Fillable Printable Parenting Plan - Missouri
Fillable Printable Parenting Plan - Missouri
Parenting Plan - Missouri
Parenting Plan Part A – Custody of the Children – Page 1
Form CCFC179-02/11
Form CCFC179 – Parenting Plan Part A – Custody
Case Information
Mother:
Case Number
Exhibit Number
Father:
County
1. Children’s
Information
Part A of this parenting plan applies to ____________ child(ren). They are:
1. _______________________________ 4. _______________________________
2. _______________________________ 5. _______________________________
3. _______________________________ 6. _______________________________
2. Designation of
Parties
Mother is the petitioner/plaintiff. Father is the respondent/defendant.
Father is the petitioner/plaintiff. Mother is the respondent/defendant.
The State of Missouri i s the plaintiff. Mother and Father are the defendants.
3. Access to
Records
Unless otherwise provided in this parenting plan, both parents are entitled to access to record s
and information pertaining to the children, including, but not limited to, full and complete medical,
dental, h ealth, child care and educational reco rd s . Each parent shall take whatever steps are
necessary to ensure that the other parent has such access.
4. Children’s
Activities
Both parents mus t attemp t t o accommodate the social and academic commitments of the
children during the time the children are with them. Each parent should attempt to refrain from
scheduling activities that occur primarily when the children are with the o ther paren t. If an activity
will affect the other parent’s time with the children, the parent scheduling the activity shall obtain
the affected parent’s permission before committing the chi ldren to the activity.
5. Issues not to
be discussed
in the
Presence of
Children
Mother and Father shall each refrain from making negative, derogatory or degrading
statements about the other parent in front of the children. Both parents shall exercise their best
efforts to foster the respect, love and affection of the children toward the other parent. Mother and
Father shall avoid discussing parenting issues, financial issues, and other topics related to these
proceedings when the children are present.
Mother and Father should prevent other persons from making negative, derogatory or
degrading statements about the other parent in the presence of the children.
6. Communication
Methods
between
Parents
The children shall not be used as messengers. Communication between the paren ts concerning
the children may be by the following methods: Check each box that is appropriate in your case.
In person Home telephone Work telephone
Mobile telephone Letter via U.S. Postal Service Email
Fax Other ________________________.
7. Telephone
Contact with
Children
Each parent may contact th e children in a reasonable manner when the children are with the
other parent. Neit her parent shall contact the children at the o ther parent’ s resi dence later than
____________. (If this line is left blank, there are no restrictions as to time.)
Each parent shall provide the other parent with the address of their residence and the telephone
number at which the ch i ldren may be contacted. Neither paren t shal l con figure their telephone
system in such a manner as to “block” or prevent the other parent from calling. If this telephone
number is changed, the parent shall notify the other parent of the new telephone number within a
reasonable time.
When a parent travels to an overnight destination with the children, he or she must notify the
other parent of the children’s destination. He or she must also provide a telephone number where
the children can b e reach ed.
Clear All Forms
Print Parenting Plan
Information
shown in blue
on this form
does not print.
ST. LOUIS COUNTY
Parenting Plan Part A – Custody of the Children – Page 2
Form CCFC179-02/11
8. Types of
Decisions
The three types of decis i ons that parents must make concernin g th ei r ch il dren are major
decision s, d aily or everyday dec isions, and emergency decisions.
Major Decisions - Major decisions are the significant decisions about the children. Major
decision s are made by the parent or parents with legal custody. The follo wing are examples of
major decisions: the choice or change of schools, including college or special tutoring; choice or
change of physician, surgeon or dentist; religious instruction, training or education; selection of
child care provid ers; major medical care, surgery, or any medical procedure requirin g
hospital iz a t ion or out-patient surgery; major dental work and orthodontia; psychological or
psychiatric treatmen t or counseling; the choice or chan ge of camps or other special or
extracurricular acti vities ; the extent of any travel away from home; p art or full-time employment;
purchase or operation of a motor vehicle; contraception and sex education; actual or potential
litigation on behalf of the children.
