Fillable Printable Sample Parenting Plan - Florida

Sample Parenting Plan - Florida



InstructionsforFloridaSupremeCourtApprovedFamilyLawForm12.995(a),ParentingPlan(03/09)

INSTRUCTIONSFORFLORIDASUPREMECOURTAPPROVEDFAMILYLAW

FORM12.995(a),PARENTINGPLAN(03/09)



Whenshouldthisformbeused?



AParentingPlan

isrequiredinallcasesinvolvingtime‐sharingwithminorchild(ren),evenwhentime‐

sharingisnotindispute.ThisformorasimilarformshouldbeusedinthedevelopmentofaParenting

Plan.Ifthecaseinvolvessupervisedtime‐sharing

,theSupervised/SafetyFocusedParentingPlan,

FloridaSupremeCourtApprovedFamilyLawForm12.995(b)orasimilarformshouldbeused.



Thisformshouldbetypedorprintedinblackink.Ifanagreementhasbeenreached,bothpartiesmust

signtheParentingPlanandhavetheirsignatureswitnessed

byanotarypublicordeputyclerk.After

completingthisform,youshouldfile

theoriginalwiththeclerkofthecircuitcourtinthecountywhere

thepetition

wasfiledandkeepacopyforyourrecords.Youshouldthenrefertotheinstructionsfor

yourpetition,answer

,oranswerandcounterpetitionconcerningtheproceduresforsettingahearingor

trial

(finalhearing).IfanagreedParentingPlanisnotfiledbytheparties,theCourtshallestablisha

Plan.



WherecanIlookformoreinformation?



Beforeproceeding,youshouldread“GeneralInformationforSelf‐RepresentedLitigants”foundatthe

beginningoftheseforms.Thewordsthatarein“boldunderline

”intheseinstructionsaredefined

there.Forfurtherinformation,seechapter61,FloridaStatutes,andtheins tructionsforthepetition

and/oranswerthatwerefiledinthiscase.



Specialnotes...



Ataminimum,theParentingPlanmustdescribe inadequatedetail:

 Howthepart ieswillshareandberesponsibleforthedailytasksassociatedwiththeupbringingof

thechild(ren),

 The time‐sharing schedule arrangements that specify the time that the minor child(ren) will

spendwitheachparent,

 A designation of who will be responsible for any and all forms of health care, school‐related

matters,otheractivities,and

 Themethodsandtechnologiesthattheparentswillusetocommunicatewiththechild(ren).



The best interests of the child(ren) is the primary consideration in the Parenting

Plan. In creating the

Parenting Plan, all circumstances between the parties, including the parties’ historic relationship,

domestic violence, and other factors must be taken into consideration.Determination of the best

interestsofthechild(ren)shallbemadebyevaluatingallofthefactorsaffectingthewelfareandinterest

oftheminor

child(ren),i ncluding,butnotlimitedto:



InstructionsforFloridaSupremeCourtApprovedFamilyLawForm12.995(a),ParentingPlan(03/09)

 Thede monstrated capacityanddispositionofeachparenttofacilitateandencouragea

close and continuing parent‐child relationship, to honor the time‐sharing schedule, and to be

reasonablewhenchangesarerequired;

 The anticipated division of parental responsibilities after the litigation, including the

extenttowhichparentalr esponsibilities

willbedelegatedtothirdparties;

 Thedemonstratedcapacityand dispositionof each parent todetermine, consider, and

actupontheneedsofthechild(ren)asopposedtotheneedsordesiresoftheparent;

 Thelengthoftimethechild(ren)haslivedinastable,satisfactoryenvironment

andthe

desirabilityofmaintainingcontinuity;

 Thegeographicviability oftheparentingplan, withspecial attentionpaid tothe needs

ofschool‐agechildrenandtheamountoftimetobespenttravelingtoeffectuatetheparenting

plan.Thisfactordoesnotcreateapresumptionfororagainstrelocationof

eitherparentwitha

child(ren);

 Themoralfitnessoftheparents;

 Thementalandphysicalhealthoftheparents;

 Thehome,school,andcommunityrecordofthechild(ren);

 The reasonable preference of the child(ren),if the court deems the child(ren) to be of

sufficientintelligence,understanding,

andexperiencetoexpressapreference;

 Thedemonstrated knowledge, capacity, and dispositionof each parentto be informed

of the circumstances of the minor child(ren), including, but not limited to, the child(ren)’s

friends,teachers,medicalcareproviders,dailyactivities,andfavoritethings;

 The demonstrated capacity and disposition of each

 parent to provide a consistent

routine for the child(ren), such as discipline, and daily schedules for homework, meals, and

bedtime;

 The demonstrated capacity of each parent to communicate with and keep the other

parent informed of issues and activities regarding the minor child(ren), and the willingness of

eachparent

toadoptaunifiedfrontonallmajorissueswhendealingwiththechild(ren);

 Evidenceofdomesticviolence,sexualviolence,childabuse,childabandonment,orchild

neglect, regardless of whether a prior or pending action relating to those issues  has been

brought;

 Evidence that either parent has  knowingly provided

 false information to the court

regardinganypriororpendingactionregardingdomesticviolence,sexualviolence,childabuse,

childabandonment,orchildneglect;

 Theparticularparentingtaskscustomarilyperformedbyeachparentandthedivisionor

parental responsibilities before the institution of litigation and during the pending litigation,

including

theextenttowhichparentingresponsibilitieswereundertakenbythirdparties;

 The demonstrated capacity and disposition of each parent to participate and be

involvedinthechild(ren)’sschoolandextracurricularactivities;

 Thedemonstratedcapacityanddispositionofeachparentto maintainanenvironment

forthechild(ren)whichisfree

fromsubstanceabuse;

 Thecapacity anddispositionof each parentto protect the child(ren) from the ongoing

litigation as demonstrated by not discussing the litigation with the child(ren), not sharing

documentsorelectronicmediarelatedtothelitigationwiththechild(ren),andrefrainingfrom

disparagingcommentsabouttheother

parenttothechild)ren);and



InstructionsforFloridaSupremeCourtApprovedFamilyLawForm12.995(a),ParentingPlan(03/09)

 The developmental stages and needs of the child(ren) and the demonstrated capacity

anddispositionofeachparenttomeetthechild(ren)’sdevelopmentalneeds.



Thisstandardformdoesnotincludeeverypossibleissuethatmayberelevanttothefactsofyourcase.

TheParentingPlanshouldbeasdetailed

aspossibletoaddressthetime‐sharingschedule.Additional

provisionsshouldbeaddedtoaddressalloftherelevantfactors.Thepartiesshouldgivespecial

considerationtotheageandneedsofeachchild.



IndevelopingtheParentingPlan,youmaywishtoconsultorreviewothermaterialswhichareavailable



atyourlocallibrary,lawlibraryorthroughnationalandstatefamilyorganizations.



Remember,apersonwhoisNOTanattorneyiscalledanonlawyer.If anonlawyerhelpsyoufillout

theseforms,thatpersonmustgiveyouacopyofaDisclosurefromNonlawyer,FloridaFamilyLaw

Rules

ofProcedureForm12.900(a),beforeheorshehelpsyou.Anonlawyerhelpingyoufillouttheseforms

alsomustputhisorhername,address,andtelephonenumberonthebottom ofthelastpageofevery

formheorshehelpsyoucomplete.



FloridaSupremeCourtApprovedFamilyLawForm12.995(a),ParentingPlan(03/09)

INTHECIRCUITCOURTOFTHEEIGHTEENTHJUDICIALCIRCUIT

INANDFORSEMINOLECOUNTY,FLORIDA



CaseNo:_____________________

Division:_____________________



_______________________________

Petitioner,

and

_______________________________

Respondent.



