STATE OF MAINE District Court Location Docket No. Plaintiff SCHEDULE OF PARENTAL RIGHTS AND RESPONSIBILITIES v. Defendant 1. PARENTAL RIGHTS AND RESPONSIBILITIES. A. Shared parental rights and responsibilities of the minor child(ren) is allocated to the parties. Under Maine law, "Shared Parental Rights and Responsibilities" means that most or all aspects of a child's welfare remain the joint responsibility and right of both parents, so that both parents retain equal parental rights and responsibilities, and both parents confer and make joint decisions regarding the child's welfare. Matters pertaining to the child's welfare include, but are not limited to, education, religious upbringing, medical, dental and mental health care, travel arrangements, child care arrangements and residence. Parents who share parental rights and responsibilities shall keep one another informed of any major changes affecting the child's welfare and shall consult in advance to the extent practicable on decisions related to the child's welfare. Sole parental rights and responsibilities is awarded to Plaintiff Defendant because: ___________ __________________________________________________________________________________ __________________________________________________________________________________ Other: B. Primary physical residence of the minor child(ren) is allocated to: Plaintiff Defendant. Primary physical residence of the minor child(ren) will be shared by the parties. C. Reasonable rights of contact with the minor child(ren) are allocated to the other party. Specific rights of contact with the minor child(ren) are allocated to the other party, as follows: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ No rights of contact with the minor child(ren) are allocated to the other party. 2. ACCESS TO CHILD(REN)'S RECORDS. Each parent must have access to records and information pertaining to a minor child of the parties, including, but not limited to, medical, dental and school records and other information on school activities, whether or not the child resides with the parent. 3. RELOCATION OF CHILD[REN]'S RESIDENCE. A parent who intends to relocate the residence of a child who is subject to this Order must provide the other parent prior actual notice at least 30 days before the intended relocation. Such notice shall include the address and, if known, the telephone number of the residence where the parent intends to relocate the child. If the relocation must occur in less than 30 days, the parent who is relocating shall provide notice as soon as possible to the other parent. If the parent who is relocating believes notifying the other parent will cause danger to the parent or the child, the relocating parent shall notify the appropriate Court of the intended relocation. The Court then having jurisdiction of the matter shall provide appropriate notice to the other parent in a manner determined to provide safety to the relocating parent and child. Date: Judge / Magistrate FM-140, 09/05 American LegalNet, Inc. www.USCourtForms.com