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Fill and Sign the Wpf Dr 040120 Declaration in Support of Parenting Plan Dclr Washington Form

Fill and Sign the Wpf Dr 040120 Declaration in Support of Parenting Plan Dclr Washington Form

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Superior Court of Washington County of In re: Petitioner, and Respondent. No. Declaration in Support of Parenting Plan (DCLSPP) (Complete a separate form for each child and use additional pages, if necessary) Complete this declaration with current information. You may also include past information related to the proposed temporary residential schedule. This declaration is made by the [ ] petitioner [ ] respondent. 1. (Name of child(ren)) ____________________________________________________ has/have resided with the following person(s): Length of Time Child(ren) Resided With Name This Person 2. (a) The petitioner’s performance of parenting functions relating to the daily needs of the child(ren) (RCW 26.09.004(2)): (b) The petitioner’s work schedule: Decl in Support of Parenting Plan (DCL SPP) - Page 1 of 2 WPF DR 04.0120 Mandatory (11/2010) - RCW 26.09.194(1) 3. (a) The respondent’s performance of parenting functions relating to the daily needs of the child(ren) (RCW 26.09.004(2)): (b) The respondent’s work schedule: 4. The child’s schedule including child care, school, and other activities: 5. Information regarding circumstances under RCW 26.09.191 that are likely to pose a serious risk to the child(ren) and that warrant limitation on the award to a parent of temporary residence or time with the child(ren) pending entry of a permanent residential schedule: 6. Other information for the court to consider: I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at (city) ________________________, (state) ___________ on (date) _____________________. Signature of Party Print Name Decl in Support of Parenting Plan (DCL SPP) - Page 2 of 2 WPF DR 04.0120 Mandatory (11/2010) - RCW 26.09.194(1)

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