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Parenting Plan Form

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Judgment and Order Establishing Residential Schedule / Parenting Plan / Child Support (JDORS)

Superior Court of Washington

County of

In re the Parenting and Support of:

Child(ren),

Petitioner,

and

Respondent.

No.

Residential Schedule / Parenting Plan

Child Support

Clerk’s action required para. 3.4, 3.7, 3.8

Law Enforcement Notification, ¶ 3.8

I. Judgment/Order Summaries

1.1 Restraining Order Summary

Does not apply. Restraining Order Summary is set forth below:

Name of person(s) restrained: , Name of person(s) protected: . See Paragraph 3.8.

Violation of a Restraining Order in paragraph 3.8 below with actual knowledge of its terms is a criminal offense under Chapter 26.50 RCW and will subject the violator to arrest. RCW 26.26.590.

1.2 Money Judgment Summary

Does not apply. Judgment Summary is set forth below:

A. Judgment creditor

B. Judgment debtor

C. Total judgment amount $

D. Principal judgment amount (back support) $ From to

E. Interest to date of judgment $

F. Attorney fees $

G. Costs $

H. Other recovery amount $

I. Principal judgment shall bear interest at % per annum

J. Attorney fees, costs and other recovery amounts shall bear interest at % per annum

K. Attorney for judgment creditor

L. Attorney for judgment debtor

II. Basis

This matter has come before this court, the court considered the case record and has previously entered its findings of fact and conclusions of law.

III. Order

It is Ordered:

3.1 Jurisdiction Over the Child

The court has jurisdiction over the child(ren) as set forth in the findings of fact and conclusions of law.

3.2 Order of Child Support

Does not apply.

shall pay child support as set forth in the order of child(ren) support which was signed by the court on .

3.3 Residential Schedule/Parenting Plan

The primary residence of the child shall be with , who is designated custodian solely for the purpose of other state and federal statutes.

The residential plan/parenting plan signed by the court on is adopted and incorporated by reference.

shall be designated the custodian of the child, and the child shall reside with at all times.

Determination of residential time of with the child is denied.

Other:

3.4 Judgment for Back Child Support

(Note – do not repeat this judgment in the order of child support WPF PS 01.0500.)

Does not apply.

is awarded a judgment against in the amount of $, for back child support for the period from to .

The unpaid support due to by is waived and will not be collected by . This does not waive any support owing to the state as a result of payment of public assistance.

All support due under temporary court orders has been paid.

Unpaid support due under a court or administrative order is preserved for collection and is not merged in or extinguished by this order.

Other:

Collection Limitation Against Wages:

The back child support provision above shall be paid at a rate of at least $ per month beginning . So long as the payments for current support, back support and the judgment are timely, collection against the judgment debtor’s wages, excluding bonuses and other lump sum payments, shall be limited to $ per month (for current support, back support and judgment). This limitation terminates if a single payment is past due. This provision does not limit or bar the state of Washington from using other collection remedies available to it by law, including, but not limited to, certification for collection to the Internal Revenue Service. Payment shall be made to:

Wage Withholding Action:

Withholding action may be taken against wages, earnings, assets, or benefits, and liens enforced against real and personal property under the child support statutes of this or any other state, without further notice to the judgment debtor at any time after entry of an order by the court, except as limited by the Collection Limitation Against Wages paragraph above.

Wage withholding, by notice of payroll deduction or other income withholding action under Chapter 26.18 RCW or Chapter 74.20 RCW, without further notice to the judgment debtor, is delayed until a payment is past due, because:

there is good cause not to require immediate income withholding.

the parties have reached a written agreement which the court approves that provides for an alternative arrangement. (See below):

Judgment and Back Support Payments Shall Be Made to:

Washington State Support Registry
P.O. Box 45868
Olympia, Washington 98504
Phone: 1-800-922-4306
1-800-442-5437

3.5 Judgment

(Note – do not repeat this judgment in the order of child support WPF PS 01.0500.)

Does not apply.

is awarded a judgment against in the amount of $, as follows:

$ for genetic testing costs.

$ for guardian ad litem fees.

$ for attorney fees.

$ costs.

$ for other fees and expenses.

$ other:

3.6 County Costs

Does not apply.

The Superior Court of shall have judgment against for costs of this action specified as follows:

Other:

3.7 Guardian ad Litem

Does not apply.

Any guardian ad litem appointed by the court is discharged.

Other:

3.8 Continuing Restraining Order

Does not apply.

A continuing restraining order is entered as follows:

is restrained and enjoined from disturbing the peace of the other party.

is restrained and enjoined from going onto the grounds of or entering the home, work place or school of the other party, or the day care or school of the following named children:

is restrained and enjoined from knowingly coming within or knowingly remaining within of the home, work place or school of the other party, or the day care or school of these children:

Other:

is restrained and enjoined from molesting, assaulting, harassing or stalking .