Daily or Everyday Decisions - Daily or everyday decisions are routine decisions like minor
medical treatment, bedtimes, homework, chores, s el ection of clothing and normal daily activities .
Daily decisions s hall be made by the parent having actual ph ysical custody at the time of the
decision . The parents s hall cooperate in establishing mutual ly agreeab le policies regarding such
decisions in order that routine decisions remain as consistent as possible.
Emergency Decisions - Emergency decisions are decisions of an urgent nat ure. They affect the
health and safety of the children and have to be made before it is possible to contact the other
parent.
The parent who is with the minor child requiring emergency care may make the emergency
decision . The parent making the emergency decision shall advise the other parent of the nature and
extent of th e emergency as soon as possible.
9. Legal Custody
Mother and Father – Joint Legal Custody
It is in the best interests of the children that Mother and Father have joint legal custody of the
children. Major decisions shall be made by Mother and Father jointly. If Mother and Father
disagree on a major decision they shall resolve their disagreement through the dispute
resolution procedure set forth herein.
Mother – Sole Legal Custody to Mother
It is in the best interests of the children that Mother has sole legal custody of the children.
Major decisions affecting the children shall be made by Mother. Mother and Father cannot
share joint legal cu stody because:
_____________________________________________________________________________
_____________________________________________________________________________
Father – Sole Legal Custody to Father
It is in the best interests of the children that Father has sole legal custody of the children. Major
decision s affecting the children shall be made by Father. Mother and Father cannot share joint
legal custody because:
_____________________________________________________________________________
_____________________________________________________________________________
Third Party – Sole Legal Custody to Third Party
It is in the best interest of the children that _____________________ (hereinafter referred to as
“Third Party”) has sole legal and sole physical custody of the children. Major decisions
affecting the children shall be made by Third Party. Both parents are unfit, unsuitable, or
unable to be a custodian of the children or the welfare of the children requires that neither
parent have physical custody.
10. Residential
Schedules
Mother and Father shall have physical custody of the children as they agree. In the event
they do not a gree, then Mother and Father shall exc hange the childr en as set fort h in the
attached residential schedules marked as Exhibit Number ____________.
Because the children ne ed a continuing re l ationship wit h both parent s, each parent shall
consider reasonable changes when requested by the other parent or t he child ren. I f a
significant change is made, either parent may reduce their agreement to writing. All changes
are unenforceable unless in writing and signed by both parents.
Parenting Plan Part A – Custody of the Children – Page 3
Form CCFC179-02/11
11. Notification
of Change
from
Residential
Schedule
In the event either parent cannot exercise the scheduled time with the children, he or she should
tell the other parent as soon as possible, but not later than 24 hours before the start of the scheduled
time with the children. If a parent anticipates that he or she may have to cancel at the last minute,
he or she should advise the other parent of the possible last minute conflict. If a parent fails to
notify the other as set forth above, he or she shall be responsible for the reasonable costs incurred
by the other parent.
12. Transportation
The parent who has the children takes the children to th e exch ange location. Each party wi ll pay
the expenses as sociated with his or her own transportation to and from the exchange location unless
otherwise indicated in this parenting plan.
13. Location of
Exchanges
If a specific locati on for an exchange is not stated on the schedule, then the exchange shall
occur at the following location:
All exchanges shall occur at the children’s school or child care provider. If the children are not
in attendance at school or day care, then the exchange sh al l occur at
____________________________________.
All exchanges shall occur at the Mother’s Res iden ce.
All exchanges shall occur at the Father’s Residen ce.
All exchanges shall occur at ____________________________________.
14. Physical
Custody
Joint Physical Custody Using Mother’s Address - It is in the best interest of the children that
Mother and Father have joint physical custody of the children. The address of the children for
mailing and educational purposes is the same as that of Mother.
