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Fillable Printable Parenting Plan Form - West Virginia

Fillable Printable Parenting Plan Form - West Virginia

Parenting Plan Form - West Virginia

Parenting Plan Form - West Virginia

SCA-FC-121: Parenting Plan
Review Date: 05/2014; Revision Date: 05/2014; WVSCA Approved: 06/17/2014
Page 1 of 15
IN THE FAMILY COURT OF
COUNTY, WEST VIRGINIA
IN RE:
The Marriage / Children Of:
Civil Action No.
Petitioner (First/Middle/Last)
, and
Respondent (First/Middle/Last)
.
PARENTING PLAN
This Parenting Plan is proposed
individually by, thePetitioner /Respondent.
*Every Individual Plan must be accompanied by a completed Worksheet.
jointly by, and
This plan is proposed for usetemporarily /permanently /both temporarily and permanently.
CHILDREN
List the name and date of birth of all children subject to this Parenting Plan.
NameDate of Birth
/
/
//
//
//
NameDate of Birth
/
/
//
//
//
The other parent should not have parenting time with the children due to the following:
.
RESTRICTIONS
The Family Court can restrict a parent's contact with the children if the parent has engaged in certain
kinds of conduct harmful to the children. To begin, you must read the following list of types of conduct that
can require restrictions, and then you must read the rest of the Restrictions section and complete the items that
apply to your situation.
CONDUCT THAT CAN REQUIRE PARENTAL RESTRICTIONS.
The parent has abused, neglected, or abandoned a child.
The parent has sexually assaulted or abused a child.
The parent has committed acts of domestic violence.
.
SCA-FC-121: Parenting Plan
Review Date: 05/2014; Revision Date: 05/2014; WVSCA Approved: 06/17/2014
Page 2 of 15
CONDUCT THAT CAN REQUIRE PARENTAL RESTRICTIONS (continued).
The parent has repeatedly interfered with the other parent's rights to contact or visit the children.
But, this situation does not justify restrictions if the parent interfered with the other parent's access
in order to protect a child's safety.
The parent has repeatedly made unfounded reports of domestic violence, child abuse or neglect, or
sexual abuse.
A Court has issued a restraining order against the parent for domestic or family violence.
The parent has neglected their responsibilities for caring for the children.
The parent has engaged in alcohol, drug, or other substance abuse that has resulted in that parent
neglecting their responsibilities for caring for the children.
The parent does not have a loving emotional relationship with the children.
The parent habitually starts arguments with the other parent, or the children.
Next, read the rest of the section, and complete the items you want to propose for your Parenting Plan.
NO RESTRICTIONS should be included in the Parenting Plan, because neither parent has engaged in any
conduct harmful to the children.
RESTRICTIONS should be included in the Parenting Plan, and these restrictions should be placed on the
Petitioner /Respondent.
These restrictions should be included in the Parenting Plan because the
Petitioner or Respondent has engaged in conduct harmful to the children. If you checked the
"Restrictions" box, you must complete the following section by listing the reasons you think restrictions
should be included in the Parenting Plan. (Describe the conduct you think requires restrictions. You may
describe the kinds of conduct on the preceding list, or other conduct you think is harmful, even if that
conduct is not on the list. If the issuance of a restraining order is the reason for restrictions, you must list
the court in which the restraining order was issued, and the case number.)
Reasons for Restrictions:
.
SCA-FC-121: Parenting Plan
Review Date: 05/2014; Revision Date: 05/2014; WVSCA Approved: 06/17/2014
Page 3 of 15
If you checked the "Restrictions" box, you must complete the following items to propose the types of
restrictions you want included in the plan.
VISITATION
No Visitation should be granted to the following individual:
Petitioner.Respondent.
Other Individual(s):
SUPERVISED VISITATION
Visitation with the children should be supervised. (If you checked this box, you must complete the next
item.)
Visitation should be supervised by:
, at the following
location:
(You can propose any person you trust, a professional person such as a counselor or psychologist, a
minister, or an agency or organization such as a mental health or social services agency or organization.
Provide a telephone number for the person or organization you propose; make certain that person or
organization has agreed to act as the supervisor, and will attend the hearing at which these arrangements
are discussed.)
SUPERVISED TRANSFERS
Transfer of the children from one parent to another should be supervised. (If you checked this box, you
must complete the next item.)
Transfers should be supervised by:
, at the following
location:
(You can propose any person you trust, a professional person such as a counselor or psychologist, a
minister, or an agency or organization such as a mental health or social services agency or organization.
Provide a telephone number for the person or organization you propose; make certain that person or
organization has agreed to act as the supervisor, and will attend the hearing at which these arrangements
are discussed.)
Other Proposed Restrictions:
.
.
.
.
SCA-FC-121: Parenting Plan
Review Date: 05/2014; Revision Date: 05/2014; WVSCA Approved: 06/17/2014
Page 4 of 15
If you checked the box for no visitation under the restrictions section, you only need to sign the Parenting Plan
and Verification on the last page of this form.
HOW WILL THE CHILDREN'S TIME BE SHARED BY THE PARENTS
In this section you will propose, from this day forward, how much time you think the children should
spend with each parent. The first part of this section covers preschool children, the second part covers
children in school, and the third part covers holidays for all of the children.
Detailed and accurate proposals of how the children's time will be shared are very important. When a
schedule for sharing the children's time is adopted by the Court and made part of a Court Order, that schedule
will be the basis for the Court's calculation of child support. For this reason, it is very important for the
schedule to show the real number of days the children will spend with each parent.
For example, do not make a 50/50 schedule just to make one parent feel good if you know the children
will actually spend 80% of their time with one parent, because if you do, the parent with whom the children
spend 80% of the time will end up with child support payments based on a 50/50 schedule, and those
payments will be too small to cover the real number of days the children spend with that parent.
When you fill out these schedules, make certain you account for every day of the week, and all of the
hours in the day. Make certain you account for the times parents will be on vacation from their jobs.
Remember, holidays are covered separately in the third part of this section.
DECISION MAKING
Two decision-making rules apply to all cases, and all Parenting Plans.
1. The parent with whom a child is residing makes all day-to-day decisions about the care and control of the
child.
2. Either parent may make emergency decisions affecting the health or safety of the children, at any time
regardless of the parent with whom the children are residing at the time.
Major Decisions
Use the following list to propose whom you think should make each type of decision.
TYPEPETITIONERRESPONDENTSHARED
Education:
Medical, Dental, Eye Care:
Religious Matters:
Child Care:
Children's Employment:
Motor Vehicle Use:
School and After School Activities:
Sports:
Other:
SCA-FC-121: Parenting Plan
Review Date: 05/2014; Revision Date: 05/2014; WVSCA Approved: 06/17/2014
Page 5 of 15
CHILDREN NOT IN SCHOOL
Children's names:
.
These children will reside with Petitioner and Respondent according to the following schedule.
PETITIONER - WEEKDAYS
Mark the day if the children will reside with Petitioner some or all of that day,
then check All Day if that applies, or fill in the times if All Day doesn't apply.
Monday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Tuesday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Wednesday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Thursday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Friday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
PETITIONER - WEEKENDS
Mark the weekends of the month the children will reside with Petitioner
all or part of the weekend, then fill in the time and day blanks.
Alternating
:
a.m./p.m. onto:a.m./p.m. on
- OR -
1st: From
:
a.m./p.m. onto:a.m./p.m. on
2nd: From
:
a.m./p.m. onto:a.m./p.m. on
3rd: From
:
a.m./p.m. onto:a.m./p.m. on
4th: From
:
a.m./p.m. onto:a.m./p.m. on
5th: From
:
a.m./p.m. onto:a.m./p.m. on
RESPONDENT - WEEKDAYS
Mark the day if the children will reside with Respondent some or all of that day,
then check All Day if that applies, or fill in the times if All Day doesn't apply.
Monday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Tuesday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Wednesday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Thursday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Friday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
RESPONDENT - WEEKENDS
Mark the weekends of the month the children will reside with Respondent
all or part of the weekend, then fill in the time and day blanks.
Alternating
:
a.m./p.m. onto:a.m./p.m. on
OR
1st: From
:
a.m./p.m. onto:a.m./p.m. on
2nd: From
:
a.m./p.m. onto:a.m./p.m. on
3rd: From
:
a.m./p.m. onto:a.m./p.m. on
4th: From
:
a.m./p.m. onto:a.m./p.m. on
5th: From
:
a.m./p.m. onto:a.m./p.m. on
SCA-FC-121: Parenting Plan
Review Date: 05/2014; Revision Date: 05/2014; WVSCA Approved: 06/17/2014
Page 6 of 15
CHILDREN IN SCHOOL
Children's names:
.
These children will reside with Petitioner and Respondent according to the following schedule.
PETITIONER - WEEKDAYS
Mark the day if the children will reside with Petitioner some or all of that day,
then check All Day if that applies, or fill in the times if All Day doesn't apply.
Monday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Tuesday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Wednesday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Thursday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Friday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
PETITIONER - WEEKENDS
Mark the weekends of the month the children will reside with Petitioner
all or part of the weekend, then fill in the time and day blanks.
Alternating
:
a.m./p.m. onto:a.m./p.m. on
- OR -
1st: From
:
a.m./p.m. onto:a.m./p.m. on
2nd: From
:
a.m./p.m. onto:a.m./p.m. on
3rd: From
:
a.m./p.m. onto:a.m./p.m. on
4th: From
:
a.m./p.m. onto:a.m./p.m. on
5th: From
:
a.m./p.m. onto:a.m./p.m. on
RESPONDENT - WEEKDAYS
Mark the day if the children will reside with Respondent some or all of that day,
then check All Day if that applies, or fill in the times if All Day doesn't apply.
