Agreed Parenting Plan {Form 229}

Rule 17.200--Form 229: Agreed Parenting Plan Use this form if both spouses agree to everything in the plan regarding child custody and visitation. Do not use this form if you and your spouse do not agree to all child custody and visitation arrangements. Instead, use form 230 to present a Proposed Parenting Plan to the court for the child custody and visitation arrangements you want. If you do not understand how to use this form, or if you should use this form, talk to an attorney. In the Iowa District Court for County where you are filing this Parenting Plan County Upon the Petition of Equity case no. Agreed Parenting Plan Petitioner Full name: first, middle, last and concerning Respondent Full name: first, middle, last 1. Information for the Court A. The parties agree to this plan. B. Children List all children born to or adopted by Petiitoner and Respondent. First, middle, & last initials of each child (1) (2) (3) (4) (5) (6) Present age Gender M F School Grade Check this box if you are attaching a sheet listing additional children. C. Information about the children Check all that are true (1) (2) The children listed in B are the only children born to or adopted by these parents. One or more of the children is in a juvenile court case. If you check (2), attach a copy of the order that allows the district court to order child custody and visitation. Continued on next page December 2013 Rule 17.200--Form 229 Page 1 of 9 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.200--Form 229: Agreed Parenting Plan, continued (3) There are children of Petitioner or Respondent not listed in B. Explain · If there are children born before the marriage, who are not the children of Petitioner or of Respondent, check (3) and explain. · If there are children of Petitioner and Respondent, but the parental rights have been terminated, check (3) and explain. 2. Plan A. Read these definitions of legal custody and physical care: (1) Legal custody means a parent has legal rights and responsibilities for the child. These include making decisions about medical care, education, extracurricular activities, and religious instruction. (2) Joint legal custody means both parents have equal legal rights and responsibilities for the child. These include making decisions about medical care, education, extracurricular activities, and religious instruction. (3) Physical care means providing the main home for the child and taking care of the child. (4) Joint physical care means both parents have equal rights and responsibilities for providing the main home for the child and taking care of the child. B. Legal custody should be Check one (1) (2) (3) (4) Joint legal custody to both parents To Petitioner To Respondent To other person Full name of other person: first, middle, last C. Physical care should be Check one (1) (2) (3) (4) To Petitioner If you check (1), use D for Respondent's visitation. To Respondent If you check (2), use D for Petitioner's visitation. Joint physical care to both parents care schedule. To other person Full name of other person: first, middle, last If you check (3), use D(12) to explain the joint physical D. Visitation Use D only if one parent will have physical care. This is the schedule for the other parent to see the children. (1) Visitation for Check one a. b. Petitioner Respondent December 2013 Rule 17.200--Form 229 Page 2 of 9 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.200--Form 229: Agreed Parenting Plan, continued (2) Visitation permission Check a, b, or c. a. Visitation should not be allowed because: b. Visitation should be supervised because: The supervisor for visitation should be Supervisor's full name: first, middle, last c. Regular unsupervised visitation schedule as the parents agree: Check all that apply i. ii. Reasonable visitation as the parents agree. Mid-week visitation on these days: M Tu W Th F From Every weekend From at a.m. p.m. to at a.m. p.m. to a.m. p.m. a.m. p.m. iii. Day of week iv. Every other weekend From at Time a.m. p.m. to Day of week at Time a.m. p.m. Day of week v. Other Describe Time Day of week Time vi. Visitation will start on , 20 Month Day Year (3) Detailed holiday schedule This schedule tells on which holidays the children will be with either Petitioner or Respondent. Note: You do not have to fill in everything. Any day that is left blank means the children will spend that day with the parent who already has the children on that day. P = Petitioner Holiday New Year's Eve New Year's Day Martin Luther King, Jr. Day December 2013 R=Respondent Odd years P R Time Every year P R a.m. p.m. a.m. p.m. a.m. p.m. Even years P R : : : Rule 17.200--Form 229 Page 3 of 9 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.200--Form 229: Agreed Parenting Plan, continued President's Day Memorial Day Independence Day July 4th Labor Day Veterans' Day November 11th Thanksgiving Day Christmas Eve Christmas Day Mother's Day Father's Day Petitioner's Birthday Respondent's Birthday Halloween October 31st : : : : : : : : : : : : : : : a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. Other: Describe Other: Describe (4) Special rules for holidays Check one a. b. If a holiday falls on a Friday or a Monday, the parent with the holiday will have the whole weekend. If a holiday falls on a Monday or a Friday, the alternating weekend schedule in D(2)c.iv. will continue. This means the parent who has the children on the holiday weekend may have the children two weekends in a row. The parents will cooperate and rearrange the alternate weekend schedule so that neither parent will have the children more weekends in a row without contact with the other parent. Other Explain c. d. Continued on next page December 2013 Rule 17.200--Form 229 Page 4 of 9 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.200--Form 229: Agreed Parenting Plan, continued (5) Summer Check one a. b. Summer school vacation will be divided as Petitioner and Respondent agree. Petitioner and Respondent will each have one-half of the summer school vacation with alternate weekends to the other parent. The children will be returned to the parent with physical care at least one week before school starts. The parent without physical care will have two weeks of uninterrupted summer visitation with the children and the parent with physical care will have two weeks of uninterrupted summer visitation wit