Joint Physical Custody Using Father’s Address – It is in the best interest of the children that
Mother and Father have joint physical custody of the children. The address of the children for
mailing and education al pu rposes is t he same as that of Father.
Sole Physical Custody to Mother and Visitation to Father – It is in the best interests of the
children that Mother has sole physical custody of the children and that Father have visitation as
set forth herein .
Sole Physical Custody to Father and Visitation to Mother – It is in the best interests of the
children that Father has sole physical custody of the children and that Mother have visitation as
set forth herein .
Sole Physical Custody to Mother and Supervised Visitation to Father – It is in the best interests
of the children that Mother have sole physical custody of the children and Father have
supervised visitation as set forth herein. Unsupervised visitation wo uld endanger the
children’s physical health or impair their emotional development
because:____________________________________________________________________.
Visitation will be supervised by __________________________________________________.
Sole Physical Custody to Father and Supervised Visitation to Mother - It is in the best interests
of the children that Father have sole physical custody of the children and Mother have
supervised visitation as set forth herein. Unsupervised visitation would endanger the
children’s physical health or impair their emotional development because:
___________________________________________________________________________.
Visitation will be supervised by __________________________________________________.
Other:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Parenting Plan Part A – Custody of the Children – Page 4
Form CCFC179-02/11
15. Relocation
RSMo. §452.377states:
“Absent exigent circumstan ces as determined b y a court with jurisdiction, you as a party to this
action are ordered to notify, in writing by certified mail, return receip t requested, and at least s ixty
days prior to the proposed relocation, each party to this action of any proposed relocation of the
principal residence of the child, including the following information:
(1) The intended new residence, including the specific address and mailing address, if known,
and if not known, the city;
(2) The home telephone number of the new residence, if known;
(3) The date of the intended move or proposed relocation;
(4) A brief statement of the specific reasons for the proposed relocation of the child; and
(5) A proposal for a revised schedule of custody or visitation with the child.
Your obligation to provide this inf ormation to each party continues as long as you or any other
party by virtue of this order is entitled to custody of a child covered by this order. Your failure to
obey the order of this court regarding the proposed relocation may result in further litigation to
enforce such order, including contempt of court. In addition, your failure to notify a party of a
relocation of the child may be considered in a proceeding to modify custody or visitation with the
child. Reasonable costs and attorney fees may be assessed against you if you f ail to give the
required notice.”
16. Dispute
Resolution
Procedure
If the parties do not agree on the interpretation of this Parenting Plan, they shall submit the
dispute to a mediator chosen by them for non-binding mediation. In the event they are not able to
agree on a mediator they shall each select a mediator from th e list of approved mediators
maintained by the St. Louis County Family Court and the two mediators shall determine who shall
mediate the case. The parents are to make a good faith effort to resolve thei r d isagreement. In the
event that the parents cannot resolve the dispute by mediation, they may submit the issue to the
Court through appropriate proceedings.
Additional dispute resolution procedures are as follows:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
17. Additional
Provisions
Pertaining to
Custody of
the Children
Additional provisions pertaining to the custody of the children are on the attached addendum(s)
to parenting plan marked as exhibit(s) ____________.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
The following paragraphs differ from Form CCFC179 ________________________________________.
____________________________
____________________________
____________________________
Mother
Father
Guardian ad Litem
____________________________
____________________________
Attorney for Mother
Attorney For Father
____________________________
Judge or Commissioner
Parenting Plan Part A – Re sident ia l Schedules – Page 1
Form CCFC180-11/09
Form CCFC180 – Residential Schedules
Case Information
Mother:
Case Number
Exhibit Number
Father:
County
1. Weekend and
Weekday
Schedule
Each exchange should be written on the Weekend and Weekday Exchange Schedul e. A
sample entry for o ne of the exchanges may be as follows: “5:30 p.m. Father receives children”.
This means that at 5:30 p.m., Fa ther will begin a period of time during which the children will be
with him.
