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Parenting Plan PS 01.0400 - Washington
| Parenting Plan 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. This parenting plan is: [] [] the final parenting plan signed by the court pursuant to an order determining parentage signed by the court on this date or dated _____________________________. the final parenting plan signed by the court pursuant to an order signed by the court on this date or dated ____________________________, which modifies a previous parenting plan or custody decree. a temporary parenting plan signed by the court. proposed by (name) ______________________________. Parenting Plan [ ] Proposed (PPP) [ ] Temporary (PPT) [ ] Final Order (PP) [] [] It Is Ordered, Adjudged and Decreed: I. General Information This parenting plan applies to the following parents: (name) ____________________________________ and (name) ______________________________, and to the following children: Name Age Parenting Plan (PPP, PPT, PP) - Page 1 of 10 WPF PS 01.0400 Mandatory (12/2009) - RCW 26.26.130, 26.09.016, .181; .187; .194 American LegalNet, Inc. www.FormsWorkFlow.com II. Basis for Restrictions Under certain circumstances, as outlined below, the court may limit or prohibit a parent's contact with the child(ren) and the right to make decisions for the child(ren). 2.1 Parental Conduct (RCW 26.09.191(1), (2)) [] [] Does not apply. (Name) ______________________________'s residential time with the children shall be limited or restrained completely, and mutual decision-making and designation of a dispute resolution process other than court action shall not be required because [ ] this parent [ ] a person residing with this parent has engaged in the conduct which follows: [] Willful abandonment that continues for an extended period of time or substantial refusal to perform parenting functions (this applies only to parents, not to a person who resides with a parent). Physical, sexual or a pattern of emotional abuse of a child. A history of acts of domestic violence as defined in RCW 26.50.010(1) or an assault or sexual assault which causes grievous bodily harm or the fear of such harm. [] [] 2.2 Other Factors (RCW 26.09.191(3)) [] [] Does not apply. (Name) ____________________________'s involvement or conduct may have an adverse effect on the child's best interests because of the existence of the factors which follow. [] [] [] [] [] [] [] Neglect or substantial nonperformance of parenting functions. A long-term emotional or physical impairment which interferes with the performance of parenting functions as defined in RCW 26.09.004. A long-term impairment resulting from drug, alcohol, or other substance abuse that interferes with the performance of parenting functions. The absence or substantial impairment of emotional ties between the parent and child. The abusive use of conflict by the parent which creates the danger of serious damage to the child's psychological development. A parent has withheld from the other parent access to the child for a protracted period without good cause. Other: III. Residential Schedule Parenting Plan (PPP, PPT, PP) - Page 2 of 10 WPF PS 01.0400 Mandatory (12/2009) - RCW 26.26.130, 26.09.016, .181; .187; .194 American LegalNet, Inc. www.FormsWorkFlow.com The residential schedule must set forth where the child(ren) shall reside each day of the year, including provisions for holidays, birthdays of family members, vacations, and other special occasions, and what contact the child(ren) shall have with each parent. Parents are encouraged to create a residential schedule that meets the developmental needs of the child(ren) and individual needs of their family. Paragraphs 3.1 through 3.9 are one way to write your residential schedule. If you do not use these paragraphs, write in your own schedule in Paragraph 3.13. 3.1 Schedule for Children Under School Age [] [] There are no children under school age. Prior to enrollment in school, the child(ren) shall reside with (name) ___________________________, except for the following days and times when the child(ren) will reside with or be with the other parent: from (day and time)____________________ to (day and time) ____________________ [] every week [ ] every other week [ ] the first and third week of the month [] the second and fourth week of the month [ ] other: from (day and time) ____________________ to (day and time) ____________________ [] every week [ ] every other week [ ] the first and third week of the month [] the second and fourth week of the month [ ] other: 3.2 School Schedule Upon enrollment in school, the child(ren) shall reside with (name) ________________________, except for the following days and times when the child(ren) will reside with or be with the other parent: from (day and time) ____________________ to (day and time) ____________________ [] every week [ ] every other week [ ] the first and third week of the month [] the second and fourth week of the month [ ] other: from (day and time) ____________________ to (day and time) ____________________ [] every week [ ] every other week [ ] the first and third week of the month [] the second and fourth week of the month [ ] other: [] The school schedule will start when each child begins [ ] kindergarten [ ] first grade [ ] other: 3.3 Schedule for Winter Vacation Parenting Plan (PPP, PPT, PP) - Page 3 of 10 WPF PS 01.0400 Mandatory (12/2009) - RCW 26.26.130, 26.09.016, .181; .187; .194 American LegalNet, Inc. www.FormsWorkFlow.com The child(ren) shall reside with (name) ________________________ during winter vacation, except for the following days and times when the child(ren) will reside with or be with the other parent: 3.4 Schedule for Other School Breaks The child(ren) shall reside with (name) __________________________ during other school breaks, except for the following days and times when the child(ren) will reside with or be with the other parent: 3.5 Summer Schedule Upon completion of the school year, the child(ren) shall reside with (name) _______________________________, except for the following days and times when the child(ren) will reside with or be with the other parent: [] [] Same as school year schedule. Other: 3.6 Vacation With Parents [] [] Does not apply. The schedule for vacation with parents is as follows: 3.7 Schedule for Holidays The residential schedule for the child(ren) for the holidays listed below is as follows: With __________________ (name) (Specify Year Odd/Even/Every) New Year's Day Martin Luther King Day Presidents
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