Monday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Tuesday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Wednesday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Thursday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
Friday:All Day - OR - From:a.m./p.m. to:a.m./p.m.
RESPONDENT - WEEKENDS
Mark the weekends of the month the children will reside with Respondent
all or part of the weekend, then fill in the time and day blanks.
Alternating
:
a.m./p.m. onto:a.m./p.m. on
OR
1st: From
:
a.m./p.m. onto:a.m./p.m. on
2nd: From
:
a.m./p.m. onto:a.m./p.m. on
3rd: From
:
a.m./p.m. onto:a.m./p.m. on
4th: From
:
a.m./p.m. onto:a.m./p.m. on
5th: From
:
a.m./p.m. onto:a.m./p.m. on
SCA-FC-121: Parenting Plan
Review Date: 05/2014; Revision Date: 05/2014; WVSCA Approved: 06/17/2014
Page 7 of 15
HOLIDAYS
The following chart lists nationally recognized holidays and family occasions such as birthdays,
and provides space for you to write in other special family occasions. For each holiday or occasion, in
the columns “Even Year,” and “Odd Year,” use a “P” or “R” to indicate the parent with whom the
children will spend each holiday or other occasion. Then, indicate the exact times the holiday period
with the parent will begin and end. If a child will spend part of a holiday with one parent, and part with
the other, put an "X" in the “Split Day” column, and in the “Exchange Time” column indicate when
one parent's time with the child ends, and the other parent's time begins.
Holiday
Even
Year
Odd
Year
Time with the Parent:
From To
Split
Day
Exchange Time
New Year's Eve:a.m./p.m.:a.m./p.m.:a.m./p.m.
New Year's Day:a.m./p.m.:a.m./p.m.:a.m./p.m.
Martin L. King Day:a.m./p.m.:a.m./p.m.:a.m./p.m.
President's Day:a.m./p.m.:a.m./p.m.:a.m./p.m.
Easter:a.m./p.m.:a.m./p.m.:a.m./p.m.
Spring Break:a.m./p.m.:a.m./p.m.:a.m./p.m.
Memorial Day:a.m./p.m.:a.m./p.m.:a.m./p.m.
July 4th:a.m./p.m.:a.m./p.m.:a.m./p.m.
Labor Day:a.m./p.m.:a.m./p.m.:a.m./p.m.
Thanksgiving Day:a.m./p.m.:a.m./p.m.:a.m./p.m.
Thanksgiving Break:a.m./p.m.:a.m./p.m.:a.m./p.m.
Christmas Eve:a.m./p.m.:a.m./p.m.:a.m./p.m.
Christmas Day:a.m./p.m.:a.m./p.m.:a.m./p.m.
Christmas Break:a.m./p.m.:a.m./p.m.:a.m./p.m.
Hanukkah:a.m./p.m.:a.m./p.m.:a.m./p.m.
Kwanza:a.m./p.m.:a.m./p.m.:a.m./p.m.
:a.m./p.m.:a.m./p.m.:a.m./p.m.
Other Occasions
Even
Year
Odd
Year
Time with the Parent:
From To
Split
Day
Exchange Time
Petitioner's Day:a.m./p.m.:a.m./p.m.:a.m./p.m.
Respondent's Day:a.m./p.m.:a.m./p.m.:a.m./p.m.
Petitioner's Birthday:a.m./p.m.:a.m./p.m.:a.m./p.m.
Respondent's Birthday:a.m./p.m.:a.m./p.m.:a.m./p.m.
Child's Birthday:a.m./p.m.:a.m./p.m.:a.m./p.m.
Halloween:a.m./p.m.:a.m./p.m.:a.m./p.m.
:a.m./p.m.:a.m./p.m.:a.m./p.m.
:a.m./p.m.:a.m./p.m.:a.m./p.m.
SCA-FC-121: Parenting Plan
Review Date: 05/2014; Revision Date: 05/2014; WVSCA Approved: 06/17/2014
Page 8 of 15
If you are unable to provide the proposed parenting plan in the days and times provided in the prior pages,
please provide a detailed explanation below:
.
SCA-FC-121: Parenting Plan
Review Date: 05/2014; Revision Date: 05/2014; WVSCA Approved: 06/17/2014
Page 9 of 15
SUMMER AND OTHER VACATION TIMES
This plan proposes that in addition to the residential and holiday scheduling listed above, the parents
will vary these schedules to divide school/work vacations as described in this section.
The parents will work together to make arrangements for specific dates and times for vacation no later
than one month in advance of the time requested for vacation.
The child(ren) shall spend (how many?)
vacation
days /weeks with Petitioner
and (how many?)
vacation
days /weeks with Respondent.
Dates:
DESIGNATION OF LEGAL CUSTODIAN
Federal and state laws require that the parent with whom the children spend the majority of time be
designated as the children's legal custodian. You may choose to alternate the legal custodian between the
even and odd years.
Under this Parenting Plan, the designated legal custodian is the:
Petitioner.
Respondent.
Alternates yearly between Petitioner and Respondent. (Designate a schedule below.)
During evenly numbered years the legal custodian is the
During oddly numbered years the legal custodian is the
Petitioner. orRespondent.
Petitioner. orRespondent.
If the parent with whom the children spend the majority of time is not the same for all of the children,
you must make separate legal custodian designations.
Child's Name
Legal Custodian:
PetitionerRespondentAlternating
Child's Name
Legal Custodian:
PetitionerRespondentAlternating
Child's Name
Legal Custodian:
PetitionerRespondentAlternating
Child's Name
Legal Custodian:
PetitionerRespondentAlternating
Child's Name
Legal Custodian:
PetitionerRespondentAlternating
SCA-FC-121: Parenting Plan
Review Date: 05/2014; Revision Date: 05/2014; WVSCA Approved: 06/17/2014
Page 10 of 15
TRANSFERS OF THE CHILDREN FROM PARENT TO PARENT
When a child's time with one parent ends, and time with the other parent begins, the Parenting Plan
must provide standard arrangements for transferring your child. Propose those arrangements in this section.
Part 1 is for weekdays; Part 2 is for weekends. One transfer arrangement is the same in all Parenting Plans.
The parent waiting for the children shall always allow the parent bringing the children a 30 minute grace
period.
1. Weekday transfers occur at the
Petitioner's Residence.
Respondent's Residence.Child's School.
Other location: (Specific address.)
Time of transfer:
:a.m./p.m.
Other arrangements. (Be specific.)
2. Weekend transfers occur at the
Petitioner's Residence.
Respondent's Residence.Child's School.
Other location: (Specific address.)
Time of transfer:
:a.m./p.m.
Other arrangements. (Be specific.)
TRANSPORTATION ARRANGEMENTS FOR THE CHILDREN
The arrangements for, and costs of everyday transportation will be the responsibility of the parent with
whom the child is residing.
OR
The following arrangements will apply:
.
Special Travel
The arrangements for, and the cost of special or unusual travel will be the responsibility of:
Petitioner.
Respondent.
(Examples: trips by airplane, bus, or train to visit a distant parent, or
travel by these methods for school trips.)
OR
The following arrangements will apply:
.
.
.
.
.
SCA-FC-121: Parenting Plan
Review Date: 05/2014; Revision Date: 05/2014; WVSCA Approved: 06/17/2014
Page 11 of 15
TELEPHONE CONTACT BETWEEN PARENTS AND CHILDREN
The parent with whom a child is not residing needs to make special efforts to stay in touch with the
child; and the parent with whom a chid is residing needs to encourage the child to stay in touch with the other
parent. In this section you will propose the arrangements for these communications.
Child Calling A Parent
A child may call the parent with whom the child is not residing:
At any time.
Weekdays between the times of:
:
a.m. /p.m. and
:
a.m. /p.m.
Weekends and holidays between the times of:
:a.m. /p.m. and:a.m. /p.m.
Other:
Long distance calls from child to the parent will be paid for by
.
Parent Calling Child
A parent with whom a child is not residing may call the child:
At any time.
Weekdays between the times of:
:
a.m. /p.m. and
:
a.m. /p.m.
Weekends and holidays between the times of:
:a.m. /p.m. and:a.m. /p.m.
Other:
Long distance calls from parent to the child will be paid for by
.
COMMUNICATION BETWEEN PARENTS
Parents need to regularly communicate with each other to provide the best possible care for their
children, and to reduce the stress on the children. In this section you will propose the arrangements for these
parent-to-parent communications.
FIVE REQUIREMENTS APPLY IN ALL CASES. Read each of these five requirements, and check
the boxes to show you have read the requirements.
1. The parents will inform each other as soon as possible about all of the children's school, sports, and
other activity schedules to ensure nothing interferes with the children's participation.
2. The parents will always let each other know their current residence addresses, mailing addresses,
home, work, and emergency telephone numbers, and will notify each other within 24 hours of any
changes in these matters. BUT, this requirement does not apply in cases in which the Family Court
has allowed the withholding of identifying information.
3. The parents will never say anything in the children's presence that would reduce the children's love or
affection for either parent.
4. The parents will never allow any person in the children's presence to speak poorly of an absent parent.
5. The parents will never discuss disagreements or financial matters in the children's presence.
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