Parenting Plan Form Example - Georgia - Edit, Fill, Sign Online

In all cases involving permanent custody or custody modification (except when a

parent seeks emergency relief for family violence), each parent shall prepare and

submit a parenting plan, or the parties may jointly submit a parenting plan, as

directed by the Judge.

The parenting plan should be tailored to fit the needs of each individual family but

must at a minimum contain the information required by OCGA section 19-9-1 (b)

and be presented in substantially the following form:

__________________COUNT

Y SUPERIOR COURT

STATE OF

GEORGI

A

)

Plaintiff, ) Civil Action

)

vs. ) Case Number ________________

)

Defendant. )

PARENTING PLAN

( ) The parties have agreed to the terms of this plan and this information has been

furnished by both parties to meet the requirements of OCGA Section 19-9-1. The

parties agree on the terms of the plan and affirm the accuracy of the information

provided, as shown by their signatures at the end of this order.

( ) This plan has been prepared by the judge.

This plan ( ) is a new plan.

( ) modifies an existing

Parenting Plan dated ____________________.

( ) modifies an existing Order dated ___________________________.

Child’s Name Date of Birth

________________________________________________________________

A. Legal Custod

y shall be (choose one:)

( ) with the Mother

( ) with the Father

( ) Joint

B. Primary Physical Custodian

For each of the children named below the primary physical custodian shall be:

d/o/b: ( ) Mother ( ) Father ( ) Joint

WHERE J

OINT PHYSICAL CUSTODY IS CHOSEN BY THE PARENTS OR ORDERED

BY THE COURT, A DETAILED PLAN OF THE LIVING ARRANGEMENTS OF THE

CHILD(REN) SHALL BE ATTACHED AND MADE A PART OF THIS PARENTING

PLAN.

C. Day-To-Day Decisions

Each parent shall make decisions regarding the day-to-day care of a child while

the child is residing with that parent, including any emergency decisions affecting

the health or safety of a child.

D. Major Decisions

Major decisions regarding each child shall be made as follows:

Educational decisions ( ) mother ( ) father ( ) joint

Non-emergency health care ( ) mother ( ) father ( ) joint

Religious upbringing ( ) mother ( ) father ( ) joint

Extracurricular activities ( ) mother ( ) father ( ) joint

_____________________ ( ) mother ( ) father ( ) joint

E. Disagreements

Where parents have elected joint decision making in Section I.D above, please

explain how any disagreements in decision-maki

ng will be re

solved.

________________________________________________________________

I. Custod

y and Decision Making:

________________________________________________________________

II. Parenting Time/Visitation Schedules

A. Parentin

g Time/Visitation

During the term of this parenting pla

n the non-custodial parent shall have at a

minimum the following rights of parenting time/ visitation (choose an item):

( ) The weekend of the first and third Friday of each month.

( ) The weekend of the f

irst, third, and fifth Friday of each month.

( ) The weekend of the

second and fourth Friday of each month.

( ) Every other weekend starting on

_________________________________.

( ) Each _________ sta

rting at _________a.m./p.m. and ending __________

a.m./p.m.

( ) Other: ______________________________________________________

( ) and weekday parenting time/ visitation on (cho

ose an item):

( ) None

( ) Every Wednesday Evening

( ) Every other Wednesday during the week prior to a non-visitation

weekend.

( ) Every ___________________ and _____________ evening.

( ) Other: ______________________________________________

____________________________________________________

For purposes of this parenting plan, a weekend will start at ______ a.m./p.m. on

[Thursday / Friday / Saturday / Other: _____________ ] and end at _______

a.m./p.m. on [Sunday / Monday / Ot

her: _________________ ].

Weekday vi

sitation will begin at _____ a.m./p.m. and will end [___p.m. / when the

child(ren) return(s) to school or day care the next morning / Other:_____________ ].

This parenting schedule begins:

( ) ____________

________________________ OR ( ) date of the Court’s Order

(day and time)

Thanksgiving

The day to day s

chedule shall apply unless other arrangements are set forth:

________________________________________________________________

____________________________ beginning _______

_____________________.

Winter Vacation

The ( ) mother ( ) father shall have t

he child(ren) for the first

period from the day

and time school is dismissed until December ______ at __________ a.m./p.m. in

( ) odd numbered years ( ) even numbered years ( ) every year. The other parent

will have the child(ren) for the second period from the day and time indicated

above until 6:00 p.m. on the evening before school resumes. Unless otherwise

indicated, the parties shall alternate the first and second periods each year.

