Fillable Printable Blank Parenting Plan - Illinois

Blank Parenting Plan - Illinois

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Parenting Plan Form Page 1 of 7

STATE OF ILLINOIS

IN THE CIRCUIT COURT OF THE 17

JUDICIAL CIRCUIT

COUNTY OF WINNEBAGO

)

) IN CHANCERY

)

Petitioner, )

) Case No.

vs. )

)

Respondent. )

PARENTING PLAN

Parenting Plan:

Parenting Plan prepared by ☐Petitioner ☐Respondent ☐Other Party:__________________.

☐The Parties are unable to arrive at a Joint Parenting Plan.

☐

Full Joint Parenting Plan (The parties agree to everything and the plan is signed by both parties.)

☐Partial Joint Parenting Plan (We agree to some things and the plan is signed by both parties.)

☐The personal identifying information regarding the ☐Petitioner ☐Respondent ☐Other

Party in subsections 4, 5, 7(b) and 15 is not required to be provided because there is a history

of domestic violence or abuse.

☐The Court has found that the ☐Petitioner ☐Respondent ☐Other Party is not required to

provide the personal identifying information stated in subsections 4, 5, 7(b) and 15 because

disclosure is not in the best interests of the ☐child(ren) or ☐party.

The Petitioner, _________________________________________(name), is the child(ren)’s:

☐Father ☐Mother ☐Other Party (state relationship to child(ren): ______________________

The Petitioner’s Address is: _____________________________________________________

____________________________________________________________________________

The Petitioner’s Telephone Number is: ____________________________________________

The Petitioner’s Employer is: ___________________________________________________

The Petitioner’s Employer Address is: ____________________________________________

____________________________________________________________________________

The Petitioner’s Employer Telephone Number is: ___________________________________

The Respondent, ______________________________________(name), is the child(ren)’s:

☐Father ☐Mother ☐Other Party (state relationship to child(ren): ______________________

The Respondent’s Address is: ___________________________________________________

____________________________________________________________________________

The Respondent’s Telephone Number is: __________________________________________

The Respondent’s Employer is: __________________________________________________

FILE STAMP

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Parenting Plan Form Page 2 of 7

The Respondent’s Employer Address is: ___________________________________________

____________________________________________________________________________

The Respondent’s Employer Telephone Number is: __________________________________

The children of this relationship / marriage are:

Name of Child

Sex

Date of Birth

Parental Conduct:

a) The Parties understand that day-to-day decisions such as minor training or correction,

minor medical and dental care, chores, allowances, clothing, hygiene, etc. will be made

by the party who has the child(ren) at the time such decisions are necessary.

b) The ☐Petitioner ☐Respondent ☐parties shall provide to the other party at least sixty

(60) days prior written notice of the intention to change his or her residence. At

minimum, the party changing his or her residence shall provide the intended date of the

change of residence and the address of the new residence. If the sixty (60) day notice is

impracticable, written notice shall be given at the earliest practical date.

c) Both Parties will provide the names, addresses, and telephone numbers of all medical,

dental, and mental health care providers. Either party may authorize emergency care,

but if possible, both parties agree to contact the other party first.

d) Unless otherwise ordered by the Court for good cause shown, state law provides that

both parties have access to the records of the child(ren) including school, medical,

dental, and mental health records, pursuant to 750 ILCS 5/602.11.

Significant Decision Making shall be allocated as follows:

Type of Significant Decision

Making

Joint

Petitioner

Respondent

Other Party

Educational: Including day

care and preschool

Medical/Dental/Mental Health:

Religious:

Extracurricular and

Recreational Activities:

Other

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Allocation of Parental Responsibilities (Parenting Time):

a) Weekday and Weekend Schedule during the School Year

I. The child(ren) will be in the care of the Petitioner. List the days of the week and

times.

________________________________________________________________

II. The child(ren) will be in the care of the Respondent. List the days of the week

and times.

________________________________________________________________

III. The child(ren) will be in the care of Other Party. List the days of the week and

times.

________________________________________________________________

IV. Transportation and drop-off / pick-up arrangements will be as follows:

☐Petitioner ☐Respondent shall provide all transportation.

☐Party starting parenting time shall provide transportation. OR

☐Party ending parenting time shall provide transportation. AND

☐The parties shall meet at the following location:

________________________________________________________________

Other:

________________________________________________________________

V. Restriction of parenting time:

☐Not applicable

☐The parenting time between the child(ren) and ☐Petitioner ☐Respondent is

restricted as follows:

________________________________________________________________

☐Length of restriction:

________________________________________________________________