IN THE ______________ COURT F OR ______________ COUNTY, TENNESSEE __________________________________, P LAINTIFF * * * * * * * vs. __________________________________, DEFENDANT NO. ______________________ DIVISION/P ART ______________ TEMPORARY P ARENTING PLAN This Plan is: proposed by Plaintiff. proposed by Defendant. approved as provided herein This Temporary Parenting Plan is entered into and agreed to by and between: ______________________________________ [name of mother] (hereinafter referred to as “ Mother” ) and ______________________________________ [name of father] (hereinafter referred to as “ Father” ) with respect to the parenting of their minor child(ren). This plan has been reached by agreement mediation other Alternative Dispute Resolution Court hearing held on _________. [date] 1. SHARED P ARENTING: The parties will share parenting of their minor child(ren): Primary residence for purposes of Uniform Child Custody Jurisdiction Act, T.C.A. § 36-6-201, et seq. is: 1.1 _________________________________________ _______________ [child’ s name] Mother Father Mother Father Mother Father Mother Father [child’ s DOB] 1.2 _________________________________________ _______________ [child’ s name] [child’ s DOB] 1.3 _________________________________________ _______________ [child’ s name] [child’ s DOB] 1.4 _________________________________________ _______________ [child’ s name] [child’ s DOB] 1 American LegalNet, Inc. www.USCourtForms.com 2. S UPPORT: In order to maintain the financial status quo of the child(ren) pending this action, Mother Father will pay Mother Father the sum of $______________ as temporary child support, subject to the further orders of the Court. 3. RESIDENTIAL SHARING S CHEDULE: The parties have agreed to the following residential sharing schedule, which is approved by the Court and as to which the Court specifically finds there is no substantial danger of harm to the child(ren). OR Both parties have submitted proposed Temporary Parenting Plans, together with verified statements of income and the verified statements required by T.C.A. §36-6-407(b)(2), and the Court has conducted a hearing on those plans (or mediation has been conducted with respect to those plans). Pursuant to the provisions of T.C.A. §36-6-407(b) the Court finds this Temporary Parenting Plan is in the best interest of the child(ren). The parties have agreed, and the Court finds it to be in the best interests of the child(ren), that there be equal alternating residence as follows: ______________________________ ________________________________________________________________________ [specifics of residence] OR The parties have been unable to agree, and the following residential provisions are made for the child(ren): A. Resides with Mother the following days and times: ________________________ __________________________________________________________________ B. Resides with Father the following days and times: ________________________ __________________________________________________________________ C. Holiday sharing time: 1) Mother’ s sharing time: 2) Father’ s sharing time: Birthday sharing time: 1) Mother’ s sharing time: 2) Father’ s sharing time: Vacation sharing time: 1) Mother’ s sharing time: 2) Father’ s sharing time: D. E. ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ The parent with whom the child(ren) reside(s) may make day to day decisions for the child(ren). Regardless of the allocation of residential time, either parent may make emergency decisions affecting the health and safety of the child(ren). 2 American LegalNet, Inc. www.USCourtForms.com 4. RIGHTS OF P ARENT WHEN C HILD NOT IN THAT P ARENT’S CARE: The following are the rights of a parent when the child(ren) is/are not in the care of that parent, unless those rights are denied in whole or in part by the Court upon a showing that such denial is in the best interests of the child(ren). 1. The right to unimpeded telephone conversations with the child(ren) at least twice a week at reasonable times and for reasonable durations; 2. The right to send mail to the child(ren) which the other parent shall not open or censor; 3. The right to receive notice and relevant information as soon as practicable, but within twenty-four (24) hours of any event of hospitalization, major illness or death of the child(ren); 4. The right to receive directly from the child’ s school upon written request, which includes a current mailing address, and upon payment of reasonable costs of duplication, copies of the child’s report card, attendance records, names of teachers, class schedule, standardized test scores and any other records customarily made available to parents; 5. The right to receive, directly from the child’s physician and other health care providers, copies of the child’ s medical records, provided that a written request has been made to the provider, with a current mailing address and payment for the reasonable cost of duplicating and mailing the records; and 6. The right to be free of unwarranted derogatory remarks made about him, or her, or his or her family, by the other parent to or in the presence of the child(ren). 7. The right to be given at least forty-eight (48) hours notice, whenever possible, of all extra-curricular activities, and the opportunity to participate or observe, including, but not limited to, the following: (a) School activities; (b) Athletic activities; (c) Church activities; and (d) Other activities as to which parental participation or observation would be appropriate. 8. The right to receive from the other parent, in the event the other parent leaves the state with the minor children for more than two (2) days, an itinerary including telephone numbers for use in the event of an emergency; and 9. The right of access and participation in education, including the right of access to the minor child or children for lunch and other activities, on the same basis that is provided to all parents, provided the participation or access is reasonable and does not interfere with day-to-day operations or with the child’ s educational performance. 3 American LegalNet, Inc. www.USCourtForms.com 5. MISCELLANEOUS: If a parent fails to comply with a provision of this plan or support order, the other parent’ s obligations under the plan, or the support order, are not affected. Failure to comply with a provision in the plan or support order may result in a finding of contempt. Under penalty of perjury under the laws of the State of Tennessee, I declare this plan has been proposed in good faith and is in the best interest of the child(ren) and that the statements herein are true and correct. _________________________________________ [Mother] _________________________________________ [Date and Place Signed] ______________________________________ _________________________________________ [Father] _________________________________________ [Date and Place Signed] ______________________________________ 4 American LegalNet, Inc. www.USCourtForms.com