PARENTINGPLAN



Thisparentingplanis:(Chooseonlyone)

[] AParentingPlansubmittedtothecourtwiththeagreementoftheparties.

[] AproposedParentingPlansubmittedbyoronbehalfof:

{Parent’sName}_______________________________________________.

[] AParentingPlanestablishedbythecourt.



Thisparentingplanis:

(Chooseonlyone)

[] AfinalParentingPlanestablishedby thecourt.

[] AtemporaryParentingPlanestablishedbythecourt.

[] AmodificationofapriorfinalParentingPlanorpriorfinalorder.



I. PARENTS

Mother

Name:__________________________________________________________________

Address:________________________________________________________________

TelephoneNumber:______________________________________________________

E‐Mail:_________________________________________________________________



Father

Name:__________________________________________________________________

Address:________________________________________________________________

TelephoneNumber:______________________________________________________

E‐Mail:_________________________________________________________________



II. CHILDREN:Thisparentingplanisforthefollowingchild(r en)bornto,oradoptedbytheparties:

(addadditionallinesasneeded)

 NameDateofBirth Sex

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________



FloridaSupremeCourtApprovedFamilyLawForm12.995(a),ParentingPlan(03/09)

_______________________________________________________________________



III. JURISDICTION



TheUnitedStatesisthecountryofhabitualresidenceofthechild(ren).



The State of Florida is the child(ren)’s home state for the purposes of the Uniform Child Custody

JurisdictionandEnforcementAct.



ThisParentingPlanisachildcustodydeterminationforthepurposesof

theUniformChildCustody

Jurisdiction and Enforcement Act, the International Child Abduction Remedies Act, 42 U.S.C.

Sections 11601 et seq., the Parental Kidnapping Prevention Act,  and the Convention on the Civil

Aspects of International Child Abduction enacted at  the Hague on October 25, 1980, and for all

otherstateandfederal

laws.



Other:___________________________________________________________________________.



IV. PARENTALRESPONSIBILITYANDDECISIONMAKING



1. ParentalResponsibility(Chooseonlyone)



[] SharedParentalResponsibility.

 It is in the best interests of the child(ren) that the parents confer and jointly make all

majordecisionsaffectingthewelfareofthechild(ren).Majordecisionsinclude,

butare

not limited to, decisions about the child(ren)’s education, healthcare, and other

responsibilitiesuniquetothisfamily.



OR



[] SharedParentalResponsibilitywithDecisionMakingAuthority

 Itisinthebestinterestsofthechild(ren)thattheparentsconferandattempttoagree

onthemajordecisions

involvingthe child(ren).If theparentsare unabletoagree, the

authorityformakingmajordecisionsregardingthechild(ren)shall beasfollows:



Education/Academicdecisions  []Mother []Father

Non‐emergencyhealthcare[]Mother []Father

___________________________ []Mother []Fa ther

___________________________ [

]Mother []Father

___________________________ []Mother []Fa ther



OR



[] SoleParentalResponsibility:



FloridaSupremeCourtApprovedFamilyLawForm12.995(a),ParentingPlan(03/09)

 Itis in the bestinterests of the child(ren)that the [ ]Mother [] Father shall havesole

authoritytomakemajordecisionsforthechild(ren.)



2. Day‐to‐DayDecisions

Eachparentshallmakedecisionsregardingday‐to‐daycareandcontrolofeachchildwhile

the

childiswiththatparent.Regardlessoftheallocationofdecisionmakinginthe

parentingplan,eitherparentmaymakeemergencydecisionsaffectingthehealthorsafety

ofthechild(ren)when thechildisresidingwiththatparent.Aparentwhomakesan

emergencydecisionshallsharethedecisionwiththe

otherparentassoonasreasonably

possible.



3. Extra‐curricularActivities(Chooseallthatapply)



[] Eitherparentmayregisterthechild(ren)andallowthemtoparticipateintheactivityof

thechild(ren)’schoice.



[] Theparentsmustmutuallyagreetoallextra‐curricularactivities.



[] Theparentwiththeminorchild(ren)shalltransporttheminorchild(ren)toand/orfrom

allmutuallyagreeduponextra‐curricularactivities,providingallnecessaryuniformsand

equipmentwithintheparent’spossession.



[] Thecostsoftheextra‐curricularactivitiesshallbepaidby:

Mother______% Father__________

%



[] Theuniformsandequipmentrequiredfortheextra‐curricularactivitiesshallbepaidby:

Mother_______%Father____________%



[] Other:_____________________________________________________.



V. INFORMATIONSHARING.UnlessotherwiseindicatedororderedbytheCourt:



Bothparentsshallhaveaccesstomedicalandschoolrecordspertaining

tothechild(ren)and

shallbepermittedtoindependentlyconsultwithanyandallprofessionalsinvolvedwiththe

child(ren).Theparentsshallcooperatewitheachotherinsharinginformationrelatedtothe

health,education,andwelfareofthechild(ren)andtheyshallsignanynecessary

documentationensuringthatbothpare nts have

accesstosaidrecords.



Eachparentshallberesponsibleforobtainingrecordsandreportsdirectlyfromtheschooland

healthcareproviders.



Bothparentshaveequalrightstoinspectandreceivegovernmentalagencyandlaw

enforcementrecordsconcerningthechild(ren).



 Bothparentsshallhaveequalandindependentauthority

toconferwiththechild(ren)’s



FloridaSupremeCourtApprovedFamilyLawForm12.995(a),ParentingPlan(03/09)

 school,daycare,healthcareproviders,andotherprogramswithregardtothechild(ren)’s

educational,emotional,andsocialprogress.



 Bothparentsshallbelistedas“emergencycontac ts” forthechild(ren).



Eachparenthasacontinuingresponsibilitytoprovidearesidential,mailing,orcontac taddr ess

andcontacttelephonenumberto

theotherparent.Eachparentshallnotifytheother parentin

writingwithin24hoursofanychanges.Eachparentshallnotifythecourtinwritingwithinseven

(7)daysofanychanges.



Other:_________________________________________________________________

 ________________________________________________________________.



VI. SCHEDULING



1. SchoolCalendar

Ifnecessary,onorbefore______________ofeach

year,bothparentsshouldobtainacopy

oftheschoolcalendarforthenextschoolyear.Theparentsshalldiscussthecalendarsand

thetime‐sharingschedulesothatanydifferencesorquestionscanberesolved.



Theparentsshallfollowtheschoolcalendarof:(Chooseallthatapply)

[]

theoldestchild

[] theyoungestchild

[] theschoolcalendarfor______________County

[] theschoolcalendarfor_________________School



2. AcademicBreakDefinition

Whendefiningacademicbreakperiods,theperiodshallbeginattheendofthelast

scheduleddayofclassesbeforetheholidayor

breakandshallstartonthefirstdayof

regularlyscheduledclassesaftertheholidayorbreak.



3. ScheduleChanges(Chooseallthatapply)



[] Aparentmakingarequestforaschedulechangewill maketherequestassoonas

possible,butinanyevent,exceptin

casesofemergency,nolessthan

________________ beforethechangeistooccur.



[] Aparentrequestingachangeofscheduleshallberesponsibleforanyadditionalchild

care,ortransportationcostscausedbythechange.



[] Other______________________________________________________.



VII. TIME‐SHARINGSCHEDULE



1. Weekdayand

WeekendSchedule



FloridaSupremeCourtApprovedFamilyLawForm12.995(a),ParentingPlan(03/09)

Thefollowingscheduleshallapplybeginningon________________________withthe

[]Mother[]Fatherandcontinueasfollows:



A. Thechild(ren)shallspendtimewiththeMotheronthefollowingdatesandtimes:

WEEKENDS:[]Every[]EveryOther[]Other(specify)_____________________

From____________________________to

_________________________________

WEEKDAYS:Specifydays_______________________________________________

From_____________________________to_______________________________

OTHER:(Specify)_____________________________________________________

___________________________________________________________________

___________________________________________________________________.



B. Thechild(ren)shallspendtimewiththeFatheronthefollowingdatesandtimes:

WEEKENDS:[]Every[]EveryOther[]Other(specify)____________________

From____________________________to_________________________________

WEEKDAYS:Specifydays_______________________________________________

From_____________________________to_______________________________

OTHER:(Specify)_____________________________________________________

___________________________________________________________________

___________________________________________________________________.



C. Checkboxifthereisadifferenttimesharingschedulefor anychild.Com plete a

separateAttachmentforeachchildforwhomthereisadifferenttimesharing

schedule.



[]Thereisadifferenttime‐sharingschedulefor

thefollowingchild(ren)inAttachment

____.



______________________________,and_________________________.

(NameofChild) (NameofChild)



2. HolidaySchedule(Chooseonlyone)



[] Noholidaytimesharingshallapply.Theregulartime‐sharingschedulesetforthabove

shallapply.



[] Holidaytime‐sharingshallbeastheparties

agree.



[] Holidaytime‐sharingshallbeinaccordancewiththefollowingschedule.TheHoliday

schedulewilltakepriorityovertheregularweekday,weekend,andsummerschedules.

FillintheblankswithMotherorFathertoindicatewherethechild(ren)willbeforthe

holidays.Providethebeginningand

endingtimes.Ifaholidayisnotspecifiedaseven,

odd,oreveryyearwithoneparent,thenthechild(ren)willremainwiththeparentin

accordancewiththeregularschedule



FloridaSupremeCourtApprovedFamilyLawForm12.995(a),ParentingPlan(03/09)

 Holidays EvenYears OddYears EveryYear Begin/EndTime

 Mother’sDay __________ _________ __________ _________________

 Father’sday __________ _________ __________ _________________

 President’sDay __________ _________ __________ _________________

 MartinLutherKingDay __________ _________ __________ _________________

 Easter  __________ _________ __________ _________________

 Passover __________ _________ __________ _________________

 MemorialDayWeekend__________ _________ __________ _________________

 4

ofJuly __________ _________ __________ _________________

 LaborDayWeekend __________ _________ __________ _________________

 ColumbusDayWeekend_________ _________ __________ _________________

 Halloween __________ _________ __________ _________________

 Thanksgiving __________ _________ __________ _________________

 Veteran’sDay __________ _________ __________ _________________

 Hanukkah __________ _________ __________ _________________

 YomKippur __________ _________ __________ _________________



 RoshHashanah __________ _________ __________ _________________

 Child(ren)’sBirthdays __________ _________ __________ _________________

 _______________  __________ _________ __________ _________________



ThisholidayschedulemayaffecttheregularTime‐SharingSchedule.Parentsmaywishtospecify

oneormoreofthefollowingoptions:



[] When

the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

parentswillexchangethefollowingweekend,sothateachhastwoweekendsina row

beforetheregularalternatingweekendpatternresumes.



[

] Ifaparenthasthechild(ren)onaweekendimmediatelybeforeorafteranunspecified

holidayornon‐schoolday,theyshallhavethechild(ren)fortheholidayornon‐school

day.



3. WinterBreak

A. EntireWinterBreak(Chooseonlyone)



[] The[]Mother

[]Fathershallhavethechild(ren)fromthedayandtimeschoolis

dismisseduntilDecember_____at___a.m./p.min[]odd‐numberedyears[]even‐

numberedyears[]everyyear.Theotherparentwillhavethechildrenforthesecond

portionoftheWinterBreak.

Thepartiesshallalternativethearrangementeachyear.



[] The[]Mother[]Fathershallhavethechild(ren)fortheentireWinterBreakduring

[]odd‐numberedyears[]even‐numberedyears[]everyyear.



FloridaSupremeCourtApprovedFamilyLawForm12.995(a),ParentingPlan(03/09)

[] Other:______________________________________________________________

______________________________________________________________

  ______________________________________________________________.



B. SpecificWinterHolidays

Ifnotaddressedabove,thespecificWinterHolidayssuchasChristmas,NewYear’sEve,

Hanukkah,Kwanzaa,etc.andshallbesharedasfollows:

______________________________________________________________________

______________________________________________________________________.



4. SpringBreak(Chooseonlyone)



[] Theparentsshallfollow

theregularschedule.



 [] TheparentsshallalternatetheentireSpringBreakwiththeMotherhavingthe

child(ren)duringthe[]odd‐numberedyears[]evennumberedyears.



 [] The[]Father[]Mothershallhavethechild(ren)fortheentireSpringBreakevery

year.



[] TheSpringBreakwillbeevenlydivided.ThefirsthalfofthespringBreakwillgotothe

parentwhoseregularlyscheduledweekendfallsonthefirsthalfandthesecondhalf

goingtotheparentwhoseweekendfallsduringthesecondhalf.



 [] Other:__________ _______________________________________________________.



5. SummerBreak(Chooseonlyone)



 [] Theparentsshallfollowtheregularschedulethroughthesummer.



 [] The[]Mother[]FathershallhavetheentireSummerBreakfrom__________after

schoolisoutuntil_______________beforeschoolstarts.



 [] The

parentsshallequallydividetheSummerBreak.During[]odd‐numberedyears

[]evennumberedyears,the[]Mother[]Fathershallhavethechildrenfrom

________afterschoolisoutuntil________.Theotherparentshallhavethechild(ren)

forthesecondone‐halfof

thesummerbreak.Theparentsshallalternatethefirstand

secondone‐halveseachyearunlessotherwiseagreed.Duringtheextendedperiodsof

time‐sharing,theother parentshallhavethechild(ren)

______________________________.



 [] Other:__________ ________________________________________________________

 _______________________________________________________________________.



FloridaSupremeCourtApprovedFamilyLawForm12.995(a),ParentingPlan(03/09)

6. NumberofOvernights:



Baseduponthetime‐sharingschedule,theMotherhasatotalof_____overnightsperyear

andtheFatherhasatotalof_____overnightsperyear.Note:Thetwonumbersmust

equal365.



7. []Ifnotsetforthabove,thepartiesshallhave

time‐sharinginaccordancewiththe

schedulewhichisattachedandincorporatedherein.



VIII. TRANSPORTATION ANDEXCHANGEOFCHILD(REN)



1. Transportation(Chooseonlyone)

[] The[]Mother[]Fathershallprovidealltransportation.



[] Theparentbeginningtheirtime‐sharingshallprovidetransportati onfor

thechild(ren).



[] Theparentendingtheirtime‐sharingshallprovidetransportationforthechild(ren). 



[] Other:_________________________________________________________________.



2. Exchange(Chooseonlyone)



Bothparentsshallhavethechild(ren)readyontimewithsufficientclothingpackedand

readyattheagreedupontimeofexchange.Ifaparent

ismorethan______minuteslate

withoutcontactingtheotherparenttomakeotherarrangements,theparentwiththe

child(ren)mayproceedwithotherplansandactivities.



[] ExchangesshallbeatMother’sandFather’shomesunlessbothparentsagreetoa

differentmeetingplace.



[] Exchangesshall

occurat__________________________________________________

 ____________________________________________________________un lessboth

partiesagreeinadvancetoadifferentmeetingplace.



 [] Other:________________________________________________________________.



3. TransportationCosts(Chooseonlyone)



[] TransportationcostsareincludedintheChildSupportWorksheetsand/ortheOrderfor

ChildSupportandshouldnotbeincludedhere.



[] TheMothershallpay______%andtheFathershallpay______%ofthetransportation

costs.



[] Other:__________________________________________________________________.