Fillable Printable Parenting Plan Form - New York
Fillable Printable Parenting Plan Form - New York
Parenting Plan Form - New York
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF NEW YORK - PART
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Plaintiff, Index No.
-against-
PARENTING PLAN
Defendant.
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This Plan is:
Proposed by Plaintiff.
Proposed by Defendant.
1. INFORMATION ABOUT THE CHILD[REN]:
Full Name Date of Birth Gender
2. PARENTING TIME SCHEDULE:
2.1 Weekday and Weekend Schedule.
Our child[ren] will be in the care of (list days
of
(name of parent)
week and times):
Our child[ren] will be in the care of (list
days
(other parent’s name)
of week and times):
2.2 Summer Schedule.
Choose One:
The schedule described above in Section 2.1 will continue throughout
the summer except that
OR
The schedule for time with our child[ren] will be different during the
summer than it is in the winter (describe below):
Our child[ren] will be in the care of (list
(name of parent)
days of the week and times):
AND
Our child[ren] will be in care of (list days
(other parent’s name)
of the week and times):
PARENTING PLAN REV 6/13 page 2.
2.3 Holiday Schedule.
The following holiday schedule will take priority over the regular weekday,
weekend, and summer schedules discussed above. If a holiday is not
specified as even, odd or every year with one parent, then our child[ren]
will remain with the parent they are normally scheduled to be with.
Check One or Both:
When parents are using an alternating weekend plan and the holiday
schedule would result in one parent having the child[ren] for three
weekends in a row, the alternating weekend pattern will restart, so neither
parent will go without having the child[ren] for more than two weekends in
a row.
If a parent has our child[ren] on a weekend with an unspecified
holiday or non-school day attached, they shall have our child[ren] for the
holiday or non-school day.
Fill in the blanks below with the parent’s name to indicate where the
child[ren] will be for the holidays. Provide beginning and ending times.
Holidays Even Years Odd Years Every Year Beginning/Ending Times
Mother’s Day
Father’s Day
Thanksgiving For Thanksgiving,
Christmas Eve,
Christmas Eve Christmas, New
Year’s Eve, and
Christmas New Year’s, PROVIDE
ADDITIONAL DETAILS
New Year’s Eve BELOW in SECTIONS
2.4 and 2.5
New Year’s
Martin Luther
King Day
President’s Day
PARENTING PLAN REV 6/13 page 3.
Easter
Memorial Day
Fourth of July
Labor Day
Halloween
Veteran’s Day
Other:
2.4 Thanksgiving. Details for sharing time with the child[ren] during this
holiday are:
2.5 Winter Break (Christmas, New Year’s, and School Vacation).
Choose One:
Our child[ren] will be in the care of each parent according to the
schedule described in Section 2.1.
OR
Our child[ren] will spend half of Winter Break with each parent on a
schedule that is consistent with the alternating holidays described above.
OR
Other: Details for sharing time with the child[ren] during Christmas
Eve, Christmas Day, New Year’s Eve and New Year’s Day and school
vacation are:
PARENTING PLAN REV 6/13 page 4.
2.6 Spring Break.
Choose One:
Our child[ren] will be in the care of each parent according to the
schedule described in Section 2.1.
OR
Our child[ren] will alternate spending spring break with each parent
(indicate which parent).
With in even years.
With in odd years.
OR
Our child[ren] will spend half of spring break with each parent
(provide details):
2.7 Child[ren]’s Birthdays.
Choose One:
Our child[ren] will be in the care of each parent according to the
schedule described in Sections 2.1 and 2.2.
OR
Our child[ren]’s birthdays will be planned so that both parents
participate in the birthday celebration.
OR
PARENTING PLAN REV 6/13 page 5.
Our child[ren] will celebrate birthdays according to the following plan
(indicate which parent has the child[ren], and any other important details.:
2.8 Other Holiday and Vacations. Details for sharing time with the
child[ren] during other holidays or vacation are:
2.9 Number of Overnights.
Our schedule for sharing time with our child[ren] results in our child[ren]
spending overnights in the home of (name of
one parent) and overnights in the home of
(name of other parent).
2.10 Primary Residence (Optional).
We agree that our child[ren] shall primarily reside with
(name of one parent).
We agree that neither residence shall be considered the “primary”
residence.”
2.11 Alternate Care (Optional).
We choose not to specify arrangements for alternate care.
Our arrangements for alternate care are:
PARENTING PLAN REV 6/13 page 6.
2.12 Temporary Changes to the Schedule.
Any schedule for sharing time with our child[ren] may be changed as long
as both parents agree to the changes ahead of time
in writing OR
verbally (choose one).
Activities scheduled during the other parent’s time must be coordinated
with the other parent.
Makeup and Missed Parenting Time: Only substantial medical reasons
will be considered sufficient for postponement of parenting time. If a child
is ill and unable to spend time with a parent, a makeup parenting time will
be scheduled. If a parent fails to have the child[ren] during their
scheduled parenting time for any other reason, there will be no makeup
of parenting time unless the parties agree otherwise
in writing.
2.13 Permanent Changes to the Schedule.
We understand that, once the judge signs the final judgment in our case
and approves this Parenting Plan, any changes that we do not agree on
can be made only by applying to the court and proving that there has
been a “change in circumstance.”
Before applying to the court, we understand that we can agree to try to
resolve our dispute through mediation or other means.
3. DECISION-MAKING:
3.1 Day-to-Day Decisions.
Each parent will make day-to-day decisions regarding the care and
control of our child[ren] during the time they are caring for our child[ren].
This includes any emergency decisions affecting the health or safety of
our child[ren].
3.2. Major Decisions.
PARENTING PLAN REV 6/13 page 7.
Major decisions include, but are not limited to, decisions about our
child[ren]’s education, non-emergency healthcare, religious training, and
extracurricular activities, including summer camp and the need for
tutoring.
Choose One:
(parent’s name) shall have sole
decision-making authority on major decisions about our child[ren]. This
arrangement is known by the courts as Sole Custody,
OR
Both parents will share in the responsibility for making major
decisions about our child[ren]. This arrangement is known by the courts
as Joint Custody.
AND (Choose One).
(Parent’s name) shall always consult with the
other parent prior to making major decisions.
(Parent’s name) shall have the option to consult
with the other parent prior to making major decisions.
OR
Other - - Describe how major decisions will be handled; including
dividing the responsibility for major decisions between the parents
according to each parent’s strengths/weaknesses:
4. INFORMATION SHARING:
Unless there is court order stating otherwise:
Both parents are entitled to important information regarding our child[ren]
PARENTING PLAN REV 6/13 page 8.
including but not limited to, our child[ren]’s current address and telephone
number, education, medical, governmental agency, psychological and law
enforcement records.
Information about our child[ren]’s progress in school and any school
activity is equally available to both parents. Both parents are encouraged
to consult with school staff concerning our child[ren]’s welfare and
education.
Both parents will immediately notify each other regarding any emergency
circumstances or substantial changes in the health of our child[ren].
Both parents will provide each other with contact numbers and addresses
and will notify each other of any change in that information within 72
hours of such a change. If either parent takes our child[ren] from their
usual place of residence, they will provide the other parent with an
emergency contact phone number.
5. RELOCATION OF A PARENT:
5.1 Neither parent shall relocate outside his/her immediate vicinity without the
prior permission of the other parent or an order of the court.
5.2 Other:
6. PARENT-CHILD COMMUNICATION:
Choose One:
Both parents and child[ren] shall have the right to communicate by
telephone, in writing or by e-mail during reasonable hours without interference
or monitoring by the other parent.
OR
PARENTING PLAN REV 6/13 page 9.
Procedures for telephone, written or e-mail access (describe how access will work):
7. EXCHANGE OF OUR CHILD[REN]:
7.1 Choose One:
Both parents will share equally in the responsibility of exchanging our
child[ren] from one parent to the other while parents continue to reside in
the same locale.
OR
Procedures for exchanging our child[ren] (provide details):
7.2 Both parents shall have the child[ren] ready on time with sufficient
clothing packed and ready at the agreed-upon time of the exchange.
All clothing that accompanied our child[ren] shall be returned to the other
parent.
8. MUTUAL RESPECT:
Parents will not say things or knowingly allow others to say things in the
presence of our child[ren] that would take away our child[ren]’s love and respect
for the other parent.
9. OTHER TERMS:
Add any other items regarding the child[ren] you would like to include in your
PARENTING PLAN REV 6/13 page 10.
Parenting Plan. Use additional sheets, if necessary.
Additional sheets are attached.
10. SIGNATURES AND ACKNOWLEDGEMENTS:
Your signature below indicates that you have read and agree with what has
been decided and written in this document.
If both parents sign this document, it is called a Stipulated Parenting Plan.
If only one parent signs this document, it is called a Proposed Parenting Plan.
Petitioner:
Respondent
Co-Petitioner
(check one)
Signature Date Signature Date
PARENTING PLAN REV 6/13 page 11.
