Parenting Plan Colorado

PARENTING PLAN

☐ District Court    ☐ Juvenile Court

_______________________ County, Colorado

Court Address:

In re:

☐ The Marriage of:

☐ Parental Responsibilities concerning:

Petitioner:

and

Co-Petitioner/Respondent:

COURT USE ONLY

Attorney or Party Without Attorney (Name and Address):

Phone Number:    E-mail:

FAX Number:    Atty. Reg. #:

Case Number:    Division    Courtroom

You must submit to the Court some form of written Parenting Plan addressing all of the issues which are relevant to the facts of your case...

This is a:

☐ Full Joint Parenting Plan (we agree to everything and the plan is signed by both parties.)

☐ Partial Joint Parenting Plan (we agree to some things and the plan is signed by both parties.)

☐ Parenting Plan prepared by one party (no agreement).

The Petitioner is the child(ren)’s: ☐ Father ☐ Mother ☐ Other Party (state relationship to child(ren) )

The Co-Petitioner/Respondent is the child(ren)’s: ☐ Father ☐ Mother ☐ Other Party (state relationship to child(ren) )

The child(ren) are:

Section A: Allocation of Parental Responsibilities (Decision-making)

1. The parties understand that day-to-day decisions ...

2. Each party will inform the other party of any changes ...

3. Both parties will provide the names, addresses, and telephone numbers ...

4. Unless otherwise ordered by the Court ...

5. For purposes of school attendance only, the child(ren)’s residence will be with the: ☐ Mother ☐ Father ☐ Other Party

Section B: Allocation of Parental Responsibilities (Parenting Time)

1. Weekday and Weekend Schedule during the School Year

The child(ren) will be in the care of the Mother. List the days of the week and times.

The child(ren) will be in the care of the Father. List the days of the week and times.

☐ The child(ren) will be in the care of (name of Other Party).

Transportation and drop-off/pick-up arrangements will be as follows:

2. Summer Schedule

☐ The weekday and weekend schedule above will apply for all 12 calendar months with no specific changes during the summer.

or

☐ During the summer months, the child(ren) will be in the care of the Mother.

☐ During the summer months, the child(ren) will be in the care of the Father.

☐ The child(ren) will be in the care of (name of Other Party).

Transportation and drop-off/pick-up arrangements will be as follows:

3. Holidays and Special Occasions

Section C: Relocation

☐ Neither the Mother or Father have current plans to relocate with the child(ren).

The ☐ Mother ☐ Father ☐ Other Party is planning to relocate with the child(ren) to (city) (state) on and we have agreed to the following terms:

Section D: Financial Obligations for the Benefit of the Child(ren)

1. Child Support

a. Child Support Calculation

☐ Child Support shall be paid per a previously issued Administrative or Court Order in issued on in .

or

☐ The amount of child support agreed to by the parties is based upon the attached Child Support Worksheet which reflects an amount of child support of $ per month.

or

☐ The amount of child support agreed to by the parties is not based upon the attached Child Support Worksheet which reflects an amount of child support of $ per month.

b. Child Support Agreement

The ☐ Mother ☐ Father shall pay child support to the ☐ Mother ☐ Father ☐ Other Party in the sum of $ per month beginning on .

Child support payments shall be paid:

☐ To the Family Support Registry (FSR), P. O. Box 2171, Denver, CO 80201-2171.

☐ Directly to the ☐ Mother ☐ Father ☐ Other Party

Child support payments shall be paid: ☐ weekly ☐ bi-weekly ☐ twice a month ☐ monthly ☐ Other: and will be paid on the day of the ☐ week ☐ month.

2. Medical, Dental, Vision, and Mental Health Insurance and Extraordinary/Out-of-Pocket Medical Expenses

☐ Mother shall provide ☐ medical ☐ dental ☐ vision ☐ mental health insurance for the child(ren). Names:

☐ Father shall provide ☐ medical ☐ dental ☐ vision ☐ mental health insurance for the child(ren). Names:

☐ shall provide ☐ medical ☐ dental ☐ vision ☐ mental health insurance for the child(ren). Names:

☐ Extraordinary Medical Expenses... divided with Mother paying %, Father paying %, and Other Party paying %.

3. Extraordinary Expenses

☐ The parties agree to the following:

4. OPTIONAL - Post-Secondary Expenses

☐ Post-secondary education expenses shall be divided with Mother paying % and Father paying % of every expense checked below.

☐ Tuition

☐ Room and Board

☐ Books

☐ Fees

☐ Travel

☐ Other:

Section E: Child Tax Exemption

Full Name of Child and deduction allocations

☐ Other:

Section F: Other Terms

☐ If the parties cannot reach an agreement... ☐ mediation ☐ arbitration ☐ parenting coordinator ☐ decision-maker

☐ The parties will exchange financial information on an annual basis...

☐ Identify below any issues or agreements not already identified in this agreement.

☐ By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.

☐ By checking this box, I am acknowledging that I have made a change to the original content of this form.

VERIFICATION AND ACKNOWLEDGEMENT

I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct.

Executed on the day of , , at

IF ONLY ONE PARTY SIGNS THE PARENTING PLAN, COMPLETE THE CERTIFICATE OF SERVICE BELOW.

I certify that on a true and accurate copy of the PARENTING PLAN was served on the other party(ies) by:

☐ Hand Delivery, ☐ E-filed, ☐ Faxed to this number: , or

☐ by placing it in the United States mail, postage pre-paid, and addressed to the following (include name and address):

To:

To: