The mother and father will behave with each other and each child so as to provide a loving, stable, consistent and nurturing relationship with the child even though they are divorced. They will not speak badly of each other or the members of the family of the other parent. They will encourage each child to continue to love the other parent and be comfortable in both families.
This plan FORMCHECKBOX is a new plan. FORMCHECKBOX modifies an existing Parenting Plan dated FORMTEXT Type Date . FORMCHECKBOX modifies an existing Order dated FORMTEXT Type Date.
I. RESIDENTIAL PARENTING SCHEDULE
A. RESIDENTIAL TIME WITH EACH PARENT The Primary Residential Parent is ______________________. Under the above schedule each parent will spend the following number of days with the children: Mother Father days. B. DAY-TO-DAY SCHEDULE The __ mother FORMCHECKBOX father shall have responsibility for the care of the child or children except at the following times when the other parent shall have responsibility: From FORMTEXT Start Day and Time to FORMTEXT End Day and Time FORMCHECKBOX every week FORMCHECKBOX every other week ___ other: no exceptions. The other parent shall also have responsibility for the care of the child or children at the additional parenting times specified below: From FORMTEXT Enter Additional Start Day and Time to FORMTEXT Additional Other End Day and Time
FORMCHECKBOX every week FORMCHECKBOX every other week ___ other: None This parenting schedule begins ___ immediately or FORMCHECKBOX date of the Court’s Order. C. HOLIDAY SCHEDULE AND OTHER SCHOOL FREE DAYS Indicate if child or children will be with parent in ODD or EVEN numbered years or EVERY year: MOTHER FATHER
A holiday shall begin at 6:00 p.m. on the night preceding the holiday and end at 6:00 p.m. the night of the holiday, unless otherwise noted here FORMTEXT Please enter other holiday start time. D. FALL VACATION (If applicable) The day to day schedule shall apply except as follows.WINTER (CHRISTMAS) VACATIONThe FORMCHECKBOX mother FORMCHECKBOX father shall have the child or children for the first period from the day and time school is dismissed until FORMTEXT Please Type Date at FORMTEXT Please Type Time FORMDROPDOWN FORMCHECKBOX in odd-numbered years FORMCHECKBOX in even-numbered years FORMCHECKBOX every year. The other parent will have the child or children for the second period from the day and time indicated above until 6:00 p.m. on the evening before school resumes. The parties shall alternate the first and second periods each year. Other agreement of the parents: F. SPRING VACATION (If applicable) The day-to-day schedule shall apply except as follows G. SUMMER VACATION The day-to-day schedule shall apply except as follows: Is written notice required? FORMCHECKBOX Yes ___ No. If so, FORMTEXT Please Type Number of Days number of days.
H. TRANSPORTATION ARRANGEMENTS The place of meeting for the exchange of the child or children shall be. Payment of long distance transportation costs (if applicable): FORMCHECKBOX mother ___ father FORMCHECKBOX both equally.
Other arrangements
If a parent does not possess a valid driver’s license, he or she must make reasonable transportation arrangements to protect the child or children while in the care of that parent. I. SUPERVISION OF PARENTING TIME (If applicable) __Check if applicable Supervised parenting time shall apply during the day-to-day schedule as follows: _ Place: FORMCHECKBOX Person or organization supervising: FORMCHECKBOX Responsibility for cost, if any: FORMCHECKBOX mother ___ father FORMCHECKBOX both equally. J. OTHER The following special provisions apply: II. DECISION-MAKING A. DAY-TO-DAY DECISIONS
Each parent shall make decisions regarding the day-to-day care of a child while the child is residing with that parent, including any emergency decisions affecting the health or safety of a child.
B. MAJOR DECISIONS: Major decisions regarding each child shall be made as follows: Educational decisions ___ mother FORMCHECKBOX father FORMCHECKBOX joint Non-emergency health care ___ mother FORMCHECKBOX father FORMCHECKBOX joint Religious upbringing ___ mother FORMCHECKBOX father FORMCHECKBOX joint Extracurricular activities ___ mother FORMCHECKBOX father FORMCHECKBOX joint
III. FINANCIAL SUPPORT
A. CHILD SUPPORT
Father’s gross monthly income is $ FORMTEXT Please Type Father's Gross Monthly Income. Mother’s gross monthly income is $-0-.
