Fillable Printable Parenting Plan Example - Idaho
Fillable Printable Parenting Plan Example - Idaho
Parenting Plan Example - Idaho
PARENTING PLAN PAGE 1
CA O FL 3 04/01/2015
CAO FL-3
PARENT ING PLAN
The parents (Father) and (Mother)
shall spend time with their children:
Name Date of Birth
______________________________________________________ __________________
______________________________________________________ __________________
______________________________________________________ __________________
______________________________________________________ __________________
______________________________________________________ __________________
as follows:
1. PARENT RESPONSIBILTIES
When each child is in a parent’s physical custody, the parent will provi de each child with regular and nutritious
food, and clean, appropriate clothing. The parent w ho has each child in his/her care shall make decisions about
each child’s day-to-day care.
2. LOVE AND AFFECTION
Neither parent shall do anything, nor permit any other person residing in their household to do anything, which
would alienate a child from the other parent or distort each child's opinion of the other parent or impair each
child's love and respect for the other parent.
3. INFO RMATION SHARING
The parents shall keep each other informed at all times of their current address and telephone number. The
parents shall keep each other informed of the names and contact information for school and for the work
related child care and health care providers. Prior to any child leaving town longer than _____ days, each
parent shall notify the other parent at least _____ days in advance about the child’s plans, including date of
departure, date of return, destinations, phone where the child can be reached, and airline flight numbers and
times if flying.
The parents shall not:
• question a child about the other parent’s personal life;
• listen in on a child’s conversations on the telephone with the other parent;
• say negative or critical things about the other parent any time a child can hear;
• send messages to the other parent through a child;
• argue or fight in front of a child.
4. READINESS
Each parent shall be responsible to have each c hild ready and promptly available for all custody exchanges –
both pick-up and drop-off. Par ents will arrive within _____ minutes of the time they are scheduled f or the
exchange. If an unavoidable delay occurs, the delayed parent shall contact the other parent immediately. The
parents shall deliver and return each child's perso nal belongings at the same time they exchange each child.
Parents shall assist a child to remember to take the personal belongings and school supplies s/he needs.
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CA O FL 3 04/01/2015
5. PARENTING SCHEDULE
(Include specific day s and time s. It is easier to start with the parent with fewer overnights. F or ex ample: “Each child will be in M other’s care
on the w eekends beginnin g on t he 1
st,
3
rd
and 5
th
Friday s of ea ch month from Friday at 6PM to Sunday at 7PM and Wednesday f rom 5PM
to 7PM.” Then simply write on the other parent’s section, “Each child will be in Father’s care at all times when not in Mother’s care.”)
(A) Except for holidays selected (next page), summer, or school breaks, the parenting schedule is as follows:
Time in Father’s care:
Time in Mother’s care:
(B) During the summer or school break, the parenting schedule will stay the same as the above parenting
schedule
(if box is checked, do not complete the summer s c hedule below) or
Time in Father’s care:
Time in Mother’s care:
6. EXCHANGES AND TRANSPORTATION
(A) The parent who is receiving each child will pick him/her/them up or arrange to have him/her/them
picked up. or
(B) The parents shall keep their conversations with each other short and calm at exchanges.
The parent or their designated substitute will remain in their vehicle and the other parent will remain in
their house during drop off and pick up of each child.
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CA O FL 3 04/01/2015
7. HOLIDAY SCHEDULE
(Write the “Day” (date or day of the week) and “Time” (hour) the child(ren) will begin their time with mother or father under the heading
“Begin” and the “Day” (date or day of the week) and “Time” (hour) the child(ren) will end the time with that parent under the heading
“End.”) For example: “THANKSGIVING Begin Day and Time” write “ Wednesday 5:00 pm. “ End Day and Time” write Sunday 6:00 pm.
Write “Mom” or “Dad” under the headings “Even Years” & “Odd Years”.)
The parents follow the regular parenting schedule for any holidays that are left blank or are crossed off. Where
the Holiday start time is prior to the release of school, the holiday starts when school lets out.
SPECIAL DAYS
(Check t he box for the
holidays you want to
address).
Begin
Day and Time
End
Day and Time
Even
Years
Dad
or
Mom
Odd
Years
Dad
or
Mom
*
Martin Luther King
*
Presidents' Day
Spring Break
Easter
Mother’s Day
* Memorial Day
Father’s Day
Fourth of July
*
Labor Day
Halloween
Thanksgiving Break
December 24
December 25
New Year’s Day
1st Part Christmas
2
nd
Part Christmas
Each Child’s
Birthday(s)
(*Holiday s that are observed on Monday)
The holiday schedule for December 24 and December 25 above takes priority over the Christmas Break
Schedule.
