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Proposed Parenting Plan FA-4147 - Wisconsin
| Proposed Parenting Plan Form. This is a Wisconsin form and can be used in Family Court Circuit Court Statewide . |
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Name of Form: Form Number: FORM SUMMARY Proposed Parenting Plan FA-4147V Statutory Reference: Benchbook Reference: Purpose of Form: §767.41(1m), Wisconsin Statutes To provide notice of a parent's required proposal relating to legal custody and physical placement issues when contested. Each parent is to file a proposal. Original to Clerk of Court; copies to other parent or attorney including Family Court Commissioner and Guardian ad Litem. None, but may have supplements to provide greater detail. Modification; last update 10/06. Updated to comply with Act 187. Added an additional signature block if both parties agree. Unless the court orders otherwise, parents are required, in an action in which legal custody or physical placement is contested, to file a written proposal for a parenting plan within 60 days after the court waives the mediation requirement under sec. 767.405(8)(b) or the mediator under sec. 767.405(12)(b) notifies the court that no agreement has been reached. Who Completes It: Distribution of Form: Accompanying Forms: New Form/Modification: Modifications: Comments: If a parent does not file a proposed parenting plan, the right to contest the plan proposed by the other parent who does file may be lost. The judge can adopt the plan on file, unless the parent who did not file a plan can show mistake, inadvertence, surprise or excusable neglect. About this Form: This form is the product of the Wisconsin Records Management Committee, a committee of the Director of State Court's Office. As a pro se form, its use is NOT mandatory but it is required to be accepted and distributed by the circuit courts of the State of Wisconsin. Date: 01/08/2009 Page 1 American LegalNet, Inc. www.FormsWorkflow.com PRINT in INK Enter the name of the county in which this case is filed. STATE OF WISCONSIN, CIRCUIT COURT, For Official Use COUNTY Check marriage or paternity. If paternity, enter the initials of the child. In RE: The marriage paternity of Petitioner/Joint Petitioner-Wife: First name Middle name Last name Enter the name of the respondent. If joint petitioners, enter the name of the husband. and Respondent/Joint Petitioner-Husband: Proposed Parenting Plan First name Middle name Last name Enter the case number. Case No. I understand that Wisconsin law states that in an action in which legal custody or physical placement is contested: · I am required to file a proposed parenting plan within 60 days after the court waives mediation or within 60 days after the mediator notifies the court that no agreement has been reached. · If I fail to file such a plan, I may lose my right to contest the plan submitted by the other parent unless I can show good cause for my delay. Check mother or father. I am the mother father of the minor children of this case. I AM PROPOSING THE FOLLOWING PARENTING PLAN: Note: Legal custody is the right and responsibility to make major decisions about a child, except for those specific decisions described in 2, if any. A. Legal Custody 1. Legal custody of the minor children shall be as follows: Joint Legal Custody Sole Legal Custody to Mother Sole Legal Custody to Father Name of Child Date of Birth Enter the name of each child and check who you believe should have legal custody. Check who will be making the specific decisions for each subject area in a-d. If other, please specify. 2. Specific Decision Making Authority Decisions in the following listed areas will be made as follows: Decision a. b. c. d. e. Non-Emergency Health Care Education/School Activities Child Care Providers Non-School Activities Other: Jointly By Mother By Father FA-4147V, 01/09 Proposed Parenting Plan Page 1 of 5 §767.41(1m), Wisconsin Statutes American LegalNet, Inc. www.FormsWorkflow.com This form shall not be modified. It may be supplemented with additional material. Proposed Parenting Plan Page 2 of 5 Case No. _____________ Note: Physical Placement is the right to have a child physically placed with a party. B. Physical Placement In allocating the time the minor children spend between the parents, the court should award the placement on a day-to-day basis as follows: Primary Physical Equal Shared Placement to Placement Mother Primary Physical Placement to Father Name of Child Enter the name of each child and check which parent you believe should have physical placement of that child. And check a or b. If a, attach a schedule. If b, describe how placement will be shared in the chart provided. AND the physical placement schedule shall be: as listed in the attached document. a. as proposed below (on a biweekly basis): b. Mon. Tues. Wed. Thurs. Fri. Sat. Sun. Week 1 Week 2 Check 1, 2 or 3. If 1, enter the year in which the schedule will begin. Check which parent you believe should have the children for each holiday break. C. Summer and Holiday Placement Schedule The summer and holiday placement schedule should be as follows: as proposed here: 1. With Mother the With Father the following years following years HOLIDAYS Every Even Odd Every Even Odd year years years year years years a. Mother's Day b. Memorial Day c. Father's Day d. July 4th e. Labor Day f. Halloween g. Thanksgiving h. Christmas Eve i. Christmas Day j. New Year's Eve k. New Year's Day l. Religious Holiday m. Religious Holiday n. Father's Birthday o. Mother's Birthday p. Children's Birthday(s) q. Other: r. Other: s. School Spring Break t. School Teacher Conventions u. Summer Break to be shared as follows: FA-4147V, 01/09 Proposed Parenting Plan Page 2 of 5 §767.41(1m), Wisconsin Statutes American LegalNet, Inc. www.FormsWorkflow.com This form shall not be modified. It may be supplemented with additional material. Proposed Parenting Plan Page 3 of 5 Case No. _____________ 2. If 2, write the name of the county whose schedule you are using. If 3, enter the other schedule. 3. According to the attached placement schedule. Other: County standard See attached D. Child Care The children do not require child care. 1. The child care will be provided by 2. And the cost of child care will be paid as follows: %. a. The mother to pay %. b. The father to pay Check 1 or 2. If 2, enter the name of the childcare provider and indicate in a and b the percent you propose each parent should pay toward the cost. The total amount must equal 100%. Check a, b, c, or d. If c, check 1 or 2 If d, enter the other proposal. For 2, check a, b, or c. If b or c, enter the location for the drop-off. If d, check 1,2,3 or 4. For each enter the requested informati
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