N ebraska State Court Form DC 6:15(8) NEW 10/18 Neb. Rev. Stat. 247247 43-2920 226 43-2943.ORDER FOR MODIFICATION (PARENTING PLAN) Page 1 of 3 Order for Modification of Parenting Plan DC 6:15(8) New 10/18 IN THE DISTRICT COURT OF COUNTY, NEBRASKA (county where the original action was filed) , (name of plaintiff in the original action) Plaintiff, vs. , (name of defendant in the original action) Defendant. Case No. CI (case number in original action) ORDER FOR MODIFICATION (PARENTING PLAN) This matter came before the County District Court (county where the original action was filed) on , for a hearing on the plaintiff222s, defendant222s (date of the hearing) Complaint for Modification of Custody or Parenting Plan. The plaintiff, defendant in the original case is the complainant in this action and appeared in court without an attorney. was, was not present and was, was not (name of other party) represented by counsel . (name of the other party222s attorney) The court heard testimony and received exhibits into evidence. Based on all of the evidence before the court, the court finds as follows: Findings of Fact: 1.On this court entered a decree of dissolution, (date of the most recent decree or order that included a parenting plan) order of modification OR order establishing paternity, a parenting plan, and child support. As part of that decree or order, the court ordered a parenting plan. 2.The plaintiff, defendant filed the Complaint for Modification of Custody or Parenting Plan on . (date that you filed the Complaint for Modification) 3.More than 30 days have passed since service was perfected or a Voluntary Appearance was filed.4. entered a voluntary appearance on(name of the other party).(the clerk of the district court will enter this date) American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 3 Order for Modification of Parenting Plan DC 6:15(8) New 10/18 5.This Court has jurisdiction over the parties to this proceeding and over the issue pending before it aspart of its ongoing jurisdiction in family law matters.6.The parties have child(ren) whose welfare is affected by this modification (number of children) 7.There has been a material change in circumstances since the date the original decree or order wasentered. The material change in circumstances affects the best interests of the child(ren).8.It is in the best interests of the minor child(ren) that the parenting plan be modified.9.A Parenting Plan developed by both parties the plaintiff the defendant is attached tothis Order and incorporated herein by reference. The court finds the Parenting Plan complies with theParenting Act and is in the best interests of the minor child(ren). The (plaintiff or defendant) should contribute to the support of the minor children. IT IS THEREFORE ORDERED, ADJUDGED AND DECREED as follows: 10.Legal and physical custody: is awarded sole legal and sole physical custody of the child(ren). The parents are awarded joint legal custody of the child(ren). Sole physical custody of the child(ren) is awarded to . The parents are awarded joint legal and joint physical custody of the child(ren). 11.A Parenting Plan developed in accordance with the Parenting act is attached to this Decree and isincorporated by reference. The parties are ordered to abide by its terms.12.Child support:Beginning on , and on the first day of each subsequent month, the (plaintiff or defendant) shall pay child support in the amounts listed: $ per month for children $ per month for children $ per month for children $ per month for one child. Upon the occurrence of any of the following events, child support shall terminate effective the first day of the month following the event: a child turns 19 years of age; a child marries; the Court finds a child is emancipated. Neither party shall pay the other child support. American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 3 Order for Modification of Parenting Plan DC 6:15(8) New 10/18 13.Health insurance: shall provide health insurance for the dependent minorchildren. (for sole physical custody) shall pay the first $480.00 of reasonable and necessary health care costs per child per year. shall pay % of all nonreimbursed reasonable and necessary child(ren)222s health care costs in excess of $480.00 per year. (for joint physical custody) Plaintiff shall pay % and Defendant shall pay % of all nonreimbursed reasonable and necessary child(ren)222s health care costs. 14. Child care costs: (for sole physical custody) shall pay % of any child care costs which are due to the employment of or to allow to obtain training or education necessary to obtain a job or enhance earning potential. (for joint physical custody) Plaintiff shall pay % and Defendant shall pay % of any child-care costs which are due to the employment of or to allow to obtain training or education necessary to obtain a job or enhance earning potential. The parties shall pay their own costs.(If applicable) Delinquent child support shall accrue interest at % per annum.All provisions of this Court222s Decree of Dissolution, entered shallremain in full force and effect unless specifically modified herein. Dated : . BY THE COURT JUDGE American LegalNet, Inc. www.FormsWorkFlow.com