Page 1 of 6 DR-475S (8/17)(cs) PARENTING PLAN PARENTING PLAN REQUESTED FOR CASE # 1. PARENTS Name Mailing Address Parent A First: Street: Middle: City: Last: State and Zip: Parent B First: Street: Middle: City: Last: State and Zip: 2. CHILDREN Name Birthdate Age School Child 1 Child 2 Child 3 Child 4 Child 5 3. DECISION MAKING (LEGAL CUSTODY) 3.1 Major decisions (select option A, B, or C below) Option A--The parents will share major decision making about the ceducation, healthcare, religious training, and personal care. If the parents reach an impasse, they will resolve their disagreement: with help from a trained mediator selected and paid for by both parents. by requesting a court hearing about the disagreement. Option B--The parents will share major decision making in this way: Parent A education healthcare religious training personal care Parent B education healthcare religious training personal care Option C--religious training, and personal care will be made by Parent A Parent B. American LegalNet, Inc. www.FormsWorkFlow.com Parent A: Parent B: Page 2 of 6 DR-475S (8/17)(cs) PARENTING PLAN 3.2 Minor day-to-day decisions such as what the children will wear to school or eat for breakfast that day, will be made by the parent who is with the children. 3.3 Emergency decisions either parent, and that parent will tell the other parent about the emergency decision as soon as possible. 3.4 Access to information about the children Both parents will be listed on all forms and registrations as a parent and emergency contact. Both parents will have full access to school, daycare, healthcare, PFD accounts, and all other records about the children. Both parents will keep ities, health, religious training, and personal care. The parents will not bad mouth each other in front of the children or use the children as messengers. 4.SCHEDULE4.1 Children age 6 and older Week on-week off schedule for children age 6 and older The children will spend one week with Parent A, and the next week with Parent B, and so on in an alternating way except for holidays and other special days described below. Pick-up and drop-off will take place this day of the week: at this time: am pm. Other Schedule for Children age 6 and older 4.2 Children age 3 to 6 4-3-3-4 schedule for children age 3 to 6 The children will spend 4 days with Parent A and then 3 days with Parent B in the first week, and 3 days with Parent A and 4 days with Parent B in the second week, and so on in an alternating two week pattern except for holidays and other special days described below. Pick-up and drop-off will happen at this time: am pm. Other Schedule for Children age 3 to 6 American LegalNet, Inc. www.FormsWorkFlow.com Parent A: Parent B: Page 3 of 6 DR-475S (8/17)(cs) PARENTING PLAN 4.3 Schedule for children age 0 to 3 4.4 Holidays The parents may agree to celebrate holidays and birthdays together or make other agreements regarding special days. If the parents cannot reach agreement, then the schedule below will apply. Same as regular schedule Parents to alternate years* Every yea r with Parent A Every year with Parent B Other Information ( such as start time and end time) Birthday Birthday In - Service School Days M LK Day Memorial Day Weekend July 4 th Labor Day Weekend Halloween Thanksgiving Day Break After Thanksgiving Christmas Day Christmas Eve Day Eve Other Winter Break Easter Sunday Spring Break Other: Other: Other: Other: Other: Other: *With Parent A Parent B in even-numbered years such as 2016 and 2018, and the other parent in odd-numbered years such as 2015 and 2017. American LegalNet, Inc. www.FormsWorkFlow.com Parent A: Parent B: Page 4 of 6 DR-475S (8/17)(cs) PARENTING PLAN 4.5 Summer vacation 4.6 Conflicts in scheduling When this happens, the holiday time will be observed over other schedules. 4.7 Transportation to and from visits Parent A will arrange and pay to transport the children to visits with Parent A. Parent B will arrange and pay to transport the children to visits with Parent B. Other transportation arrangement Unless the parents agree to a different place, exchanges shall be at: the home of the parent where the visit will be taking place. 4.8 What happens to the schedule if a parent moves? The schedule above applies as long as the parents live in the same community. If a parent moves more than 50 miles away, not including military deployment, then this is what happens instead: The parent who is moving will give the other parent as much advancenotice of the move as reasonably possible.After the parent moves, the children will live with: the parent who is not moving And after the parent moves, the children will spend holidays, summer vacations, winter breaks, and spring breaks: with the parent who moved. according to the schedule below: If move or some other event creates a substantial change incircumstances, and it is in the childrens best interest to modify thearrangement, then either parent may file a motion asking the court forsuch a modification. American LegalNet, Inc. www.FormsWorkFlow.com Parent A: Parent B: Page 5 of 6 DR-475S (8/17)(cs) PARENTING PLAN 4.9 Military deployment One or both parents are in the military and subject to deployment. In the month before deployment, and also when a deployed parentis on temporary leave from deployment, the children will live with thedeploying parent for weeks. The children may miss school during these times but the deploying parent will make surethat the children stay current in school work.During deployment of one parent, the children will live with: the parent who is not deployed. During deployment of both parents, the children will live with: During deployment, the deployed parent may visit the children after giving 7 days advance notice to the other parent. Unless the parents agree otherwise, the visit will occur in the community where the children attend school. If the children are not in school, the visit may occur in any other community. After deployment, the schedule will return to normal.5.FEDERAL TAXES The children will be claimed every year by Parent A Parent B. Every year, Parent A will claim these children: and Parent B will claim these children: The parents will claim the children in alternating years. Parent A Parent B will claim the children for odd-numbered tax years such as 2015 and 2017, and the other parent will claim the children for even-numbered tax years such as 2016 and 2018. 6.PERMANENT FUND DIVIDENDEvery year Parent A Parent B by thedeadline. The parent who claims the federal tax exemption for any children willpay all TFD money: will be saved in an account for the children. may be spent only if both parents agree in writing in advance. 7.CHANGING THIS PLANSmall changes, such as a minor adjustment to the schedule, may be made to the plan ifthe parents agree. Big changes may be made by filing a motion with the court as longas there is a substantial change in circumstances and the change is in the best interestof the children. American LegalNet, Inc. www.FormsWorkFlow.com Parent A: Parent B: Page 6 of 6 DR-475S (8/17)(cs) PARENTING PLAN 8.OTHER IMPORTANT PARTS OF OUR PLAN NOT MENTIONED ABOVE Date Signature of Parent A Date Signature of Parent B American LegalNet, Inc. www.FormsWorkFlow.com