Custodial Guardianship Agreement And Family Plan {PMG 61} | Pdf Fpdf Docx | Vermont

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Custodial Guardianship Agreement And Family Plan {PMG 61} | Pdf Fpdf Docx | Vermont

Custodial Guardianship Agreement And Family Plan {PMG 61}

This is a Vermont form that can be used for Probate Court within Statewide.

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Form PMG61 Custodial Guardianship Agreement and Family Plan (8/2014) Page 1 of 3 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re Guardianship of : Custodial Guardianship Agreement and Family Plan This Family Plan is for the following child(ren) of the parents: Name of Child DOB Name of Child DOB Name of Child DOB Name of Child DOB Name of Child DOB Name of Child DOB Name of Child DOB This Family Plan is agreed upon by the following parties: Guardian/Proposed Guardian: Parent: I am a: (check one) custodial parent non-custodial parent Parent: I am a: (check one) custodial parent non-custodial parent We hereby agree that the Probate Division may issue an Order establishing a custodial minor guardianship for the minor child(ren) with as guardian under the following terms and conditions: 1. As the guardian of the child(ren), I, agree that I will: a) dence provided that I shall not establish a residence for the child outside of the State of Vermont unless authorized by the Court following notice to the parties and an opportunity for hearing. b) c) treatment and medication; d) Make the child(ren) available for parent child contact as ordered by the Court. If the children are unavailable due to illness or other emergency, I agree that I will work with the parent to schedule make-up contact. e) Make decisions concerning the child(ren)act with persons other than the parents including reasonable contact with any siblings of the child(ren); Name of guardian American LegalNet, Inc. www.FormsWorkFlow.com Form PMG61 Custodial Guardianship Agreement and Family Plan (8/2014) Page 2 of 3 f) File an annual status report with the Probate Division and provide a copy of the report to each parent. g) Consult with prior to making decisions related to: i.Changes in ts school; ii.; iii.Other: h) Provide the parent(s) named above with notice and the opportunity to participate in: i. Non-emergency medical appointments for the child(ren); ii. teachers or other school personnel; iii. Other: 2. As a parent of the child, I, agree that I will: a) Make myself available for parent child contact as ordered by the Court. If due to an emergency, I am unable to have contact with the child, I will notify the Guardian as soon as possible. b) Keep the Guardian and the Court informed of any changes in my address or phone number. c) Other: If only one parent is signing this agreement, skip to Question 4 and leave Question 3 blank. If s name should be named in paragraph 3. 3. As a parent of the child, I, agree that I will: a) Make myself available for parent child contact as ordered by the Court. If due to an emergency, I am unable to have contact with the child, I will notify the Guardian as soon as possible. b) Keep the Guardian and the Court informed of any changes in my address or phone number. c) Other: 4. Estimated Duration of Guardianship if Known: We agree that the guardianship established by the Court should remain in place until the following event or events take place: (This section is optional) We understand that the guardianship cannot end th birthday without an order from the Probate Court terminating the guardianship. 5. Parent Child Contact Schedule: We agree that the Court may order contact between the parent(s) named above and the minor child(ren) as follows: a) Weekday and/or weekend contact during the school year: Name of parent or parents Name of 1 st parent Name of 2nd t parent American LegalNet, Inc. www.FormsWorkFlow.com Form PMG61 Custodial Guardianship Agreement and Family Plan (8/2014) Page 3 of 3 b) Holiday contact: c) Contact during school vacations: 6. Parent Child Contact for Non-Custodial parent (to be filled out only if there is an order establishing parent child contact for one of the parents). The parent child contact schedule for shall be as set forth in the attached Order from the Family Division of the Vermont Superior Court or Out of State Court . We, the undersigned, agree that the provisions of this parenting plan may be incorporated into the parental rights and responsibilities order of this court: Signature Date Signature Date Date Name of parent American LegalNet, Inc. www.FormsWorkFlow.com

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