IN THE ____________ COURT OF ________________ COUNTY TENNESSEE _______________________ Mother/Father ) ) ) ) ) _______________________ Father/Mother Case No. ___________ ____ Proposed Plan TEMPORARY PARENTING PLAN Proposed by Mother _____ Proposed by Father _____ Agreed by Parties _____ Ordered by Court _____ This parenting plan applies to the following children: Name ___________________________________ ___________________________________ ___________________________________ ___________________________________ Birthdate _______________________________ _______________________________ _______________________________ _______________________________ RESIDENTIAL TIME: With Mother from _______________________ to _______________________ (Day/Time) (Day/Time) ( ) every other week ( ) every week With Father from _______________________ to _______________________ (Day/Time) (Day/Time) ( ) every other week ( ) every week Other Special Provisions __________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ American LegalNet, Inc. www.USCourtForms.com HOLIDAY and VACATION SCHEDULE DURING THE NEXT SIX MONTHS DAY TO DAY DECISIONS Each parent shall make decisions regarding the day-to-day care and control of each child while the child is residing with that parent. The parents shall otherwise confer with each other. TRANSPORTATION ( ) Father will pick up and return or ( ) Mother will pick up and return or ( ) Other _____________________________________________________ STANDARD PARENTING ORDERS. Pursuant to Tennessee Code Annotated, ' 36-6-101(a) both parents are entitled to the following rights: 1. unimpeded telephone conversations with the child at least twice each week at reasonable times and for a reasonable duration; 2. sending mail to the child which the custodial parent will not open and will not censor; 3. receiving notice and relevant information as soon as practical (but not more than 24 hours) in the event of hospitalization, major illness, or death of the child; 4. receiving, directly from the school, copies of the child=s report cards, = attendance records, teacher=s names, class schedules, standardized test scores, and = other records which are customarily made available to parents. A written request must be made to the school with a current mailing address and payment must be made for the reasonable cost of duplicating and mailing these records; 5. receiving, directly from the child=s physician and other health care providers, = copies of the child's medical records. A written request must be made to the health care provider with a current mailing address and payment must be made for the reasonable cost of duplicating and mailing these records. 6. to be free of derogatory remarks made about the noncustodial parent and his or her family by the custodial parent to the child or in the child's presence; 7. 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 American LegalNet, Inc. www.USCourtForms.com not limited to, the following: (I) School activities; (ii) Athletic activities; (iii) Church activities; and (iv) Other activities as to which parental participation or observation would be appropriate. 8. to receive from the other parent, in the event the other parent leaves the state with the minor child or children for more than two (2) days, an itinerary including telephone numbers for use in the event of an emergency; 9. 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. CHILD SUPPORT The [ ] mother [ ] father will pay child support, in accordance with the Tennessee Child Support Guidelines, in the amount of $__________ ____ weekly ____ monthly ____ every two weeks ____ twice per month ( ) Directly to the other parent or ( ) To the Clerk of the Court ( plus a 5% clerks fee ) at___________________________________________________ or ( ) By wage assignment (see attached order) TOTAL AMOUNT OF CHILD SUPPORT $ ____________ To be paid beginning _____day of _____________, 20____. SPOUSAL SUPPORT [IF APPLICABLE] ( ) Mother ( ) Father shall pay additional support in the amount of $____________ per month beginning ____ day of __________________,2001. OR he/she shall pay the following household bills: ( ( ( ( ( ) ) ) ) ) Mortgage/Taxes/Insurance/Rent Utilities Auto note Auto repairs Auto insurance ( ( ( ( ( ) ) ) ) ) Home repair Lawn care Trash pick up _______________________ _______________________ A:\Temporary Parenting Plan American LegalNet, Inc. www.USCourtForms.com HEALTH, DENTAL AND LIFE INSURANCE and UNCOVERED EXPENSES These policies shall remain in effect during the duration of the divorce proceedings. The spouse and/or children shall be the beneficiaries. All uncovered medical and dental bills will be paid by (__) father (__) mother (__) split between the parties. _____________________________ Mother __________________________ Date _____________________________ Father ___________________________ Date IT IS SO ORDERED ADJUDGED AND DECREED this _____ day of _____________________, 2001. ______________________________ JUDGE A:\Temporary Parenting Plan American LegalNet, Inc. www.USCourtForms.com