Other agreement of the parents:

________________________________________________________________

__________________________________________________________

______.

Summer Vacation

Define summer vacation period:

__________________________________

_______________________________

The day to day schedule shall apply

unless other arrangements are set forth:

________________________________________________________________

_______________________________ beginning ______

Spring Vacation (if applicable)

Define:___________________________________________________________

The day to day schedule shall apply

unless other arrangements are set forth:

________________________________________________________________

_______________________________ beginning _______________

Fall Vacation (if applicable)

Define:___________________________________________________________

B. Major Holidays and

Vacation Periods

________________________________________________________________

The day to day schedule shall apply unless other arrangements are set f

orth:

________________________________________________________________

____________________________ beginning ___________________________.

C. Other Holiday Sched

ule (if applicable)

Indicate if child(ren) will be with the parent in ODD or EVEN numbered years or

indicate EVERY year:

MOTHER FATHER

_________________ __________________

Martin Luther King Day

Presidents’ Day

Mother’s Day

Memorial Day

Father’s Day

July Fourth

Labor Day

Halloween

Child(ren)’s Birthday(s)

Mother’s Birthday

Father’s Birthday

Religious Holidays:

_________________ __________________

Other: ________________

_________________

__________________

Other: ________________ _________________ __________________

_________________ __________________

D. Other extended periods of time during school, etc. (refer to the school

schedule)

________________________________________________________________

E. Start and end dates for holiday visitation

For the purposes of this parenting plan, the holiday will start and end as follows

(choose one):

( ) Holidays that fall on Friday will include the foll

owing Saturday and Sunday

( ) Holidays that fall on Monday will include the preceding Saturday and Sunday

_________________ _________________

( ) Other: _______________________________________________________

F. Coordination of Parenting Schedules

Check if app

licable:

( ) The holiday parenting time/visitation

schedule takes precedence over the

regular parenting time/visitation schedule.

( ) When the child(r

en) is/are with a parent for an extended parenting

time/visitation period (such as summer), the other parent shall be entitled to visit

with the child(ren) during the extended period, as follows:

________________________________________________________________________

G. Transportation Arrangements

For visitation, the place of meeting for the exchange of the child(ren) shall be:

________________________________________________________________

The ___________

will be responsible for transp

ortation of the child at the

beginning of visitation.

The

___________

will be responsible for transp

ortation of the child at the

conclusion of visitation.

Transportation costs,

if any, will be allocated as follows:

______________________________________________________________

Other provisions: ___________________________________

_____________

H. Contacting the child

When the child or children are in the

physical custody of one parent, the other

parent will have the right to contact the child or children as follows:

( ) Telephone

( )

Other:___________________________________________________________

________________________________________________________________

( ) Limitations on contact:

________________________________________________________________

( ) Check here if Applicable

Supervised parenting time shall apply during the day-to-day schedule a

s follows:

Place: _______________________________________________________

Person/Organization supervising: _________________________________

Responsibility for cost:

( ) mother ( ) father ( ) both equally

J. Communication Provisions

Please check:

( ) Each parent shall prom

ptly notify the other parent of a change of address,

phone number or cell phone number. A parent changing residence must give at

least 30 days notice of the change and provide the full address of the new

residence.

( ) Due to prior acts of family violence, the addre

ss of the child(ren) and victim of

family violence shall be kept confidential. The protected parent shall promptly

notify the other parent, through a third party, of any change in contact information

necessary to conduct visitation

.

III. Access to Records and Information

Rights of the Parents

Absent agreement to limitations or court ordered limitations,

pursuant to

O.C.G.A. § 19-9-1 (b) (1) (D), both parents are entitled to access to all of the

child(ren)’s records and information, including, but not limited to, education,

health, extracurricular activities, and religious communications. Designation as a

non-custodial parent does not affect a parent’s right to equal access to these

records.

Limitations on access rights:

________________________________________________________________

Other Information Sharing Provisions:

________________________________________________________________

I. Supervision of Parenting Time (if applicable)

________________________________________________________________

IV. Modification of Plan or Disagreements

Parties may, by mutual agreement, vary the parenting time/visitation; how

ever, such

agreement shall not be a binding court order. Custody shall only be modified by court

order.

Should the parents disagree about this parentin

g plan or wish to modify it, they must

make a good faith effort to resolve the issue between them.

V. Special Considerations

Please attach an addendum detailing any special

circumstances of which the Court

should be aware (e.g., health issues, educational issues, etc.)

______________________________________________________________________

VI.

Parents’ Consent

Please review the following and initial:

1. We recognize that a close and continuing parent-

child relationship and continuity

in the child’s life is in the child’s best interest.

Mother’s Initials: ___________

Father’s Initials: ____________

2. We recognize that our child’s need

s will change and grow as the child matures;

we have made a good faith effort to take these changing needs into account so

that the need for future modifications to the parenting plan are minimized.

Mother’s Initials: ____________ Father’s Initials: ____________

3. We recognize that the parent with physical custo

dy will make the day-to-day

decisions and emergency decisions while the child is residing with such parent.

Mother’s Initials: __________

Father’s Initials: _____________

( ) We knowingly and voluntarily agree on the t

erms of this Parenting Plan. Each of

us affirms that the information we have provided in this Plan is true and correct.

______________________________ _______________________________

Father’s Signature

Mother’s Signature

Civil Action File Number 

ORDER

The Court has reviewed the foregoing Parenting Plan, and it is hereby made the Order of

this Court.

SO ORDERED, this _____________________________________, 20 _____ .

________________________________________

JUDGE,SuperiorCourts

SouthernJudicialCircuit

__________________COUNT

Y SUPERIOR COURT

STATE OF

GEORGIA

)

________________________________________________________________

Plaintiff, )

)

vs. )

Civil Action

Case Number ________________

)

________________________________________________________________

Defendant. )

Fillable Printable Parenting Plan Form Example - Georgia

Fillable Printable Parenting Plan Form Example - Georgia

Parenting Plan Form Example - Georgia