Name, Address and Phone Number (If Attorney filing, type Name, Address and Phone Number) [ ] Plaintiff/Petitioner [ ] Defendant/Respondent [ ] Caretaker/Other* [ ] Attorney for [ ] Plaintiff/Petitioner [ ] Defendant/Respondent *Relationship of Caretaker/Other to the child(ren)IN THE FAMILY COURT OF THE SECOND CIRCUIT STATE OF HAWAI`I [ ] CHILD SUPPORT ENFORCEMENT AGENCY, ) FC- NO. STATE OF HAWAI`I, ))PROPOSED PARENTING PLAN , ) (Name: First Middle Last) [ ] Mother [ ] Father ) ) Plaintiff(s)/Petitioner(s), ) vs. ) ) , ) (Name: First Middle Last) [ ] Mother [ ] Father [ ] Caretaker ) ) , ) (Name: First Middle Last) [ ] Mother [ ] Father [ ] Caretaker ) ) [ ] and CHILD SUPPORT ENFORCEMENT AGENCY, ) STATE OF HAWAI`I, ) ) Defendant(s)/Respondent(s). ) PROPOSED PARENTING PLAN I will be relocating to on or about . (If you are relocating, file one plan for before relocation and another plan for after relocation) [ ] This is the plan for before relocation [ ] This is the plan for after relocation 2F - P - 796 (Rev. 1/1/2018) American LegalNet, Inc. www.FormsWorkFlow.com 1.CHILD(REN): [ ] See attached sheet for additional children Child222s Initials Year of Gender School/Grade Is CPS* Birth Involved? Child 1 [ ] M [ ] F [ ] Yes [ ] No Child 2 [ ] M [ ] F [ ] Yes [ ] No Child 3 [ ] M [ ] F [ ] Yes [ ] No Child 4 [ ] M [ ] F [ ] Yes [ ] No Child 5 [ ] M [ ] F [ ] Yes [ ] No Child 6 [ ] M [ ] F [ ] Yes [ ] No *CPS stands for Child Protective Services2.Legal Custody should be awarded to (person(s) making the major decisions, such as,school enrollment, medical, driver222s license):[ ] Mother [ ] Father [ ] Jointly to Mother and Father [ ] Caretaker3.Physical Custody should be awarded to (the child(ren) will primarily live with this person):[ ] Mother [ ] Father [ ] Jointly to Mother and Father [ ] Caretaker(State Parenting Time Below*) *Joint custody with the child(ren) will be shared between Mother and Father as follows(even if you are suggesting joint custody, you can also use the checklists in Section 5 and 6.): 4.Special Concerns (i.e. breastfeeding infant, special needs of child(ren) or disability of either parent): American LegalNet, Inc. www.FormsWorkFlow.com 5.Visitation Schedule: [ ] Father [ ] Mother (check one) shall have visitation, which shallcommence on (fill in date) as follows: [ ] Reasonable visitation as agreed to by parties [ ] Every other weekend [ ] Every weekend from (day of the week) at [ ] A.M. [ ] P.M. to (day of the week) at [ ] A.M. [ ] P.M. [ ] Midweek dinner visits on (day of the week) from [ ] P.M. to [ ] P.M. (Note: For Friday and Monday holidays, the child(ren) will stay with the parent who has the child(ren) for that weekend) Summer Vacation: [ ] Should be split as agreed to by Father and Mother [ ] Father and Mother shall each have one-half (1/2) of the summer vacation with alternate weekends to the other parent. The child(ren) should be returned to the custodial parent at least one (1) week prior to the start of school. [ ] Other: Christmas and New Year Vacation: [ ] Should be split as agreed to by Father and Mother [ ] Father and Mother shall each have one-half (1/2) of the Christmas/New Year vacation. [ ] Other: American LegalNet, Inc. www.FormsWorkFlow.com Intersession Vacations (Spring Break and Fall Break): [ ] Each intersession break should be split as agreed to by Father and Mother. [ ] Each intersession break should be alternated yearly between Father and Mother. [ ] Father and Mother shall each have one-half (1/2) of each intersession break. [ ] Other: Child(ren)222s Birthday: [ ] The child(ren)222s birthday(s) should be celebrated as agreed to by Father and Mother. [ ] A child222s birthday will be spent with the parent who has the child on that day. [ ] [ ] Father [ ] Mother should have the child(ren) on the child(ren)222s birthday on even-numbered years. The other parent should have the child(ren) on the child(ren)222s birthday on odd-numbered years. [ ] Father and Mother will share the child(ren) for at least half the day on the child(ren)222s birthday. [ ] Other: Extensive Visitation (if applicable) should be as follows: Out-of State Visitation (if applicable) should be as follows: American LegalNet, Inc. www.FormsWorkFlow.com 6. Detailed