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Fillable Printable Parenting Plan Template - Wisconsin

Fillable Printable Parenting Plan Template - Wisconsin

Parenting Plan Template - Wisconsin

Parenting Plan Template - Wisconsin

Wisconsin Parenting Plan - Form PP1 (DRAFT - 11/1/00)
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STATE OF WISCONSIN, CIRCUIT COURT, COUNTY For Court Use Only
In re the marriage/paternity of:
_________________________________,
Petitioner/Joint Petitioner,
and Case No. _________________
_________________________________,
Respondent/Joint Petitioner
PARENTING PLAN
I am the mother father of the following child(ren).
d/o/b:__________ , d/o/b:__________,
d/o/b:__________ , d/o/b:__________,
d/o/b:__________ , d/o/b:__________
I understand that Wisconsin law states that:
767.24(4)(b) (b) A child is entitled to periods of physical placement with both parents unless, after a hearing, the court finds that
physical placement with a parent would endanger the child's physical, mental or emotional health.
767.24 (4) (a) 2. The court shall set a placement schedule that allows the child to have regularly occurring, meaningful periods of
physical placement with each parent and that maximizes the amount of time the child may spend with each parent, taking into
account geographic separation and accommodations for different households.
767.24 (1m) PARENTING PLAN. In an action ….. in which legal custody or physical placement is contested, a party seeking sole
or joint legal custody or periods of physical placement shall file a parenting plan with the court before any pretrial conference.
Except for cause shown, a party required to file a parenting plan under this subsection who does not timely file a parenting plan
waives the right to object to the other party’s parenting plan.
The following is my parenting plan, which defines to the best of my ability, what I believe the court order should be to
secure the best interest of our children:
1. Residence: I am currently residing at: Address:
, City: , State: , ZIP:
For the next two years it is my intention to reside at: Address:
, City: , State: , ZIP:
This is an interspousal battery, or domestic abuse case and I decline to give my address.
2. Current Employer: I am currently employed by:
Full address:
Position:
Days/Hours of Employment:
This is an interspousal battery, or domestic abuse case and I decline to give my place of employment.
3. Legal Custody: Legal custody of the child(ren) (who will have the legal right to make decision regarding the
children) shall be awarded:
Jointly to both parents. Solely to the mother father .
Split between the parents as follows: mother shall have sole custody of:
father shall have sole custody of:
G Custody to the mother father is denied for the following reasons:
_______________________________________________________________________________
Wisconsin Parenting Plan - Form PP1 (DRAFT - 11/1/00)
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4. Periods of Physical Placement: Periods of physical placement (periods of time each parent will be
responsible to care for the child(ren)), shall be allocated as follows:
G Placement of the child(ren) shall be shared equally between both parents according to the
physical placement schedule defined below.
G Placement of the child(ren) shall be primarily with the mother father
with placement periods with the mother father according to:
G reasonable periods of physical placement, upon reasonable notice, as worked out
between the parents.
G the physical placement schedule defined below.
Placement of the child(ren) shall be split between the parents according to the placement and
holiday schedule defined below and attached placement schedule for each additional child(ren).
G Periods of physical placement to the mother father are denied for the following reasons:
_______________________________________________________________________________
_______________________________________________________________________________
Physical placement schedule for the child(ren) shall be with the mother father as indicated
below. The balance of the time the child(ren) will be with the mother father .
(Define specific days of the week and times for each transition between parents.)
For: (list names of children)
During the school semester
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
During the summer
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Of the 365 days of the year, this placement schedule (including holidays) results in the following
number of placement days with: the mother __________, the father ___________.
5. Holidays: The holidays shall be divided as follows: length of holiday placement period
winter school break alternate _________________
spring school break alternate _________________
alternate _________________
alternate _________________
alternate _________________
alternate _________________
6. Decision making authority: Decisions in the listed areas will be made as follows:
Education: jointly by both parents mother father
Medical Care: jointly by both parents mother father
Child Care: jointly by both parents mother father
Extracurricular Activities: jointly by both parents mother father
___________________ jointly by both parents mother father
7. School: The child(ren) will attend the following school(s) this school year: (include location)
_______________________________________________________________________________
_______________________________________________________________________________
Wisconsin Parenting Plan - Form PP1 (DRAFT - 11/1/00)
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8. Medical providers: Medical services will be provided to the child(ren) by the following:
Doctor/Pediatrician/Clinic:
Other:
Insurance/Health Plan will be provided and paid by the mother father
The children’s portion of the cost of heath care insurance is $__________ per month.
The mother’s father’s portion of $__________ per month shall be:
added to, or subtracted from, the basic child support defined under item #11 below.
The cost of out-of-pocket heath care expenses will be paid by the:
mother father both parents in equal shares
parent who receives child support
as follows:
9. Child care while a parent works:
The child(ren) do not require child care.
Child care will be
provided by:
The cost of this child care is approximately $__________ per month.
The cost of child care (if needed) will be paid directly to the child care provider by the:
mother father both parents in equal shares parent who receives child support
as follows:
10. Religious upbringing: The child(ren) will be raised in the following religion:
11. Child support, family support, maintenance or other income transfer.
The monthly gross income of the mother is $____________, of father is $____________.
mother father neither will pay monthly basic child support of: $
adjustments for (health care, travel, etc) $
Total child support $
Per Wisconsin’s child support standard other. The use of the standard is unfair because:
Independent of any child support transfer, each parent will be responsible for all of the children’s direct
expenses (food, housing, entertainment, etc) while in his or her placement. Common expenses for the children
such as school tuition, books, clothing and extra-curricula activities will be paid by the parent who receives
child support, the parent who incurs costs, split as follows
:
mother father neither will pay monthly family support of: $
,
mother father neither will pay monthly maintenance or other income transfer of : $____________,
for a period of
. This is fair because:
12. Each parent shall assist the child(ren) in maintaining contact with the other parent by:
direct contact through periods of placement telephone contact cards/letters
providing copies of child(ren)’s school projects e-mail
providing photographs of child(ren) participating in activities
assisting child(ren) with gift purchasing for other parent for birthdays and holidays
assisting child(ren) with letter writing to other parent
Other:
Wisconsin Parenting Plan - Form PP1 (DRAFT - 11/1/00)
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13. Resolving disagreements: If there are disagreements between myself and the other parent on issues that are
to be joint decisions, the disagreements will be resolved by: (list first, second and third choice):
____ The parent who will have greater placement of the child(ren) while dealing with this issue will decide.
____ Each parent shall take turns on having the final decision regarding each issue in conflict.
____ Flip a coin (in the presence of a neutral party) to decide who will have the final decision regarding
each issue in conflict.
____ Ask for assistance from friends, relatives, clergy or others who can be neutral and fair. The following
person(s) shall serve as a third-party neutral(s):
____ Contact an alternative dispute resolution therapist, mediator or arbitrator. The following person(s)
shall be used for this purpose:
____ Other:
14. (If there is evidence of interspousal battery, as described under s. 940.19 or 940.20 (1m), or domestic abuse,
as defined in s. 813.12 (1) (a) in this relationship, attached an explanation and answer this question.)
To ensure the safety of the child(ren) and/or parent, transfers of the child(ren) between the parents shall be at:
A neutral public site (name and location):
The home of the following person (name and location of person):
Other location:
Monitored by law enforcement (name of agency):
There are special concerns and evidence in this case that physical placement with the mother father
would seriously endanger the child's physical, mental or emotional health. See attached explanation.
Additional clarification to items 1-14 of this parenting plan, are attached. yes no
I believe that this parenting plan acts to secure the best interest of our children and I ask the court to
adopt this plan as part of the court’s order.
____________________________________
Signature of Parent
____________________________________
Date Submitted
If both parents agree with this parenting plan, the other parent should sign the following statement:
I agree that this parenting plan acts to secure the best interest of our children and I also ask the
court to adopt this plan as part of the court’s order.
____________________________________
Signature of Parent
___________________________________
Date Submitted
What to do with this form after it is done:
GGive it, or have your attorney give it, to the court
commissioner or judge who is handling your case. You
should also share it with the mediator in your case.
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