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General Judgment Of Custody And Parenting Time (3A) - Oregon

General Judgment Of Custody And Parenting Time (3A) Form. This is a Oregon form and can be used in Unmarried Parents Family Law Circuit Court Statewide .
 Fillable pdf Last Modified 3/19/2012
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IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF In the Matter of: ) ) ) ) and ) ) ________________________________, ) Respondent, ) and ) ) ________________________________, ) Child who is at least 18 and under 21 years ) of age, unmarried and unemancipated. ) (ORS 107.108) ) ________________________________, Petitioner, Case No. ____________________ GENERAL JUDGMENT OF CUSTODY AND PARENTING TIME and SUPPORT ORDER RE: JURISDICTION AND MONEY AWARD 1. This matter came before the Court: On the motion and affidavit of Petitioner, the default of Respondent having been found. On the motion of Petitioner, the default of Respondent having been found, and Respondent being represented by a guardian ad litem or another person described in Rule 27. On the motion and affidavit of Petitioner, Respondent having filed a Waiver of Further Appearance. On the stipulations of the parties, as shown by the signatures below. , at which the following persons were present: At a hearing held (Date) Petitioner Petitioner's attorney Respondent Respondent's attorney 2. Findings. The Court considered the: Affidavit Affidavit and stipulations Evidence presented and found that: A. Children of the Parties. List names, dates of births, and ages. Name Date of Birth Age GENERAL JUDGMENT OF CUSTODY AND PARENTING TIME and SUPPORT ORDER RE: JURISDICTION AND MONEY AWARD - PAGE 1 of 12 American LegalNet, Inc. Unmarried Parents-3A: Judgment3AVer11.doc (10/11) www.FormsWorkFlow.com B. Child Custody Jurisdiction. (Check appropriate boxes) Oregon has jurisdiction under the Uniform Child Custody Jurisdiction and Enforcement Act to hear the custody parenting time issue because: Oregon is the child/ren's home state (i.e., the child/ren have lived here continuously for the six month period immediately before this case was filed). Other reason: Oregon does not have jurisdiction under the Uniform Child Custody Jurisdiction Act because: C. Child/ren Who Are At Least 18 and Under 21 Years of Age. (child/ren's name/s) is/are at least 18, 19, or 20 years of age, is unmarried and unemancipated and has: Waived further appearance in these proceedings. Signed and stipulated to the terms of judgment evidenced by the signature below. Fully participated in the proceedings and the judgment effectively binds him/her to the terms. NOW, THEREFORE, IT IS HEREBY ORDERED: The terms of this judgment are effective immediately. 1. Parenting Plan Custody of the child/ren is awarded as follows: Petitioner is awarded sole custody of the following child/ren (list names): Respondent is awarded sole custody of the following child/ren (list names): The parties have agreed to joint custody of the following child/ren (list names): Petitioner Respondent should have parenting time with the child/ren as set forth in the attached Parenting Plan, labeled Exhibit ____, or Other: Petitioner Respondent shall not have parenting time because this would endanger the health and safety of the child/ren. Any cost of the Parenting time shall be supervised by supervision shall be paid by Petitioner Respondent Other: Petitioner and Respondent shall each provide contact addresses and contact telephone numbers to the other and notify each other of any emergency circumstances or substantial changes in the child/ren's health. GENERAL JUDGMENT OF CUSTODY AND PARENTING TIME and SUPPORT ORDER RE: JURISDICTION AND MONEY AWARD - PAGE 2 of 12 American LegalNet, Inc. Unmarried Parents-3A: Judgment3AVer11.doc (10/11) www.FormsWorkFlow.com Neither parent shall move to a residence more than 60 miles further distant from the other parent without giving the other parent reasonable notice of the change of residence and providing a copy of such notice to the court, or the requirement of ORS 107.159 regarding notice of move is suspended for good cause found. 2. Cash Child Support. Complete either (a) or (b) below: (a) Cash child support must be paid by Petitioner to Respondent (or) Respondent to Petitioner beginning on the first or of the month following the date of the judgment and continuing on the same day of each month thereafter. The total payment per month is $ for children. The cash child support: Is the amount presumed to be appropriate under the support guidelines. Is different from the presumed appropriate amount of $ reasons) (b) No cash child support is ordered in this judgment because: An order, including medical support, for child support in the monthly amount of has already been ordered in Circuit Court case number $ in County, Oregon. Other reason: 3. Medical Support. Complete section (a) or (b) below. Also complete section (c) or (d) below. Complete (a) or (b): (a) Private Health Care Coverage is Appropriate and Available. Petitioner Respondent Both Petitioner and Respondent has/have appropriate private health care coverage available for the parties' child/ren through an employer, spouse, domestic partner or other source. Petitioner Respondent Both Petitioner and Respondent is/are ordered to obtain and/or maintain this coverage throughout the period of the support obligation for the benefit of the parties' child/ren. Health care coverage is not ordered in this judgment because it has already been ordered in another case as described in section 2(b) above. (b) No Private Health Care Coverage is Appropriate or Available. Neither Petitioner nor Respondent has appropriate private health care coverage available for the parties' child/ren. Petitioner Respondent Both Petitioner and Respondent must provide appropriate private health care coverage for the child/ren when such coverage becomes available to them at a reasonable cost through any source. The custodial parent shall enroll or maintain the child/ren in public health care coverage. because (list . GENERAL JUDGMENT OF CUSTODY AND PARENTING TIME and SUPPORT ORDER RE: JURISDICTION AND MONEY AWARD - PAGE 3 of 12 American LegalNet, Inc. Unmarried Parents-3A: Judgment3AVer11.doc (10/11) www.FormsWorkFlow.com Complete (c) or (d): (c) Cash Medical Support Ordered. Because the parent receiving cash child support is ordered to maintain private health care coverage and the parent paying cash child support is not ordered to maintain private health insurance, in addition to cash child support Petitioner Respondent must pay $ for cash medical support to Petitioner Respondent. Because neither parent has appropriate private health care coverage available for the parties' child/ren: Petitioner must pay cash medical support in
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