Holiday Schedule: Some cases work better if more details are listed. Use this as a checklist. You do not have to fill in everything. Anything that is left blank means that the child(ren) will spend the day with the parent who has the child(ren) on that day. (Note: For Friday and Monday holidays, the child(ren) will stay with the parent who has the child(ren) for that weekend. Check 223M224 for Mother and 223F224 for Father. Holiday Time (Put a.m. or p.m.) Every Year Even Years Odd Years New Year222s Eve [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F New Year222s Day [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F Martin Luther King, Jr. Day MONDAY HOLIDAY (see above note) President222s Day MONDAY HOLIDAY (see above note) Prince Kuhio Day (March 26th) [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F Good Friday FRIDAY HOLIDAY (see above note) Memorial Day MONDAY HOLIDAY (see above note) King Kamehameha Day (June 11th) [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F Independence Day (July 4 th ) [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F Statehood Day (Admissions Day) FRIDAY HOLIDAY (see above note) Labor Day MONDAY HOLIDAY (see above note) Veterans222 Day (November 11th) [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F Thanksgiving Day [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F Christmas Eve [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F Christmas Day [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F Mother222s Day [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F Father222s Day [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F Mother222s Birthday [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F Father222s Birthday [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F Halloween (October 31st) [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F Other: [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F Other: [ ] M [ ] F [ ] M [ ] F [ ] M [ ] F American LegalNet, Inc. www.FormsWorkFlow.com 7.Childcare: These are the arrangements for childcare when I am at work (if you agreed to joint custody, also state the arrangements of the other parent) 8.Parents covering each other: [ ] If we cannot care for the child(ren) during a time assigned to us, we will ask theother parent to take care of the child(ren) before we ask anybody else. [ ] It will be up to each parent who they ask for help during their assigned times. 9.Transportation: [ ] The parents will agree to who can transport the child(ren)[ ] Only the following people can help the parents with transportation: 10.Communication and Information Sharing: [ ] The parent without the child(ren) shall call the child(ren) (check only one) [ ] At reasonable hours OR [ ] Every day from [ ]a.m. [ ]p.m. to [ ]a.m. [ ]p.m. [ ] Email at this email address: Other: [ ] Parents will share information with each other [ ] Parents must get information from the source (e.g. Doctor, School) 11.Supervised Visitation/No Visitation:[ ] Father [ ] Mother [ ] Will have Supervised visitation with the child(ren) at:[ ] PACT Visitation Center [ ] Under the supervision of: American LegalNet, Inc. www.FormsWorkFlow.com [ ] Will have no visitation (State the reason why supervised or suspended visitation is necessary) 12. Modifications to the visitation schedule: [ ] Any additional visitation or changes to the visitation schedule can be agreed upon by the parents/caretaker with at least 24 hour notice. [ ] If the non-custodial parent fails to arrive at the appointed time, then the custodial parent/caretaker will wait for minutes before considering the visitation cancelled. [ ] Other: [ ] No modifications allowed to this order. 13. Mediation and Solving Disagreements: [ ] The parties should mediate any unresolved issues or further disagreements at: [ ] The Mediation Center of the Pacific [ ] Other: [ ] Mediation is inappropriate because: [ ] Domestic Violence/TRO [ ]Other: [ ] Before going to court, the parents will ask the following person to help them solve disagreements: (name and relationship) (address and phone number) American LegalNet, Inc. www.FormsWorkFlow.com 14.Counseling:List present counselors for:[ ] Mother: [ ] Father: [ ] Child(r