib le f o r h is o r h er o w n - 5 - atto rn ey 's f e es, c o sts a n d d is b urs e m en ts i n cu rre d i n t h is p ro ceed in g.R ELEA SE O F A TTO RNEY S. T he p artie s a g re e t h at n in ety -o ne d ay s a fte r e n tr y o f t h e J u dgm en t a n d D ecre e, e a ch o f t h eir a tt o rn ey s s h all b e r e le ase d f ro m c o ntin ued r e p re se n ta tio n o f t h em i n connectio n w it h t h is p ro cee d in g. S E R VIC E O F P R O CESS . T he p artie s c o nse n t a n d a g re e t h at s e rv ic e o f a c o py o f t h e J u dgm en t a n d D ecre e u po n t h e a tto rn ey f o r o ne p arty b y t h e a tto rn ey f o r t h e o th er p arty b y U .S . M ail s h all co nstitu te d ue a n d p ro per s e rv ic e o f t h e J u dgm en t a n d D ecre e u pon t h em a n d p ro of t h ere o f f o r a ll pu rp ose s. W AIV ER O F A UTO M ATIC S T A Y. R ule 1 25 a u to m atic s ta y o f e n tr y o f J u dgm en t i s w aiv ed an d J u dgm en t i s t o b e e n te re d i m med ia te ly .

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