Fillable Printable Parenting Plan Format - Arizona

Parenting Plan Format - Arizona

Revised: 1/1/2013 Page 1 of 5

Name of Person Filing: ________________________________________

Mailing Address: ________________________________________

City, State, Zip Code: ________________________________________

Phone Number(s): ________________________________________

ATLAS Number (If Applicable):_____________________________________

State Bar Number (If Applicable):___________________________________

Representing:

Self Petitioner Respondent

SUPERIOR COURT OF ARIZONA

MOHAVE COUNTY

____________________________

(Name of Petitioner)

AND

___________________________________

(Name of Respondent)

Case Number:

________________________

PARENTING PLAN FOR:

JOINT LEGAL DECISION MAKING

AGREEMENT

SOLE LEGAL DECISION MAKING

Mother

Father

INSTRUCTIONS

This document has 3 parts: PART 1) General Information; PART 2) Legal Decision Ma king and Parenting

Time; PART 3) Joint Legal Decision Making Agreement.

One or both parents must complete and sign the Plan as Follows:

a. If both parents agree to joint legal decisi on making: Both parents must sign the Plan at the end of

PART 2 and at the end of PART 3;

b. If both parents agree to legal decision making and parenting time arrangements but not to joint

legal decision making: Both parents mu st sign the Plan at the end of PART 2;

c. If only one parent is submitting the Plan: that parent must sign at the end of PART 2.

PART 1: GENERAL INFORMATION

A. MINOR CHILDREN.

This plan concerns the following minor children: (Use addition al paper if

necessary)

______________________________________ _______________________________________

B. LEGAL DECISION MAKING ARRANGEMENTS REQUESTED IN THIS PL AN:

The following legal decision making arrangement is requested: (Check the box(es) that apply.)

JOINT LEGAL DECISION MAKI NG DETERMIN ATI ON DEFER RE D: The parent’s re quest for joint

legal decision making is de ferred to the court for determination. OR,

FOR CLERK’S USE ONLY

Reset

Case No.__________________________

Revised: 1/1/2013 Page 2 of 5

JOINT LEGAL DECISION MAKING AGREEMENT: The parents agree to joint legal decision

making and request the court to approve the joint legal decisio n making arrangement as described

in this Plan, OR

Mother or Father will be the primary custodial parent.

SOLE LEGAL DECISION MAKING AGREEMENT: The parents agre e that Mother or

Father will be the parent with sole legal deci sio n making and shall be the primary custodial

parent. The parents agree that since e ach h as a unique contribution to offer to the growth and

development of their minor child(ren), each of them will continu e to have a full and active role in

providing a sound moral, social, economic, and educational environment for the benefit of the minor

child(ren), as described in the following pages. OR,

SOLE LEGAL DECISION MAKING REQUESTED BY THE PARENT SUBMITTING THIS PLAN:

The parents cannot agree to the terms of legal decision making and parenting time. The parent

submitting this Plan asks the court to order legal decision makin g and parenting time according to

this Plan.

RESTRICTED, SUPERVISED, OR NO PARENTING TIME: The parent submitting this Plan asks

the court for an order restricting parenting time. The facts and information related to this request are

described in the Petition.

PART 2: LEGAL DECISION MAKING AND PARENTING TIME. Complete

each section below. Be specific abou t what you want the judge to approve in the court

order.

A. WEEKDAY AND WEEKEND SCHE DULE: The time-sharing schedule will be as follows:

The children will be in the care of Father as follows: (Explain).

_______________________________________________________________________________

The children will be in the care of Mother as follows: (Explain).

_______________________________________________________________________________

Other legal decision makin g arrangements are as follows: (Explain).

_______________________________________________________________________________

Transportation will be provided as follows: (Explain).

Mother or Father will pick the minor children up at __________________ o’clock.

Mother or Father will drop the minor children off at __________________ o’clock.

Parents may change their time-sha re arrangements by mutual agreement with at least

___________ days notice in advance to the other pa rent.

B. SUMMER MONTHS OR SCHOOL BREAK LONGER THAT 4 DAYS: The weekday and weekend

schedule described above will apply for all 12 calendar months EXCEPT:

During summer months or school brea ks that last longer than 4 days, no changes shall be made.

During summer months or school breaks that last longer than 4 days, the minor child(ren) will be in

the care of Father: (Explain)

_______________________________________________________________________________

During summer months or school breaks that last longer than 4 days, the minor child(ren) will be in

the care of Mother: (Explain)

_______________________________________________________________________________

Each parent is entitled to a ___________ week period of vacation time with the minor child(ren).

