IN THE FOURTH CIRCUIT COURT OF DAVIDSON COUNTY, TENNESSEE MINIMUM PARENTING PLAN REQUIREMENTS The Court realizes that child placement and support issues may vary depending upon the facts and circumstances of each case, and that it might not be appropriate to propose a strict parenting plan format. For this reason, the Court defines the minimum requirements for parenting plans with the understanding that the parties may embellish these requirements as the facts and circumstances require. I TEMPORARY PARENTING PLAN T.C.A. §36-6-403 A proposed temporary plan shall contain: 1. Name of each child involved, birth date and Social Security number. 2. A proposed allocation of temporary residential time, holiday time and vacation time. 3. A proposed child support provision, including support obligation, health insurance responsibility, life insurance coverage and education responsibility, if any. 4. A verified income statement. II PERMANENT PARENTING PLAN T.C.A. §36-6-404 A proposed permanent parenting plan shall contain: 1. Name of each child, birth date and Social Security number. 2. A residential schedule defining residential, holiday and vacation time allocated to each parent. -1American LegalNet, Inc. www.USCourtForms.com 3. A child support provision to include: a. Name of obligor parent and amount of payment. b. Payment schedule and method, i.e., direct, wage assignment, etc. c. Health care responsibility. d. Life insurance responsibility. e. Compliance with guidelines statement or reason for deviation. f. Acknowledgment of no reduction or amendment without court approval. 4. A custodial designation as mandated by T.C.A. §36-6-410. 5. An allocation of decision-making authority. See T.C.A. §36-6-407. 6. A provision for alternate dispute resolution as to any unresolved issues unless prohibited by T.C.A. §36-6-406, and with right of either party to apply to the Court if dispute resolution fails. See T.C.A. §366-409. 7. Statement of standard parenting rights. T.C.A. §36-6-101. 8. Verified statement of income. 9. Verified statement that proposed plan is in best interest of child(ren) involved. MURIEL ROBINSON, JUDGE -2American LegalNet, Inc. www.USCourtForms.com