If th e holiday schedule results in a child spending 3 weekends in a ro w with the same par ent, the ot her parent
will have the child the weekend following the holiday weekend.
8. POLICY FOR SCHEDULING CHANGES AND EXTRA CURRICULAR ACTIVITIES
In the event occasional scheduling changes need to be made, a request for such change shall be made as soon
as possible and at least ______hours in advance. Neither parent shall schedule any activities f or a child that
interferes with the other parent’s scheduled time without consulting with the other parent and obtaining his/her
written/electronic consent in advance.
When a child is ill duri ng a schedule d b lock of parenting tim e and canno t be with the ot her parent, this
time shall be made up.
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CA O FL 3 04/01/2015
9. VACATION
Each parent has the option for ______ days of vacation time with each child each calendar year with days
advance writt en or electronic notice to the ot her par ent. Each parent shall provide the other with the details of the
vacation plans with each child. If there is a conflict over vacation:
Mother has priority for vacation in
even-numbered odd-numbered years.
Father has priority for vacation in even-numbered odd-numbered years.
Holidays have priority over vacation time.
10. RELOCATION BY PARENT
A mov e by either parent of more than miles from ___________________________cannot be made
without the parents’ mutual written agreement or a decision by the court that it is in a child’s best interest to
move.
In the event that the parents consent to such a move for a child, the cost of transporting each child between
the two homes will be paid by the moving parent.
11. EDUCATION
• Major decisions about education shall be made by both Mother and Father or
Father Mother
(check one).
• Mother shall be ident ified as “Mother” and Father shall be identified as “Father” on school registration
and other official school documents.
• Parents shall communicate with each other regarding each child’s educational needs.
Unless there is a court order stating otherwise:
• Parents shall tell one another about upcoming parent/teacher conferences. If one parent is unable to
attend a conference, the attending parent shall provide the absent one with verbal and/or written
information.
• Each parent shall communicate with each child’s school.
12. SAFETY
Parents shall:
• Not leave a child a lone or unatt ended until the ag e of ______ years, except when the child is at sc hool or
in known or usual recreational activities or in the immediate care of another competent person.
• Not operate a vehicle when impaired by alcohol or drugs when a child is in the vehicle or use drugs or
alcohol carelessly when a child is in our care.
• Provide and use child safety restraints when driving a child as required by law.
•
13. HEALTH CARE
Parents shall:
• Give each other at least 72 hours notice of all scheduled medical, dental, optical, orthodontic, special
education, counseling appointments, and the purpose for the appointment.
• Each parent shall instruct each child’s health care providers to list both parents on the health records.
• Parents shall communicate with each other on major health care for each child.
• Each parent shall have the right to a child's medical information and records.
PARENTING PLAN PAGE 5
CA O FL 3 04/01/2015
• Each parent shall provide each child with regular health, optical and dental care.
• Each parent shall make sure each child takes his/her prescription medications as prescribed.
All non-emergency health care decisions such as medical, dental, optical, orthodontic, special education, and
counseling, including choice of providers, shall be made by both Mother and Father or
Father Mother
(check one).
Both parents shall use the same health care providers for each child.
In emergencies, each parent shall consent to emergency medical treatment for a child as needed. Parents shall
immediately notify the other parent whenever a child has an illness, accident or injury requiring hospitalization
or emergency treatment by a physician.
Health insurance coverage for each minor child shall be provided by the parent who has health insurance
available at a reasonable cost as a benefit of his/her employment.
The parent that has health, dental or vision insurance coverage for each child shall provide the other parent
with a subscriber card, copies of coverage information, and the preferred providers list, if any.
Within thirty (30) days of receipt, the parent with insurance shall provide the other parent with copies of each
explanation of benefits (EOB) form received.
Any non-emergency health care for a child, whether or not covered by insurance, that would result in an actual
out-of-pocket expense of over $500 to the parent who did not incur or consent to the expense must be
approved in advance, in writing, by both parents or by prior court order.
14. CHILD CARE
The work-related child care provider shall be chosen by Mother Father both parents
(check o ne).
If occasional (not work-related) child care is needed for more than ____ hours, each parent is or is not
required to offer the other parent the chance to provide this care before seeking someone else to care for a
child. The parent on duty shall make any needed occasional child care arrangements and pay any costs.
15. OTHER TERMS REGARDING THE CHILD(REN)
Attorney Fees: If t he court finds one of the parents is in willf ul disobedience of a provision of this Parenting
Plan, then the parent seeking to enforce that provision may be entitled to costs and a reasonable attorney's fee at
the discretion of the court.
Duration: This Parenting Plan remains in effect unless modified by court order.
