Washington > Statewide > Domestic Relations > Parentage
Declaration In Support Of Proposed Parenting Plan Residential Schedule PS 04.0120 - Washington
| Declaration In Support Of Proposed Parenting Plan Residential Schedule Form. This is a Washington form and can be used in Parentage Domestic Relations Statewide . |
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Superior Court of Washington County of In re Parentage: No. Petitioner, and Respondent, and Respondent, and Child(ren) over the age of 2. (Complete a separate form for each child and use additional pages, if necessary.) Complete this declaration with current information. You may also include past information related to the proposed temporary residential schedule. This declaration is made by (name) __________________________________. 1. (Name of child(ren)) _______________________________________ has/have resided with the following person(s): Length of Time Child Resided With This Person Name Declaration in Support of Proposed [ ] Parenting Plan [ ] Residential Schedule (DCLSPP) 2. (a) I have performed parenting functions relating to the daily needs of the child(ren) (RCW 26.09.004(2)) by: Decl in Suppt of Prop Prtng Plan/Res Schedule (DCLSPP) - Page 1 of 2 WPF PS 04.0120 Mandatory (07/2011) - RCW 26.09.194(1) American LegalNet, Inc. www.FormsWorkFlow.com (b) My work schedule is: 3. (a) The other party has performed parenting functions relating to the daily needs of the child(ren) (RCW 26.09.004(2)) by: (b) Work schedule of the other party: 4. The child's schedule including child care, school, and other activities: 5. Information regarding circumstances under RCW 26.09.191 that are likely to pose a serious risk to the child(ren) and that warrant limitation on the award to a parent of temporary residence or time with the child(ren) pending entry of a permanent residential schedule: 6. Other information for the court to consider: I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at (city)__________________________, (state) on (date) . Signature Print Name Decl in Suppt of Prop Prtng Plan/Res Schedule (DCLSPP) - Page 2 of 2 WPF PS 04.0120 Mandatory (07/2011) - RCW 26.09.194(1) American LegalNet, Inc. www.FormsWorkFlow.com
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