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Parenting Plan Form. This is a Idaho form and can be use in District Court Statewide.
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Tags: Parenting Plan, CAO 6-3, Idaho Statewide, District Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
Calendar No.
:
JUDICIAL SUBPOENA
PARENTING PLAN
:
-against-
:
Parents’ names:____________________________________ and ____________________________________
Case No. __________________________________________
:
Defendant(s)
:
This Parenting Plan .is .submitted .to .the. court: . . . . . . . . . . . . . . . . . . . .
............ . ........ . .. .....
[ ]
With the agreement of both parents.
[ ]
By ____________________________________ without the agreement of the other parent.
The name(s) and birth date(s) of our OF NEW under the age of eighteen (18) years is/are:
THE PEOPLE OF THE STATE child/ren YORK
Name
Date of Birth
TO
______________________________________________
__________________
______________________________________________
__________________
______________________________________________
__________________
GREETINGS:
______________________________________________
__________________
______________________________________________
__________________
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
the we will not
Court
Although Honorable be living together, in general theat the arrangement for our child/ren is to have frequent and ,
best
County of
continuing contact with both parents. located at
The well-being and needs of our child/ren are a major concern. When the
child/renroom in eitheron the
in is/are
, parent’s physical custody, each parent will provide in the
day of
, 20
, at
o'clock the child/ren with (1) any recessed
noon, and at regular and
or adjourned date, to and and give evidence as a and (3) appropriate medical of the
nutritious food, (2) clean testifyappropriate clothing, witness in this action on the part examinations and treatment.
Decision making is an important part of parenting and the parent who has the child/ren in their care shall make
decisions about the child/ren’s day-to-day care and control. As our child/ren grow/s and change/s and our life
situations change, we shall be flexible and cooperative and communicate so we can continue to meet the needs
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
of our child/ren.
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
In addition, when caring for the child/ren, each parent shall:
Require the child/ren to obey and respect the child/ren's teachers and the law.
, one of unless excused
RequireWitness, Honorable
the child/ren to attend all regular sessions of school until graduation,the Justices of the by medical
Court in the school, the court or day of
County,
, 20
reasons,
both parents.
• ___________________________________________________________________________________
•
•
EXCEPT FOR THE HOLIDAYS SELECTED BELOW, OUR PARENTING SCHEDULE WILL BE:
(Attorney must sign above and type name below)
(list days, evenings, overnights, times of day)
Our child/ren will be with Mother: _______________________________________________________________
Attorney(s) for
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Office and P.O. Address
__________________________________________________________________________________________
__________________________________________________________________________________________
Telephone No.:
__________________________________________________________________________________________
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
PARENTING PLAN
PAGE 1
CAO 6-3 04/12/02
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
JUDICIAL SUBPOENA
Plaintiff(s)
__________________________________________________________________________________________
-against:
__________________________________________________________________________________________
:
__________________________________________________________________________________________
__________________________________________________________________________________________
:
_________________________________________________________________________________________.
Defendant(s)
:
......................................................
Our child/ren will be with Father: _______________________________________________________________
__________________________________________________________________________________________
THE PEOPLE OF THE STATE OF NEW YORK
__________________________________________________________________________________________
TO
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
GREETINGS:
__________________________________________________________________________________________
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
__________________________________________________________________________________________
,
the Honorable
at the
Court
__________________________________________________________________________________________
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
__________________________________________________________________________________________
or adjourned date, to testify and give evidence as a witness in this action on the part of the
__________________________________________________________________________________________
_________________________________________________________________________________________.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena FORissued for a maximum penalty of $50 and all damages sustained as a
POLICY was SCHEDULING CHANGES:
In the result of your failure to comply. changes need to be made, a request for such change will be made at least
event occasional scheduling
______ hours in advance. Requests may need to be refused from time to time. Neither parent will schedule any
activities for theWitness, Honorable
child/ren that interfere with the other parent’s scheduled time. , one of the Justices of the
Court in
County,
day of
, 20
[ ] When our child/ren is ill during a scheduled block of parenting time and cannot be with the other parent, this
time will be made up as soon as possible.
UNINTERRUPTED TIME AND(Attorney must sign above and type name below)
HOLIDAYS:
Each parent will have ______ days of uninterrupted time with the child/ren each year with ____ [ ]hours [ ]days
advance notice to the other parent. The uninterrupted time of either parent will have priority over holidays
occurring during the uninterrupted time.
Attorney(s) for
Mother will have priority for uninterrupted time in [ ] even-numbered [ ] odd-numbered years. Father will have
priority for uninterrupted time in [ ] even-numbered [ ] odd-numbered years.