The parents will work o ut the details of the vacation at least _________ _ days in advance.

Should either parent travel out of the area with the minor child(ren), each parent will keep the other

parent informed of travel plans, addres s(es), and telephone number(s) at which that parent and the

minor child(ren) can be reached.

Neither parent shall travel with the minor child(ren) outside Arizona for longe r than __________

days without the prior written consent of the other parent or ord er of the court.

C. HOLIDAY SCHEDULE: The holiday schedule takes priority over the regular time-sharing schedule

as described above. Check the box(es) that apply and indicate the years of the holiday

access/Parenting time sch edule.

Case No.__________________________

Revised: 1/1/2013 Page 3 of 5

Holiday Even Years Odd Years

New Year’s Eve Mother Father Mother Father

New Year’s Day Mother Father Mother Father

Spring Vacation Mother Father Mother Father

Easter Mother Father Mother Father

of July Mother Father Mother Father

Halloween Mother Father Mother Father

Veteran’s Day Mother Father Mother Father

Thanksgiving Mother Father Mother Father

Hanukkah Mother Father Mother Father

Christmas Eve Mother Father Mother Father

Christmas D ay Mother Father Mother Father

Winter Break Mother Father Mother Father

Child’s Birthday Mother Father Mother Father

Mother’s Day will be celebrated with the Mother every year.

Father’s Day will be celebrated with the Father every year.

Each parent may have the child(ren) on his or her birthday.

Three-day weekends which include Martin Luther King Day, Presidents’ Day , Memorial Day,

Labor Day, Columbus Day, the child(ren) will remain in the care of the parent who has the

child(ren) for the weekend.

Other Holidays (Describe the other h olidays and the arrangement.)

_____________________________________________________________________________

Each parent may have telephone contact with the minor child(ren) during the child(ren)’s normal

waking hours.

Other (Explain)

_____________________________________________________________________________

D. PARENTAL ACCESS TO RECORDS AND INFORMATION: Under Arizona law (A.R.S. §25-403),

unless otherwise provided by court orde r or law, on reasonable request, both pa rents are entitled to

have equal access to documents and other information concerning the minor chil d(ren)’s education

and physical, mental, moral and emotional health in cluding medical, school, poli c e, court and other

records. A person who does not comply with a reasonable request for these records shall reimburse

the requesting parent for court costs and attorney fees incurred by that parent to make the other

parent obey this request. A parent who attempts to restrict the release of documents or information

by the custodian of the records without a prior court order is subject to legal sanctions.

E. EDUCATIONAL ARRANGEMENTS:

Both parents have the right to participate in school conferences, events and activities, and the right

to consult with teachers and other school personnel.

Both parents will make major educational decisions together. If the parents do not reach an

agreement, then the final decisio n making regarding education al decisions shall be with

Mother OR Father after consultation with ______ _____________________________.

F. MEDIC AL AND DENTAL ARR ANGEM ENTS:

Both parents have the right to authorize emergency medical treatment, if needed, and the right to

consult with physicians and other medical practitioners. Both parents agree to advise the other

parent immediately of any emergency medical/dental care sought for the minor child(ren ), to

cooperate on health matters concerning the child(ren) and to keep one another reasonably

informed. Both parents agree to keep each other informed as to names, addresses and telephone

numbers of all medical/dental care provi ders.

Both parents will make major medical d ecisions together, except for emergency situations as noted

above. If the parents do not agree, then the final decis ion regarding medical issues will be with:

Mother OR Father after consultation with ______ _____________________________.

G. RELIGIOUS EDUCATION ARRANGEMENTS:

Each parent may take the minor child (ren) to a church or place of worship of his or her choice durin g

the time that the minor child(ren) is/are in his or her care.

Case No.__________________________

Revised: 1/1/2013 Page 4 of 5

Both parents agree that the minor child(ren) may be instructed in the ______ ______________faith.

Both parents agree that religious arrangements are not applicable to this plan.

H. ADDITIONAL ARRANGEMENTS AND COMMENTS:

NOTIFY OTHER PARENT OF ADDRESS CHANGE. Each parent will inform the other parent of

any change of address and/or phone number in advance OR within ___________ days of th e

change.

NOTIFY OTHER PARENT OF EMERGENCY. Both parents agree that each parent will promptly

inform the other parent of any emergency or other important event that involves the minor child(ren).

TALK TO OTHER PARENT ABOUT EXTRA ACTIVITIES. Each parent will consult and agree with

the other parent regarding any extra activity that affects the minor child(ren )’s access to the other

parent.

