Petitioner’s Name: Mailing Address: City, State, Zip: Phone Number: Representing Self Respondent’s Name: Mailing Address: City, State, Zip: Phone Number: Representing Self SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO Case Number: (leave blank) DO Petitioner’s Name on the Petition for divorce, legal separation, or custody: JOINT CUSTODY AGREEMENT Respondent’s Name AGREEMENT: We agree on everything in this document, which is about the following children: JOINT CUSTODY: Legal Custody: We will have joint legal custody. Physical Custody: (where the children will live) [] Mother will have primary physical custody. [] Father will have primary physical custody. [] We will have equally shared physical custody. We understand that joint custody does not necessarily mean equal parenting time. PARENTING TIME: We agree on the Parenting Time Plan listed in [ ] the Petition [ ] the Response [ ] the Consent Decree [ ] other document: , filed with the court on this date: Page 1 of 3 Revised August 2010 Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.FormsWorkFlow.com ACCESS TO RECORDS AND INFORMATION: Under Arizona law (A.R.S. 25-403.06), unless otherwise provided by court order or law, on reasonable request, we are entitled to equal access to documents and other information concerning the children’s education and physical, mental, moral, and emotional health including medical, school, police, court, and other records directly from the custodian of the records or from the other parent. The court could impose sanctions against a person who does not comply with this law. EDUCATION: We will make major educational decisions together. We both may participate in school conferences, events, and activities and consult with teachers and other school personnel. HEALTH CARE: We will make major medical/dental decisions together. We both may authorize emergency medical/dental treatment for the children and shall notify each other about that treatment immediately. We both may consult with the children’s health practitioners. We will cooperate on health matters concerning the children and keep each other reasonably informed, including about the names, addresses, and phone numbers of all medical/dental care providers. PROTECTING CHILDREN FROM CRIMINAL OFFENDERS: We have read A.R.S. 25-403.05(B). We understand it and will do what it says. We will notify the other parent immediately if we know that a convicted or registered sex offender, or a person who has been convicted of a dangerous crime against children (defined in A.R.S. 13-705), may have access to the children. We will notify the other parent by first class mail, return receipt requested, or by email. IN ADDITION, WE WILL: Inform each other in advance of address and/or phone number changes. Notify each other in writing before relocating a child out-of-state or over 100 miles within Arizona, if both parents live in Arizona, as required by Arizona law (A.R.S. 25-408). Use the Parenting Time Plan order most recently in place until other arrangements are made if either parent moves out of the area without the children and returns later. Inform each other promptly of emergencies and other important events involving the children. Consult with each other and agree about extra activities that affect the children’s access to either parent. Consider each other as care-providers for the children before making other childcare arrangements. Not use the children to convey information or change the Parenting Time Plan. Encourage love and respect between the children and the other parent, and do nothing that might hurt the other parent’s relationship with the children. Page 2 of 3 Revised August 2010 Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.FormsWorkFlow.com DISPUTES: We will make our best effort to cooperate consistent with the children’s best interests and amicably resolve any disputes. If we are unable to reach an agreement about proposed changes, disputes, or alleged breaches of this Agreement, we may request mediation through the court or a private mediator of our choice. While a dispute is being resolved, we will continue to follow this Agreement. Date: Mother’s Signature: Date: Father’s Signature: Page 3 of 3 Revised August 2010 Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.FormsWorkFlow.com