Office and P.O. Address
[ ] Both of us will discuss with the other parent our vacation plans with the child/ren. “Vacation” is defined as a
trip of up to _________ days away from home.
PARENTING PLAN
CAO 6-3 04/12/02
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
JUDICIAL SUBPOENA
Plaintiff(s)
The Holiday Schedule for the Child/ren is as Follows:
-against:
(Write “mother” or “father” under the headings Even Years, Odd Years or Every Year. Write the “hour and day” the child/ren
will start the time with mother or father under the heading Start and the “hour and day” the child/ren will end the time with that
parent under the heading End.) *Holidays that are observed on Monday. :
SPECIAL DAYS
Even Years
Odd Years
:
Every Year
Start
End
New Years Day
______________ _____________
____________
______________ ________________
Defendant(s)____________ ______________ ________________
*Martin Luther King Day
______________ _____________
:
......................................................
*Presidents' Day
______________
_____________
____________
______________ ________________
Easter
______________
_____________
____________
_____________
________________
*Memorial Day
______________
_____________
____________
_____________
________________
Fourth of July
______________ _____________
____________
_____________
________________
THE PEOPLE OF THE STATE OF _____________
NEW YORK
*Labor Day
______________
____________
_____________
________________
*Columbus Day
______________ _____________
____________
_____________
________________
TO
Halloween
______________ _____________
____________
_____________
________________
Veterans' Day
______________ _____________
____________
_____________
________________
Thanksgiving Day
______________ _____________
____________
_____________
________________
December 24
______________ _____________
____________
_____________
________________
December. 25
____________
_____________
________________
GREETINGS: ______________ _____________
Child/ren's Birthday
______________ _____________
____________
_____________
________________
_________________ COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
______________ _____________
____________
_____________
________________
WE
_________________
______________ _____________ at the ____________
_____________
________________
the Honorable
Court
_________________
______________ located at
_____________
____________
_____________
________________
County of
_________________
______________ _____________
____________
_____________
________________
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
[ ] Our child/ren will spend MOTHER’S DAY with Mother and FATHER’S DAY with Father each year.
[ ] When a holiday falls on a weekend, our child/ren will spend that holiday with the parent they are scheduled
to be with [ ] that holiday or comply with this subpoena is punishable as a contempt of court and will make you liable to
Your failure to [ ] that weekend.
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
[ ] When a holiday falls on the Friday before or the Monday after a weekend, our child/ren will spend that
result of your failure to comply.
holiday with the parent they are scheduled to be with [ ] that holiday or [ ] that weekend.
Witness, Honorable
, one of the Justices of the
[ ] If the holiday schedule results in our child/ren spending 3 weekends in a row with the same parent, the other
Court in
County,
day of
, 20
parent will have our child/ren the weekend following the holiday weekend. This will result in each parent having
the child/ren for 2 weekends in a row.
(Attorney must sign above and type name below)
WINTER/CHRISTMAS SCHOOL BREAK will be divided as follows:
First Part, from __________ o'clock ___.m. on ___________________________ until ___________ o'clock
___.m. on ____________________________, the child/ren will be with ________________________________.
Second Part, from __________ o'clock ___.m. on ___________________________ until ___________ o'clock
Attorney(s) for
___.m. on ____________________________, the child/ren will be with ____________________________. or
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Office and P.O. Address
SPRING BREAK is defined as the following time period _____________________________________________
________________________________________________ Our child/ren will spend SPRING BREAK as follows:
__________________________________________________________________________________________
Telephone No.:
__________________________________________________________________________________________
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
PARENTING PLAN
PAGE 3
CAO 6-3 04/12/02
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,
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
Calendar No.
:
JUDICIAL SUBPOENA
-against-
:
EDUCATION:
Each of us will take responsibility for communicating with our child/ren's schools, to remain informed and to attend
:
conferences with our child/ren's teachers and counselors. We will authorize our child/ren’s schools to release any
and all information to either parent. Major decisions about education will be made by: [
] both Mother and
:
Father or [ ] Mother [ ] Father.
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . COMMUNICATION: .
..................
During separation from our child/ren, we will maintain frequent contact with our child/ren by phone, letter,
postcards, video, electronically or audio tapes. Each parent will respect the child/ren's right to privacy to such
communication. We will encourage our child/ren to communicate frequently with the other parent and we will help
THE child/ren to THE STATE with the other
our young PEOPLE OF communicateOF NEW YORKparent. We will inform the other parent of the address and
telephone number where our child/ren can be reached anytime s/he is away from home for more than [ ] 48
hours TO _______ hours. Each of us will provide the other parent with our current address and telephone
-ornumber to allow us to communicate with and about our child/ren.
To protect our child/ren from any conflict between us, we will not question our child/ren about the other parent and
GREETINGS:
we will not speak negatively about the other parent any time our child/ren can hear. We will communicate directly
with each other and not through our child/ren and will focus our discussions on the child/ren.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
SAFETY:
located at
County of
We will not compromise the safety of our child/ren. Further, we will
room
, on the
day of
, and , at
noon, of ______ years
a child the
• inPersonally supervise and control the conduct 20 activities ofo'clock inunder the ageand at any recessed
orexcept when the child is andschool or in known or usual this action on activities or in the immediate care of
adjourned date, to testify at give evidence as a witness in recreational the part of the
another competent person.
• Not operate a vehicle when impaired by alcohol or drugs when our child/ren is in the vehicle or use
alcohol carelessly when our child/ren is in our care.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Provide and use
our child/ren as required by
• the party on whose child safety restraints for issued for a maximum penaltylaw.$50 and all damages sustained as a
behalf this subpoena was
of
____________________________________________________________________________________
• result of your failure to comply.
____________________________________________________________________________________
____________________________________________________________________________________
Witness, Honorable
, one of the Justices of the
Court in
County,
day of
, 20
LOVE AND AFFECTION:
Each parent shall encourage love and affection between the child/ren and the other parent. Neither parent shall
do anything, nor permit any other person residing in their household to do sign above andwhich would alienate the
(Attorney must anything, type name below)
child/ren from the other parent or distort the child/ren's opinion of the other parent or impair the child/ren's love
and respect for the other parent.
READINESS: Attorney(s) for
The child/ren shall be ready and promptly available for all custody exchanges. The child/ren shall be
exchanged with sufficient clean clothing appropriate for ordinary activities. We will arrive on time (no more
than 10 minutes early or late) to exchange our child/ren, and we will deliver our child/ren's personal belongings
at the same time we exchange our child/ren. We will assist Office and P.O. Address remember to take the
our young child/ren to
personal belongings and school supplies s/he needs.
HEALTH CARE:Telephone No.:
The child/ren shall be provided with regular health, optical and dental care and each parent shall make sure our
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
PARENTING PLAN
PAGE 4
CAO 6-3 04/12/02
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
JUDICIAL SUBPOENA
Plaintiff(s)
child/ren take(s) his/her prescription medications as directed.
-against:
• In emergencies, each parent can consent to emergency medical treatment for our child/ren as needed.
The intent is to take care of the medical emergency first and communicate with the other parent as soon
:
as possible.
• We will communicate with each other on major health care for our child/ren.
:
• Each parent shall instruct our child/ren’s health care providers to list both parents on the health records.
• Each parent has the right to the child/ren's medical information and records.
Defendant(s)
:
• . .Non-emergency. health. care . . . . . . . . . will . . . made .by: . .(for .each type of care, place an “X’ under “Mother”, “Father”
. . . . . . . . . . . . . . . . . . . . . . decisions . . . be . . . . . . . . .
or “Both Parents”)
Type of Care
By Mother
By Father
By Both Parents
Medical
________
_______
_______
THE PEOPLE OF THE STATE OF NEW YORK
Dental
________
_______
_______
Optical
________
_______
_______
Orthodontic
________
_______
_______
TO
Psychiatric
________
_______
_______
Psychological
________
_______
_______
Special Education
________
_______
_______
GREETINGS:
Addiction Treatment ________
_______
_______
Counseling
________
_______
_______
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
the Honorablecare for the child/ren, whether or not the
at covered by insurance, that would result in an actual out- ,
Court
Any health
located atwho did not incur or consent to the expense, must be approved in
County of
of-pocket expense of over $500 to the parent
in room
, 20
, at
o'clock may
noon, and at consent for
advance, in writing, by , on the
both parents dayby prior court order. (Note: The court in theconsider whetherany recessed
or of
or adjourned date, in excess give evidence as a witness in requested or withheld the
out-of-pocket expensesto testify andof $500 was unreasonably this action on the part of and order payment of the
incurred expense in some percentage other than the Guidelines Income.)
CHILD CARE:
Your failure to provider shall subpoena by [ ] Mother
The work-related child carecomply with thisbe chosenis punishable as a[ contempt of court and will make you liable to
] Father [ ] both parents.
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
If occasional (not work-related) child care is needed, we [ ] shall be [ ]are not required to offer the other
parent the chance to provide this care before seeking someone else to care for our child/ren. The parent who
Witness, Honorable
, one and Justices costs.
has physical custody shall make any needed occasional child care arrangementsof thepay any of the
Court in
County,
day of
, 20
TRANSPORTATION:
[ ]The parent who is receiving our child/ren will pick him/her/them up or arrange to have him/her/them picked up.
or [ ]
(Attorney must sign above and type name below)
Attorney(s) for
.
The actual COSTS of transporting our children beyond ________ miles shall be paid by each parent in the
following percentages: _______% mother _______% father. Office and P.O. Address
RELOCATION BY PARENT:
Neither parent shall move our child/ren more than _________ miles without our mutual written agreement or a
Telephone No.:
court order.
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
PARENTING PLAN
PAGE 5
CAO 6-3 04/12/02
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
JUDICIAL SUBPOENA
Plaintiff(s)
We shall give each other at least _________ days written notice when a decision to move is made. The written
-against:
notice shall contain:
• The new address and mailing address, as soon as it is known
:
• Telephone number, as soon as it is known
• Date move will be made.
:
• __________________________________________________________________________________
Defendant(s)
:
......................................................
OTHER AGREEMENTS REGARDING OUR CHILD/REN:
__________________________________________________________________________________________
__________________________________________________________________________________________
THE PEOPLE OF THE STATE OF NEW YORK
__________________________________________________________________________________________
__________________________________________________________________________________________
TO
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
GREETINGS:
[ ] Attorney Fees: If the court finds one of the parents is in willful disobedience of a provision of this Parenting
Plan, then the parent seeking to enforce that provision is entitled to costs and a reasonable attorney's fee at the
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
discretion of the court.
,
the Honorable
at the
Court
located at
County of
Complete Agreement: By signing this Parenting Plan we state that this written agreement contains the entire
in room
, on the
day of
, 20
at
o'clock in the
noon, and at any recessed
understanding of both parents and no earlier written or verbal ,agreements are enforceable.
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Voluntary Execution: By signing this Parenting Plan, we acknowledge we enter into this Parenting Plan freely,
voluntarily and without any duress or undue force, pressure or influence and intending to be legally bound by the
agreement. Each of us is aware we are entitled to obtain legal counsel concerning any questions we have about
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
this agreement before we sign it.
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Duration: Once this Parenting Plan is made an order of the court, by agreement or by default judgment, it
remains in effect unless modified by court order.
Witness, Honorable
, one of the Justices of the
Court in
County,
day of
, 20
[ ] We understand our unsigned Parenting Plan (or a copy) will be delivered to our attorney(s) for review.
We understand our signed Parenting Plan (or a copy) will: (check all that apply)
[ ] Serve as our interim parenting arrangement until a custody/visitation order is signed by the judge.
(Attorney must sign above and type name below)
[ ] Be delivered to our case judge to be merged and incorporated into the final order in our case, at the discretion
of the judge.
DATE: _____________________
Attorney(s) for
__________________________________________
Signature of Mother
DATE: ______________________
__________________________________________
Address
Signature of Father
Office and P.O.
PARENTING PLAN
CAO 6-3 04/12/02
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
PAGE 6
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
:
Plaintiff(s)
-againstSTATE OF IDAHO
County of _______________
Calendar No.
JUDICIAL SUBPOENA
:
:
)
) ss.
)
:
Defendant(s)
On this ____________ day of ____________________, __________, before me, a Notary Public in and
:
......................................................
for the State, personally appeared _____________________________________________, identified to be the
person whose name is subscribed to the foregoing instrument and acknowledged to me that he/she executed the
same.
IN PEOPLE OF THE STATE OF hereunto set
THEWITNESS WHEREOF, I have NEW YORK my hand and seal the date last above written.
______________________________________________
Notary Public for Idaho
Residing At ____________________________________
My Commission Expires __________________________
TO
GREETINGS:
STATE OF IDAHO
)
WE COMMANDss.
) YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
County of _______________
)
located at
County of
inOn this __________the of ____________________, __________, before the a Notary Public any recessed
room
, on day
day of
, 20
, at
o'clock in me,
noon, and at in and for
the State, personally appeared ___________________________________________, identified to be the person
or adjourned date, to testify and give evidence as a witness in this action on the part of the
whose name is subscribed to the foregoing instrument and acknowledged to me that he/she executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the date last above written.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
______________________________________________
the party on whose behalf this subpoena was issued for a Notary Public for Idaho$50 and all damages sustained as a
maximum penalty of
result of your failure to comply.
Residing At ____________________________________
Commission Expires _____________________________
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
PARENTING PLAN
CAO 6-3 04/12/02
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
PAGE 7
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