(The following firearm restrictions apply if this box is checked: Effective immediately and continuing as long as this continuing restraining order is in effect, the restrained person may not possess a firearm or ammunition. 18 U.S.C. § 922(g)(8). A violation of this federal firearms law carries a maximum possible penalty of 10 years in prison and a $250,000 fine. An exception exists for law enforcement officers and military personnel when carrying department/government-issue firearms. 18 U.S.C. § 925(a)(1).)

Other:

Violation of a restraining order in paragraph 3.8 with actual knowledge of its terms is a criminal offense under Chapter 26.50 RCW and will subject the violator to arrest. RCW 26.26.130.

Clerk’s Action. The clerk of the court shall forward a copy of this order, on or before the next judicial day, to which shall enter this order into any computer-based criminal intelligence system available in this state used by law enforcement agencies to list outstanding warrants.

Service

The restrained party or attorney appeared in court or signed this order; service of this order is not required.

The restrained party or attorney did not appear in court; service of this order is required.

Expiration

This restraining order expires on: . This restraining order supersedes all previous temporary restraining orders in this cause number.

Any temporary restraining order previously entered in this cause number is terminated. Clerk’s Action. The clerk of the court shall forward a copy of this order, on or before the next judicial day, to: which shall enter this order into any computer-based criminal intelligence system available in this state used by law enforcement agencies to list outstanding warrants.

Full Faith and Credit

Pursuant to 18 U.S.C. § 2265, a court in any of the 50 states, the District of Columbia, Puerto Rico, any United States territory, and any tribal land within the United States shall accord full faith and credit to the order.

3.9 Protection Order

Does not apply.

The parties shall comply with the Order for Protection signed by the court on this date, in this cause number. The Order for Protection signed by the court is approved and incorporated as part of this decree.

3.10 Other

Dated:

Presented by:

Notice of presentation waived:

Judge/Commissioner

Approved for entry:

Signature of Party or Lawyer/WSBA No.

Print or Type Name Date

Signature of Party or Lawyer/WSBA No.

Print or Type Name Date

Approval required in Public Assistance cases. The DSHS’ Division of Child Support received Notice required by RCW 26.23.130. This order has been reviewed and approved as to:

Current Child Support

Back Child Support

Medical Support

Other:

Deputy Prosecuting Attorney/WSBA No.

Print or Type Name Date

Signature of Party or Lawyer/WSBA No.

Print or Type Name Date

Enter text✕

What the Parenting Plan Form Is and When It Applies

A Parenting Plan Form is a written agreement that outlines parenting time, decision-making authority, communication protocols, holiday schedules, and dispute-resolution procedures for parents or guardians of minor children. It is commonly used in separation, divorce, child custody, and guardianship matters to document day-to-day parenting arrangements and expectations. While parties can draft a private parenting plan, many courts require submission or incorporation into a court order for enforceability. The document should be clear, specific, and tailored to the child's needs to reduce future conflicts and facilitate court review when necessary.

Why a Clear Parenting Plan Matters

A well-drafted Parenting Plan reduces ambiguity about parenting time and responsibilities and creates a record for courts and enforcement agencies.

Why a Clear Parenting Plan Matters

Who Typically Completes a Parenting Plan Form

Parents, guardians, family law attorneys, mediators, and court clerks commonly prepare or review parenting plans before filing or approval.

  • Separating or divorcing parents negotiating custody terms; often use the form to document schedules and decisions.
  • Mediators and family law professionals who draft balanced plans for voluntary agreement and court submission.
  • Courts and child welfare agencies that review plans for the child's best interests and may incorporate terms into orders.

The completed form is useful both as a private agreement and as part of formal court filings when required.

Core Sections to Include in a Professional Parenting Plan

An effective Parenting Plan contains distinct sections so responsibilities are explicit and enforceable. Each section should use plain language and include dates, times, and contact details where applicable.

Child Identification

Full legal names, dates of birth, and any relevant medical or educational identifiers for each child.

Parent Information

Full legal names, addresses, phone numbers, and primary email addresses for each parent or guardian.

Parenting Time Schedule

Regular weekly schedule, weekday and weekend custody, pick-up/drop-off times, and transportation responsibilities.

Decision-Making

Allocation of major decisions (education, health care, religion) and procedures for routine decisions.

Holidays & Vacations

Detailed holiday rotation, school breaks, and vacation notice and duration rules.

Dispute Resolution

Steps for mediation, arbitration, or court referral, including timelines and costs allocation.

Essential Fields Required on the Form

Child Name: Full legal name
Date of Birth: MM/DD/YYYY
Parent Names: Full legal names
Contact Details: Phone, email, address
Schedule: Weekly and holiday plan
Signatures: Signed and dated lines

Step-by-Step: Completing a Parenting Plan Form

Follow a structured workflow to ensure the Parenting Plan is precise, practical, and ready for review or filing.

