RCW 26.09.231, 26.18.230 Mandatory Form ( 07/2017 ) FL Divorce 243 Residential Time Summary Report p. 1 of 2 Superior Court of Washington, County of In re the marriage / domestic partnership of: Petitioner (person who started this case) : And Respondent (other spouse / partner) : No. Residential Time Summary Report (RTSR) Residential Time Summary Report Submit with final Parenting Plan, only. 1. The Parenting Plan The court signed the Parenting Plan on (Date) . It was: by agreement of the parties after a contested hearing or trial by default It is: an original order a modification of a prior order How many children under the parenting plan have the residential schedule summarized in paragraph 2, below? 2. Parenting Time Schedule (Residential Provisions) from the Parenting Plan If the same schedule does not apply to all children, fill out a separate Residential Time Summary Report for each schedule. Check the box that comes closest to representing the time sp ent with each parent: % of time the children spend with Petitioner % of time the children spend with Respondent 0% 100% 10% 90% 20% 80% 30% 70% 40% 60% 50% 50% 60% 40% 70% 30% 80% 20% 90% 10% 100% 0% American LegalNet, Inc. www.FormsWorkFlow.com RCW 26.09.231, 26.18.230 Mandatory Form ( 07/2017 ) FL Divorce 243 Residential Time Summary Report p. 2 of 2 3. Information about the Parents Petitioner : has the following relationship to the child(ren) mother father , and is self - represented represented by an attorney. The court found under sections 3 .a. and 3 .b. from the Parenting Plan: does not app ly, or Petitioner committed domestic violence abused or neglected a child has chemical dependency issues has mental health issues other: Respondent : has the following relationship to the child(ren) mother father , and is self - represented represented by an attorney. The court found under sections 3 .a. and 3 .b. from the Parenting Plan: does not apply, or Respondent committed domestic violence abused or neglected a child has chemical dependency issues has mental health issues other: 4. Dispute Resolution from section 6 of the Parenting Plan Arbitration Mediation Counseling No dispute resolution process except court action Prepared by: , on (date) . American LegalNet, Inc. www.FormsWorkFlow.com