The last person to receive cus tody on the Weekend and Weekday Schedule must be different
than the first person to receive custody on the sch edul e because after each two week period, the
cycle repeats itself. There is always an even number of exchanges for a two week perio d.
If no exchange location is specified, then the exchange shall occur at the location set forth in
Parenting Plan Part A Paragraph 13 “Location of Exchanges.”
T o determine whether the week one or week two schedule applies, you should refer to the
definitions below.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Week One
Definition
As used in this Parenting P lan, “Week One” on the W eekday and Weeke nd Exchange
Schedule is defined as a week that has S unday on one of the following dates:
January
1
2
3
4
5
6
7
15
16
17
18
19
20
21
29
30
31
February
1
2
3
4
12
13
14
15
16
17
18
26
27
28
29
March
1
2
3
4
12
13
14
15
16
17
18
26
27
28
29
30
31
April
1
9
10
11
12
13
14
15
23
24
25
26
27
28
29
May
7
8
9
10
11
12
13
21
22
23
24
25
26
27
June
4
5
6
7
8
9
10
18
19
20
21
22
23
24
July
2
3
4
5
6
7
8
16
17
18
19
20
21
22
30
31
August
1
2
3
4
5
13
14
15
16
17
18
19
27
28
29
30
31
September
1
2
10
11
12
13
14
15
16
24
25
26
27
28
29
30
October
8
9
10
11
12
13
14
22
23
24
25
26
27
28
November
5
6
7
8
9
10
11
19
20
21
22
23
24
25
December
3
4
5
6
7
8
9
17
18
19
20
21
22
23
31
Week Two
Definition
As used in this Parenting Plan, “Week Two” on the Weekday and Weeke nd Exchange
Schedule is defined as a week that has S unday on one of the following dates:
January
8
9
10
11
12
13
14
22
23
24
25
26
27
28
February
5
6
7
8
9
10
11
19
20
21
22
23
24
25
March
5
6
7
8
9
10
11
19
20
21
22
23
24
25
April
2
3
4
5
6
7
8
16
17
18
19
20
21
22
30
31
May
1
2
3
4
5
6
14
15
16
17
18
19
20
28
29
30
31
June
1
2
3
11
12
13
14
15
16
17
25
26
27
28
29
30
July
1
9
10
11
12
13
14
15
23
24
25
26
27
28
29
August
6
7
8
9
10
11
12
20
21
22
23
24
25
26
September
3
4
5
6
7
8
9
17
18
19
20
21
22
23
October
1
2
3
4
5
6
7
15
16
17
18
19
20
21
29
30
31
November
1
2
3
4
12
13
14
15
16
17
18
26
27
28
29
30
December
1
2
10
11
12
13
14
15
16
24
25
26
27
28
29
30
ST. LOUIS COUNTY
Parenting Plan Part A – Re sident ia l Schedules – Page 2
Form CCFC180-11/09
2. Vacation
Schedule
No specific weeks will be set aside for vacation s .
The parents will have ph ysical custody of the children for alternating weeks during the
summer. This schedule commences on the first Friday after the last day of classes for the
child(ren) for the school year at 6:00 p.m. and ends on the last Friday at 6:00 p.m. preceding the
first day of school for the following school year. Mother shall have the first week of physical
custody in even numbered years, and Father shall have the first week of physical custody in odd
numbered years. All exchanges will occur at 6:00 p.m. on Friday.
The parents will alternate the weeks throughout the summer, coordinating the childcare and
recreational programs to the extent possible. Each parent is responsible for ensuring that the
child is cared for during the workday during his or her weeks of physical custody.
If the school year ends during different weeks for the child(ren), then the summer schedule
commences on the first Friday at 6:00 p.m. after the last day of classes for the last child to finish
classes for the school year. If the school year begins during di fferent weeks for the child(ren),
then the summer schedule shall end on the last Friday at 6:00 p.m. before the first day of
classes for the first child to begin classes for the school year.
