Washington Parenting Plan

Parenting Plan

Superior Court of Washington, County of

1. This parenting plan is a (check one):

Proposal (request) by a parent (name/s): . It is not a signed court order. (PPP)

Court order signed by a judge or commissioner. This is a (check one):

Temporary order. (PPT)

Final order. (PP)

This final parenting plan changes the last final parenting plan.

2. Children – This parenting plan is for the following children:

3. Reasons for putting limitations on a parent (under RCW 26.09.191)

a. Abandonment, neglect, child abuse, domestic violence, assault, or sex offense.

Neither parent has any of these problems. (Skip to 3.b.)

Abandonment – intentionally abandoned a child listed in 2 for an extended time.

Neglect – substantially refused to perform his/her parenting duties for a child listed in 2.

Child Abuse – abused or threatened to abuse a child. Abuse was physical sexual repeated emotional abuse.

Domestic Violence – has a history of domestic violence.

Assault – has assaulted or sexually assaulted someone causing grievous harm, fear of such harm, or pregnancy.

Sex Offense – has been convicted of a sex offense as an adult.

b. Other problems that may harm the children’s best interests.

Neither parent has any of these problems. (Skip to 4.)

Neglect – neglected his/her parental duties.

Emotional or physical problem – has a long-term problem that gets in the way of parenting.

Substance Abuse – has a long-term problem with drugs/alcohol.

Lack of emotional ties – has few or no emotional ties with a child.

Abusive use of conflict – uses conflict in a damaging way.

Withholding the child – kept the other parent away for a long time.

Other (specify):

4. Limitations on a parent

Does not apply. There are no reasons for limitations checked in 3.a. or 3.b. above. (Skip to 5.)

No limitations despite reasons (explain why):

The following limits or conditions apply to (check all that apply):

No contact with the children.

Limited contact as shown in the Parenting Time Schedule below.

Limited contact as follows:

Supervised contact. All parenting time shall be supervised.

Any costs of supervision must be paid by

Supervisor shall be: or

Dates and times of supervised contact:

Specific rules for supervision:

Other limitations or conditions during parenting time:

Evaluation or treatment required.

Name: must:

be evaluated for

start/continue and comply with treatment as recommended by the evaluation.

start/continue and comply with treatment as follows:

Provide a copy of the evaluation and compliance reports:

If this parent does not follow the evaluation or treatment requirements above, then (what happens):

5. Decision-making

When the children are with you, you are responsible for them. Major decisions must be made as follows.

a. Who can make major decisions about the children?

b. Reasons for limits on major decision-making, if any:

There are no reasons to limit major decision-making.

Major decision-making must be limited because one parent has problems described in 3.a. above.

Major decision-making should be limited because:

6. Dispute Resolution – If you and the other parent disagree

The parents will go to:

Mediation (mediator or agency name):

Arbitration (arbitrator or agency name):

Counseling (counselor or agency name):

Court (without having to go to mediation, arbitration, or counseling).

If mediation, arbitration, or counseling is required, notify the other parent by:

certified mail other:

The parents will pay for services as follows:

will pay %, will pay %.

based on each parent’s Proportional Share of Income.

as decided through the dispute resolution process.

7. Custodian

The custodian is solely for the purpose of all state and federal statutes which require a designation or determination of custody.

Parenting Time Schedule (Residential Provisions)

Skip the parenting time schedule if one parent has no contact other than section 4.

Complete the parenting time schedule in sections 8 - 11.

8. School Schedule

a. Children under School-Age

Does not apply. All children are school-age.

The schedule for children under school-age is the same as for school-age children.

Children under school-age live with except when they live with on:

b. School-Age Children

This schedule applies when the youngest child the oldest child each child begins

The children live with except when they live with on:

9. Summer Schedule

Summer begins and ends according to the school calendar, as follows:

The Summer Schedule is the same as the School Schedule.

The Summer Schedule is the same as the School Schedule except vacation time.

The Summer Schedule is different than the School Schedule.

During summer the children live with except when they live with on:

10. Holiday Schedule (includes school breaks)

The Holiday Schedule is the same as the School and Summer Schedules above for all holidays and school breaks.

This is the Holiday Schedule for all children school-age children only.

Holiday schedule details:

11. Conflicts in Scheduling

Named holidays shall be followed before school breaks.

Children’s birthdays shall be followed before named holidays and school breaks.

Other:

12. Transportation Arrangements

Exchanges will occur at:

each parent’s home

school or day care when in session

other location:

Who is responsible for arranging transportation?

The picking up parent

The dropping off parent

Other details:

13. Moving with the Children (Relocation)

If the relocating person plans to move, notice must be given. Move to a different school district details:

Move within the same school district details:

Right to object / right to move notes:

14. Other

15. Proposal

Does not apply. This is a court order.

This is a proposed (requested) parenting plan.

Parent requesting plan signs here

Signed at (city and state)

Other parent requesting plan (if agreed) signs here

Signed at (city and state)

16. Court Order

Does not apply. This is a proposal.

This is a court order (if signed by a judge or commissioner below).

Findings of Fact / Conclusions of Law / Order details: