CC-1257 V6 STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 17 th JUDICIAL CIRCUIT COUNTY OF WINNEBAGO IN RE THE MARRIAGE OF: ) ) IN CHANCERY ) ) ) Case No. ) ) ) ) FILE STAMP Petitioner, vs. Respondent. PARENTAL ALLOCATION JUDGMENT [EVERY SECTION MUST BE COMPLETED UNLESS EXEMPTIONS UNDER PARAGRAPH 4 & 5 APPLY] THE COURT ENTERS the following Parental Allocation Judgment after considering all relevant evidence pursuant to the Illinois Marriage and Dissolution of Marriage Act and FINDS. 1. The Petitioner Respondent Other Party has failed to submit a proposed Parenting Plan. 2. The parties are unable to arrive at a Joint Parenting Plan. 3. The Court does not approve of the proposed Parenting Plan of the Petitioner Respondent Other Party Joint Parenting Plans and has made expressed findings of the reason(s) for its refusal to approve of the Plan(s). 4. The personal identifying information regarding the Petitioner Respondent Other Party in subsections 6, 7, 9(b) and 18 is not required to be provided because there is a history of domestic violence or abuse. 5. The Court finds that the Petitioner Respondent Other Party is not required to provide the personal identifying information stated in subsections 6, 7, 9(b) and 18 because disclosure is not in the best interests of the child(ren) or party. 6. The Petitioner, _________________________________________(name), is the child(ren)'s: Father Mother Other Party (state relationship to child(ren): ______________________ The Petitioner's Address is: _____________________________________________________ ____________________________________________________________________________ The Petitioner's Telephone Number is: ____________________________________________ The Petitioner's Employer is: ___________________________________________________ The Petitioner's Employer Address is: ____________________________________________ ____________________________________________________________________________ The Petitioner's Employer Telephone Number is: ___________________________________ 7. The Respondent, ______________________________________(name), is the child(ren)'s: Father Mother Other Party (state relationship to child(ren): ______________________ The Respondent's Address is: ___________________________________________________ ____________________________________________________________________________ Judgment for Parental Allocating Page 1 of 7 American LegalNet, Inc. www.FormsWorkFlow.com CC-1257 V6 The Respondent's Telephone Number is: __________________________________________ The Respondent's Employer is: __________________________________________________ The Respondent's Employer Address is: ___________________________________________ ____________________________________________________________________________ The Respondent's Employer Telephone Number is: __________________________________ 8. The children of this relationship / marriage are: Name of Child Sex Date of Birth 9. Parental Conduct: a) Day-to-day decisions such as minor training or correction, minor medical and dental care, chores, allowances, clothing, hygiene, etc. will be made by the party who has the child(ren) at the time such decisions are necessary. b) The Petitioner Respondent Both Parties shall provide to the other party at least sixty (60) days prior written notice of the intention to change his/her residence. At minimum the party changing his/her residence shall provide the intended date of the change of residence and the address of the new residence. If the sixty (60) day notice is impracticable, written notice shall be given at the earliest practical date. c) Both parties shall provide the names, addresses, and telephone numbers of all medical, dental and mental health care providers. Either party may authorize emergency care, but if possible, both parties shall contact the other party first. d) Pursuant to state law, both parties have access to the records of the child(ren) including school, medical, dental, and mental health records, pursuant to 750 ILCS 5/602.11. [For good cause shown, this Court orders that the Petitioner Respondent Other Party shall not have access to the records of the child(ren) set forth under this section]. e) Travel and Vacation Plans: If either party requires out of state or any type of overnight travel with the child(ren), each party shall inform the other party of such travel and vacation plans, including notice and contact information. 10. Significant Decision Making shall be allocated as follows: Type of Significant Decision Making Educational: Including day care and preschool Medical/Dental/Mental Health: Religious: Extracurricular and Recreational Activities: Other Joint Petitioner Respondent Other Party Judgment for Parental Allocating Page 2 of 7 American LegalNet, Inc. www.FormsWorkFlow.com CC-1257 V6 11. Allocation of Parental Responsibilities (Parenting Time): a) Weekday and Weekend Schedule I. The child(ren) will be in the care of the Petitioner on these days of the week and times. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ II. The child(ren) will be in the care of the Respondent on these days of the week and times. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ The child(ren) will be in the care of Other Party on these days of the week and times. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Transportation and drop-off / pick-up arrangements will be as follows: Petitioner Respondent shall provide all transportation. Or III. IV. Party starting parenting time shall provide transportation. OR Party ending parenting time shall provide transportation. AND The parties shall meet at the following location: ________________________________________________________________ ________________________________________________________________ Other Transportation Provisions: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________