1. The final child support order is as follows:
a. The
FORMCHECKBOX
mother
___
father shall pay to the other parent as regular child FORMCHECKBOX every two weeks. The Child Support Worksheet shall be attached to this Order as an Exhibit.*
If this is a deviation from the Child Support Guidelines, explain why: FORMTEXT Please Type Reason For Deviation
2. Retroactive Support: A
judgment is hereby awarded to
FORMCHECKBOX
mother
FORMCHECKBOX
father
against
3. Payments shall begin on the FORMTEXT Please Type Day of Payment Start day of FORMTEXT Please Type Month of Payment Start, 20 FORMTEXT Please Type last two Digits of Year.
This support shall be paid: FORMCHECKBOX directly to the other parent. FORMCHECKBOX to the Central Child Support Receipting Unit, P. O. Box 305200, Nashville, Tennessee 37229, and sent to the other parent at: FORMTEXT Please Type Address of Receiving Parent. A Wage Assignment Order is attached to this Parenting Plan FORMCHECKBOX by direct deposit to the other parent at FORMTEXT Please Type Name of Bank Bank for deposit in account no. FORMTEXT Please Type Account Number. FORMCHECKBOX other: FORMTEXT Please Enter Any Other Information Here.
The parents acknowledge that court approval must be obtained before child support can be reduced or modified.
*Child Support Worksheet can be found on DHS website at http://www.state.tn.us/humanserv/is/incomeshares.htm or at your local child support offices. B. FEDERAL INCOME TAX EXEMPTION[*] The __ mother FORMCHECKBOX father is the parent receiving child support.
The Mother shall claim the following children: The Father shall claim the following children: _______________
The FORMCHECKBOX mother FORMCHECKBOX father may claim the exemptions for the child or children so long as child support payments are current by the claiming parent on January 15 of the year when the return is due. The exemptions may be claimed in: FORMCHECKBOX alternate years starting FORMTEXT Type Start Date ____ each year FORMCHECKBOX other: FORMTEXT Please Type Other Information.
The FORMCHECKBOX mother FORMCHECKBOX father will furnish IRS Form 8332 to the parent entitled to the exemption by February 15th of the year the tax return is due.
C. PROOF OF INCOME AND WORK-RELATED CHILD CARE EXPENSES
Each parent shall send proof of income to the other parent for the prior calendar year as follows:
The parent paying work-related child care expenses shall send proof of expenses to the other parent for the prior calendar year and an estimate for the next calendar year, on or before February 15. D. HEALTH AND DENTAL INSURANCE Reasonable health insurance on the child or children will be: __ maintained by the mother FORMCHECKBOX maintained by the father FORMCHECKBOX maintained by both Proof of continuing coverage shall be furnished to the other parent annually or as coverage changes. The parent maintaining coverage shall authorize the other parent to consult with the insurance carrier regarding the coverage in effect. Uncovered reasonable and necessary medical expenses, which may include but is not limited to, deductibles or co-payments, eyeglasses, contact lens, routine annual physicals, and counseling will be paid by FORMCHECKBOX mother ___ father FORMCHECKBOX pro rata in accordance with their incomes. After insurance has paid its portion, the parent receiving the bill will send it to the other parent within ten days. The other parent will pay his or her share within 30 days of receipt of the bill. If available through work, the ___ mother FORMCHECKBOX father shall maintain dental, orthodontic, and optical insurance on the minor child or children. E. LIFE INSURANCE (Required for parent paying child support) The FORMCHECKBOX mother FORMCHECKBOX father _ both shall insure his/her own life in the minimum amount of $100,000.00 by whole life or term insurance. Until the child support obligation has been completed, each policy shall name the following as sole irrevocable primary beneficiary: FORMCHECKBOX the other parent ___ the other parent, as trustee for the benefit of the children, to serve without bond or accounting, FORMCHECKBOX other : FORMTEXT Please Type Other Information. IV. PRIMARY RESIDENTIAL PARENT (CUSTODIAN) FOR OTHER LEGAL PURPOSES The child or children are scheduled to reside the majority of the time with the _ mother □ father. This parent is designated as the primary residential parent also known as the custodian, SOLELY for purposes of any other applicable state and federal laws. If the parents are listed in Section II as joint decision-makers, then, for purposes of obtaining health or other insurance, they shall be considered to be joint custodians. THIS DESIGNATION DOES NOT AFFECT EITHER PARENT’S RIGHTS OR RESPONSIBILITIES UNDER THIS PARENTING PLAN. V. DISAGREEMENTS OR MODIFICATION OF PLAN Should the parents disagree about this Parenting Plan or wish to modify it, they must make a good faith effort to resolve the issue by the process selected below before returning to Court. Except for financial support issues including child support, health and dental insurance, uncovered medical and dental expenses, and life insurance, disputes must be submitted to: ___ Mediation by a neutral party chosen by the p | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||