Each parent may designate _____ _ week(s) each year during which they will have exclusive
physical custody of the children and the regular or alternative exchange weekda y and weekend
schedules do not apply. Father shall have first choice of weeks in odd-numbered years. Mother
will have first choice of weeks in even-numbered years.
The parent with the first choice of weeks must designate his or her vacation week(s) by
___________. Thereafter, the other parent must designate h is or her vacation week(s) by
___________. If the vacation schedule confli cts with the holiday sc he dul e, the hol iday
schedule t akes precedence.
Other Vacation Provisions:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
3. Holidays
A different schedule can apply on holidays. The times each parent will have with the children
during the holidays are set forth on the Holiday Exchange Schedule on page 5 and the Additional
Special Occasion Exchange Schedule of these Residential Schedules .
Holidays and vacations do not alter the “Week One” or “Week Two” designation, but they do
apply ahead of the regular schedule. If the holiday schedule conflicts wi th any other sch edule, the
holiday schedule takes preced ence.
______________________________________________________________________________
______________________________________________________________________________
The following paragraphs differ from Form CCFC180 ________________________________________.
____________________________
____________________________
____________________________
Mother
Father
Guardian ad Litem
____________________________
____________________________
Attorney for Mother
Attorney For Father
____________________________
Judge or Commissioner
Parenting Plan Part A – Re sident ia l Schedules – Page 3
Form CCFC180-11/09
Weekday and Weekend Exchange Schedule
DAY OF WEEK EXCHANGES FOR DAY
WEEK ONE
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
WEEK TWO
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Exchanges should be set forth on this schedule. For example, if Father picks up the children at the default
location set forth in paragraph 13 for the period of time the children will be with him on Friday, then you would
enter “Father receives children at 5:00 p.m.” in the box next to the correct Friday. If the transfer occurs at a
different location, you would enter “Father receives children at 5:00 p.m. at Mother’s residence”. There
should always be an even number of exchanges on this schedule.
Weekday/Weekend Schedules
Parenting Plan Part A – Re sident ia l Schedules – Page 4
Form CCFC180-11/09
Holiday Exchange Schedule
Holiday
Even
Numbered
Years
Odd
Numbered
Years
Physical Custody
From To
FATHER or
MOTHER
FATHER or
MOTHER
Time Time
New Year’s Day
Holiday
King Day
President’s Day
Easter
Spring Break
Memorial Day
Independence
Day
Labor Day
Thanksgiving
Christmas Eve
Holiday
Christmas Day
Holiday
Holiday Schedules
Parenting Plan Part A – Re sident ia l Schedules – Page 5
Form CCFC180-11/09
Additional Special Occasion Exchange Schedule
Holiday
Even
Numbered
Years
Odd
Numbered
Years
Physical Custody
From To
FATHER or
MOTHER
FATHER or
MOTHER
Time Time
Halloween
Mother’s Day
Father’s Day
Mother’s
Birthday
Father’s
Birthday
Child’s Birthday
Parenting Plan Part A – Domestic Violence
Form CCFC200-11/10
Form CCFC200 – Addendum to Parenting Plan Part A
Domestic Violence
Case Information
Mother:
Case Number
Exhibit Number
Father:
County
1. Domestic
Violence
between
Parents
You must check one and only one of the following five boxes.
There has been no domestic violence between the parents.
There has been domestic violence by Mother against Father. Any educational records of
the children shall not include the address of Father or the children.
There has been domestic violence by Father against Mother. Any educational records of
the children shall not include the address of Mother or the children.
There has been domestic violence by Mother against Father; however, the educational
records of the children may include the address of Father or the children.
There has been domestic violence by Father against Mother; however, the educational
records of the children may include the address of Mother or t he child ren.
2. Pattern of
Domestic
Violence
between
Parents
You must check one and only one of the following three boxes.
There has been no pattern of domestic violence by either Mother or Father.