  • 01
    Collect Information: Gather IDs, birthdates, and current schedules.
  • 02
    Draft Schedule: Specify days, times, and handoff locations.
  • 03
    Agree on Decisions: List who decides on health, education, and emergency care.
  • 04
    Sign & Review: Have parties sign, then seek counsel or court review if required.

How to Customize an Online Parenting Plan Workflow

Configure fields and authentication to match legal and court requirements when completing the form electronically.

Field Configuration
Signature Field Assign required signer, enforce signature and date
Date Field Auto-fill or require MM/DD/YYYY format
Conditional Field Show custody addons only if shared custody selected
Authentication Email link or SMS code for signer verification

Where to File, Send, or Submit a Parenting Plan

After completion, determine whether the Parenting Plan is a private agreement or must be filed with the family court handling the case.

  • Private Agreement: Retain signed copies with both parents; no court filing required.
  • Court Submission: Attach to divorce or custody pleadings per local rules.
  • Mediation File: Submit to mediator for review and signature confirmation.
  • Child Support Agency: Provide copy if enforcement or support calculations are affected.

Digital Signing and File Format Considerations

Choose a platform that supports court-acceptable exports and standard file types for records and filings.

  • File Formats: PDF, DOCX supported
  • Integrations: Connect with cloud storage and case management
  • Authentication: Email, SMS, or stronger options

Ensure the chosen workflow preserves an audit trail (timestamps, IP, signer identity) and produces a tamper-evident signed file for court review.

Typical Timing and Court Processing Expectations

Timing for execution, filing, and court review varies widely by jurisdiction; local court clerks set schedules and hearing dates.

Negotiation Period:

Days to months depending on cooperation and legal counsel availability

Signing Window:

Sign once both parties agree; immediate effect for private agreements

Court Filing:

File per local rules; hearing may be scheduled 30–90 days after filing

Court Review:

Judge reviews for best-interest standard; may request revisions or hearing

Effective Date:

Court-issued orders take effect on the date specified by the judge

Key Milestones from Draft to Enforceability

Track major milestones to move a Parenting Plan from draft to enforceable order with clarity and required approvals.

01

Draft Completed

Parties finalize the detailed parenting schedule and decision rules.

02

Mutual Review

Both parties and counsel review and sign the document.

03

File With Court

Submit as part of custody or divorce filings per local procedures.

04

Judge's Order

Court adoption makes the plan an enforceable judicial order.

Common Mistakes When Preparing a Parenting Plan

  • Vague schedules that omit exact times or exchange points create routine disputes and enforcement costs.
  • Failing to specify decision-making authority for health or education leads to conflict over routine and major choices.
  • Not including a clear dispute-resolution path forces parties to return to court instead of using mediation.
  • Missing contact or emergency information can hinder responses to medical or school issues affecting the child.

Risks and Consequences of an Incorrect Parenting Plan

Enforceability Risk: Court may refuse unclear agreements
Temporary Orders: Judge may impose interim terms
Conflict Escalation: Ambiguity leads to repeated litigation
Support Miscalculations: Incorrect dates affect child support
Safety Exposure: Insufficient protections risk child welfare
Privacy Gaps: Sensitive data improperly shared

How a Parenting Plan Differs from Related Documents

Compare related family law documents to choose the right format and determine whether court approval or incorporation is necessary.

Document Type Court Approval Required Typical Use
Parenting Plan often schedules and decision rules
Custody Agreement usually legal custody terms
Court Order enforceable judicial mandate
Separation Agreement varies financial and custody arrangements

eSignature Vendor Comparison for Completing a Parenting Plan

Comparison of common electronic signature providers and basic plan attributes relevant to executing parenting plans and associated paperwork.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Trial available Trial available Trial available Trial available
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Practical Examples of Parenting Plan Use

Two concise scenarios illustrate how a Parenting Plan can be applied in common family law settings.

Cooperative Separation

Two parents negotiate and sign a detailed weekly schedule using a fillable form

  • The plan assigns decision-making for routine medical care to one parent
  • The court reviews and incorporates the plan into the final decree, reducing future disputes and enforcement filings.

Mediated Agreement

Parties use a mediator to resolve contested parenting time and draft a parenting plan

  • The mediator records contingency steps for holidays
  • After signing, the parties file the plan with the court for approval and include a dispute-resolution clause to avoid repeated hearings.

Practical Tips for Accurate and Efficient Completion

Follow these best practices to minimize revisions and strengthen the plan's clarity and enforceability.

Use Clear Dates and Times
Specify exact pick-up and drop-off times and locations to prevent ambiguous interpretations and reduce conflicts.
Be Specific on Decision Rights
Define major versus routine decisions and include notice requirements for medical or educational matters.
Include Dispute Resolution
Add mediation or arbitration steps with timelines and cost allocation to limit court returns.
Confirm Court Requirements
Check local family court filing rules for witness, notary, or signature requirements before finalizing the form.

Frequently Asked Questions About Parenting Plan Forms

Answers to common questions address enforceability, electronic signatures, and practical next steps for filing or modification.


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