Washington > Statewide > Domestic Relations > Divorce
Residential Time Summary Report DR 01.0410 - Washington
| Residential Time Summary Report Form. This is a Washington form and can be used in Divorce Domestic Relations Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Superior Court of Washington County of In re the Marriage of: No. Petitioner, and Residential Time Summary Report (RTSR) Clerks Action Required Respondent. 1. The Parenting Plan Submit with final Parenting Plan, only. This form is for statistical reporting purposes only. The court signed the Parenting Plan on (Date) ___________________________________. It was: [ ] by agreement of the parties It is: [ ] an original order [ ] after a contested hearing or trial [ ] a modification of a prior order [ ] by default How many children under the parenting plan have the residential schedule summarized in paragraph 2, below? _______________ 2. Residential Schedule from Part III of the Parenting Plan If the same schedule does not apply to all children, fill out a separate Residential Time Summary Report for each schedule. Check the box that comes closest to representing the time spent with each parent: [] [] [] [] [] [] [] [] [] [] [] % of time the children spend with the Mother 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % of time the children spend with the Father 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Res. Time Summary Rpt (RTSR) - Page 1 of 2 WPF DR 01.0410 - Mandatory (4/2008) RCW 26.09.231, 26.18.230 American LegalNet, Inc. www.FormsWorkflow.com 3. Information about the Parents Father: [ ] self-represented [ ] represented by an attorney The court found under paragraphs 2.1 and 2.2: [ ] does not apply, or the Father [ ] committed domestic violence [ ] abused or neglected a child [ ] has chemical dependency issues [ ] has mental health issues [ ] other:______________________________________________________________ Mother: [ ] self-represented [ ] represented by an attorney The court found under paragraphs 2.1 and 2.2: [ ] does not apply, or the Mother [ ] committed domestic violence [ ] abused or neglected a child [ ] has chemical dependency issues [ ] has mental health issues [ ] other:______________________________________________________________ 4. Dispute Resolution from Part V. of the Parenting Plan [ ] Arbitration [ ] Mediation [ ] Counseling [ ] No dispute resolution process except court action Prepared by: ______________________________________, on (Date) _________________________. Res. Time Summary Rpt (RTSR) - Page 2 of 2 WPF DR 01.0410 - Mandatory (4/2008) RCW 26.09.231, 26.18.230 American LegalNet, Inc. www.FormsWorkflow.com
|
|||||||