There has been a pattern of domestic violence by Mother against Father. This parenting
plan best protec ts the children and Father fro m any further violence.
There has been a pattern of domestic viole nce by Father against Mother. This parenting
plan best protects the children and Mother from any further violence.
3. Other
Domestic
Violence
Provisions
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
ST. LOUIS COUNTY
IN THE CI R CUIT COURT OF , MISSOURI
In r e the Matter of __ _________________ v ______ _____________ Case No. ___________ ___
Div/Ct R oom
FORM NO. 14 CHILD SUPP O R T AM OUNT CALCULATIO N WORKSHEE T
FATHER / MO THER is the “ Pare nt Pay i ng Supp or t”
Total Numb er of Childr e n: ________
PARENT
RECEIVING
SUPPORT
PARENT
PAYING
SUPPORT
COMBINED
1. MONTHLY GROSS INCOME
1a. Monthly court-ordered maintenance being received
2. ADJUSTMENTS
2a. Other monthly child support being paid under court or administrative or der
2b. Mo nthly c ourt-ordered maintenanc e b e ing p aid
2c. Monthly sup por t ob lig a tio n for othe r c hildr e n
(1) Number of other childre n pr imaril y re s id ing in ea c h parent’ s custo dy
(2) Each parent’s support obligation from suppor t schedule us ing the parent’s
Line 1 monthly gross income
(3) Monthly child s uppor t re ceiv ed under court or administrati ve or der fo r
children included in line 2c (1)
2c. TOTAL adjus tme nt [Line 2c(2) m inus Line 2c(3)]
3. ADJUSTED MONTHLY GROSS INCOME (sum of lines 1 and 1a, minus line s 2a, 2b
and 2c)
4. PROPORTIONATE SHARE OF COMBINED ADJUSTED MONTHLY GROSS INCO ME
(Each par e nt' s line 3 income divide d by combine d line 3 income )
5. BASI C CH ILD SUPP O RT AM OUNT
(From s uppor t chart using combine d line 3 incom e )
6. ADDITIONAL CHILD-REARING CO STS OF PARENTS
6a. Child Care Costs of Parent Re ceiv ing Support
(1) Reasonable work-relate d chi ld care cos ts of parent rec e iving support
(2) Child Care Tax Cred it (See Form 14 Directions)
6a. TOTAL adjuste d C hild Care Co s ts [Line 6a(1) minus Line 6a(2)]
6b. Reasonable work-related child care cos ts of the pare nt pay ing supp or t
6c. Health insura nc e cos ts for children who are the subjects of this proc eeding
6d. Uninsured agreed-upon or c ourt-ordered extraordinary medical costs
6e. Other agreed-upon or court-ordered extraordinary child-rearing costs
7. TOTAL ADDIT IO NAL CHILD-REARI N G COSTS (Enter s um of lines 6a, 6b, 6c, 6d
and 6e)
8. TOTAL COMBINED CHILD SUPPOR T COSTS (Sum of line 5 and line 7)
9. EACH PARENT'S SUPPORT OBLIGATION (Multiply line 8 by each p are nt's line 4)
10. CREDIT FO R AD DITIONAL CHILD-REAR ING CO STS (Line 7 of parent paying
support)
11. ADJUS T MEN T FOR A PORTION OF AMOUNTS EXPENDED DURING PERIODS OF
OVERNIG H T V IS ITATION OR CUSTODY. (See Form 14 Directions)
(Multiply li ne 5 by %)
12. PRESUMED CHI LD SUPPO R T AMOUNT (Line 9 minus lines 10 and 11)
Number of Children
6 5 4 3 2 1
Presumed Monthly Support
Information
shown in blue
on this form
does not print.
ST. LOUIS COUNTY
0.0%
0.0%
Paragraph 7
Paragraph 7
Paragraphs 2 and 3
Form CCFC184
Form CCFC185
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
Calculated Amount
