Fill and Sign the Tennessee Parenting Plan Form

7/13/2017 p. 1 of 6 IN THE COURT OF COUNTY TENNESSEE ) Mother/Father ) ) Docket No. v. ) Father/Mother TEMPORARY PARENTING PLAN) [ ] Proposed Plan by [ ] Mother [ ] Father ) OR ) [ ] Agreed Plan 7/13/2017 p. 2 of 6This plan was [ ] presented to [ ] ordered by the Court on , 20 . 7/13/2017 p. 3 of 6This parenting plan applies to the following children: Name Birthdate RESIDENTIAL SHARING SCHEDULE: The [ ] mother [ ] father shall be responsible for the child(ren), except for the following days and times when the other parent shall be responsible for the child(ren): From: to (Day/Time) (Day/Time) [ ] every week [ ] every other week [ ] other and from: to (Day/Time) (Day/Time) [ ] every week [ ] every other week [ ]other: DAY TO DAY DECISIONS: Each parent shall make decisions regarding the day-to-day care and control of each child while the child is residing with that parent. The parents shall otherwise confer with each other. 7/13/2017 p. 4 of 6 HOLIDAY and VACATION SCHEDULE DURING THE NEXT THREE MONTHS TRANSPORTATION ARRANGEMENTS: Transportation arrangements for the child[ren], other than costs, between parents shall be as follows: STANDARD PARENTING ORDERS: Pursuant to Tennessee Code Annotated , section 36-6-101(a) both parents are entitled to the following rights: (1) The right to unimpeded telephone conversations with the child at least twice a week at reasonable times and for reasonable durations. The parent exercising parenting time shall furnish the other parent with a telephone number where the child may be reached at the days and time specified in a parenting plan or other court order or, where days and times are not specified, at reasonable times; (2) The right to send mail to the child which the other parent shall not destroy, deface, open or censor. The parent exercising parenting time shall deliver all letters, packages and other material sent to the child by the other parent as soon as received and shall not interfere with their delivery in any way, unless otherwise provided by law or court order; (3) The right to receive notice and relevant information as soon as practicable but within twenty-four (24) hours of any hospitalization, major illness or injury, or death of the child. The parent exercising parenting time when such event occurs shall notify the other parent of the event and shall provide all relevant healthcare providers with the contact information for the other parent; (4) The right to receive directly from the child's school any educational records customarily made available to parents. Upon request from one parent, the parent enrolling the child in school shall provide to the other parent as soon as available each academic year the name, address, telephone number and other contact information for the school. In the case of children who are being homeschooled, the parent providing the homeschooling shall advise the 7/13/2017 p. 3 of 6other parent of this fact along with the contact information of any sponsoring entity or other entity involved in the child's education, including access to any individual student records or grades available online. The school or homeschooling entity shall be responsible, upon request, to provide to each parent records customarily made available to parents. The school may require a written request which includes a current mailing address and may further require payment of the reasonable costs of duplicating such records. These records include copies of the child's report cards, attendance records, names of teachers, class schedules, and standardized test scores; (5) Unless otherwise provided by law, the right to receive copies of the child's medical, health or other treatment records directly from the treating physician or healthcare provider. Upon request from one parent, the parent who has arranged for such treatment or health care shall provide to the other parent the name, address, telephone number and other contact information of the physician or healthcare provider. The keeper of the records may require a written request including a current mailing address and may further require payment of the reasonable costs of duplicating such records. No person who receives the mailing address of a requesting parent as a result of this requirement shall provide such address to the other parent or a third person; (6) The right to be free of unwarranted derogatory remarks made about such parent or such parent's family by the other parent to or in the presence of the child; (7) The right to be given at least forty-eight (48) hours notice, whenever possible, of all extracurricular school, athletic, church activities and other activities as to which parental participation or observation would be appropriate, and the opportunity to participate in or observe them. The parent who has enrolled the child in each such activity shall advise the other parent of the activity and provide contact information for the person responsible for its scheduling so that the other parent may make arrangements to participate or observe whenever possible, unless otherwise provided by law or court order; (8) The right to receive from the other parent, in the event the other parent leaves the state with the minor child or children for more than forty-eight (48) hours, an itinerary which shall include the planned dates of departure and return, the intended destinations and mode of travel and telephone numbers. The parent traveling with the child or children shall provide this information to the other parent so as to give that parent reasonable notice; and 7/13/2017 p. 4 of 6(9) The right to access and participation in the child's education on the same bases that are provided to all parents including the right of access to the child during lunch and other school activities; provided, that the participation or access is legal and reasonable; however, access must not interfere with the school's day-to-day operations or with the child's educational schedule. SUPPORT OF CHILDREN: Father’s gross monthly income is $ Mother’s gross monthly income is $ 1. The temporary child support order is as follows: a. The   mother   father shall pay to the other parent as regular child support the sum of $   weekly   monthly   twice per month  every two weeks. The Child Support Worksheet shall be attached to this Order as an Exhibit.* If this is a deviation from the Child Support Guidelines, explain why: 3. Payments shall begin on the day of , 20 . *Child Support Worksheet can be found on DHS website at http://www.state.tn.us/humanserv/is/incomeshares.htm or at your local child support offices. This support shall be paid:  directly to the other parent.  to the Central Child Support Receipting Unit, P. O. Box 305200, Nashville, Tennessee 37229, and sent to the other parent at: .  by direct deposit to the other parent at Bank for deposit in account no. . A Wage Assignment Order is attached to this Parenting Plan.  other: . The parents acknowledge that court approval must be obtained before child support can be reduced or modified. HEALTH, DENTAL AND LIFE INSURANCE and UNCOVERED EXPENSES: These policies shall remain in effect during the duration of the divorce proceedings. The beneficiaries shall name the spouse and or child[ren] as beneficiaries of the policies. All uncovered medical, dental and costs will be split between the parties. MISCELLANEOUS: If a parent fails to comply with a provision of this plan or support order, the other parent’s obligations under the plan or the support order are not affected. Failure to comply with a provision in the plan or support order may result in a finding of contempt. * * * * * Under penalty of perjury under the laws of the State of Tennessee, I declare this plan has been proposed in good faith and is in the best interest of the child(ren) and that the statements herein are true and correct. (A notary public is required if this is a proposed plan by one parent. A notary public is required if this is an agreed plan by both parents.) [ ] Submitted by: OR [ ] Agreed to by: [ ] Mother [ ]Mother’s Attorney Date and Place of Signature Sworn to and subscribed before me this ________ day of _______________________, 20_____. My commission expires:____________________ ________________________________ Notary Public [ ]Father [ ]Father’s Attorney Date and Place of Signature Sworn to and subscribed before me this ________ day of _______________________, 20_____. My commission expires:____________________ ________________________________ Notary Public It is so ORDERED this the day of , . Judge or Chancellor