ASK OTHER PARENT IF HE/SHE WANTS TO TAKE CARE OF CHILD(REN). Each parent

agrees to consider the other parent as ca re-provider for the minor child(ren) before making other

arrangements.

OBTAIN WRITTEN CONSENT BEFORE MOVING. Neither parent will move with the minor

child(ren) out of Mohave County without prior written conse nt of the other pa rent, or a Court ordered

Parenting Plan.

COMMUNICATE. Each parent agrees that all communications regarding the minor child(ren) will be

between the parents and that they will not use the minor child(ren) to convey information or to set up

parenting time changes.

PRAISE OTHER PARENT. Each parent agrees to encourage love and respect between the minor

child(ren) and the other parent, and neither parent shall do anything that may hurt the other parent’s

relationship with the minor child(ren).

COOPERATE AND WORK TOGETHER. Both parents agree to exert their best efforts to work

cooperatively in future plans consistent with the best intere sts of the minor child(ren) and to

amicably resolve such disputes as may arise.

NOTIFY OTHER PARENT OF PROBLEMS WITH TIME-SHARING AHEAD OF TIME. If either

parent is unable to follow through with the time-sharing arrangements involving the minor child(ren),

that parent will notify the other parent as soon as possible.

PARENTING PLAN. Both parents agree that if either parent moves out of the area and returns

later, they will use the most recent “Parenting Plan/Access Agreement” in place before the m ove or

the Mohave County Access Guidelines until other arrangements can be worked out.

MEDIATION. If the parents are unable to reach a mutual agreement regarding a legal change to

their parenting orders, they may request mediation through the court or a private mediator of their

choice.

DO NOT DEVIATE FROM PLAN UNTIL DISPUTE IS RESOLVED. Both parents are advised that

while a dispute is being re solved, neither parent shall deviate from the Parenting Plan, or act in such

a way that is inconsistent with the terms of this agreement.

NOTIFICATION OF RISK TO CHILD RE: SEX OFFENDERS. Pursuant to A.R.S. §25-403.05, a

child’s parent or custodian must immediately notify the other parent of custodian if the parent or

custodian knows that a co nvicted or registered sex offender o r a person who has been convicted of

a dangerous crime against children as defined in section 13-705 may have access to the child. The

parent or custodian must provide notice by first class mail, return receipt requested, by electronic

means to an electronic mail address that the recipient provided to the parent or custodian for

notification purposes or by other communication accepted by the Court.

NOTICE TO PARENTS: Once this Plan has been made an order of the court, if either parent disobeys

the court order related to parenting time with the minor child(ren), the other paren t may submit court

papers to request enforc ement. See court materials for help.

I. SIGNATURE OF BOTH PARTIES

Signature of Mother: ___________________________________ Date:__________ ___________

Signature of Father: ___________________________________ Date:_____________________

Case No.__________________________

Revised: 1/1/2013 Page 5 of 5

PART 3: JOINT LEGAL DECISION MAKING AGREEMENT (IF

APPLICABLE):

A. JOINT LEGAL DECISION MAKING AGREEMENT: If the parents have agreed to joint legal

decision making, the following will apply, subject to approval by the judge:

1. REVIEW PARENTING PLAN. The parents agree to review the terms of the joint legal

decision making agreement and make any necessary or desired changes every

__________ months from the date of this docume nt.

2. CRITERIA. Our joint legal decision making a greement meets the criteria requi red by

Arizona law (A.R.S. §25-403)

a. The best interests of the minor child(ren) are served;

b. Each parent’s rights and responsibilities for personal care of the minor child(ren)

and for decisions in e ducation, health care and religious training are designated

in this Plan;

c. A schedule of the physical residen ce of the mino r child(ren), including holidays

and school vacations are included in the Plan;

d. The Plan includes a pro ce dure for periodic review;

e. The Plan includes a procedure by which proposed changes, disputes an d

alleged breaches may be mediated or resolved.

f. The parties understand that joint legal decision making does not ne cessarily

mean equal parenting time.

B. DOMESTIC VIOLENCE: Arizona Law (A.R.S. §25-403.03) states that joint legal decision making

shall NOT be awarded if there has been a history of “significant domestic viole nce.”

Domestic Violence has not occurred between the parties, OR

Domestic violence has occurred but it has not been “significant” or has been committed by both

parties. If “yes” to this box, attach an extra page explaining why joint legal decision making is still in

the best interest of the minor child(ren) even though domestic violence has occurred.

C. SIGNATURE OF BOTH PARENTS REQUESTING JOINT LEGAL DECISION

MAKING

Signature of Mother: ___________________________________ Date:__________ ___________

Signature of Father: ___________________________________ Date:_____________________