In all cases involving permanent custody or custody modification (except when a parent seeks emergency relief for family violence), each parent shall prepare and submit a parenting plan, or the parties may jointly submit a parenting plan, as directed by the judge.
The parenting plan should be tailored to fit the needs of each individual family but must at a minimum contain the information required by OCGA § 19-9-1(b) and be presented in substantially the following form:
__________________COUNTY SUPERIOR COURT
STATE OF GEORGIA
)
______________________, Plaintiff )
Civil Action
)
vs.
Case No. ___________
)
______________________, Defendant )
)
PARENTING PLAN
( ) The parties have agreed to the terms of this plan and this information has been furnished by both parties to meet the requirements of OCGA § 19-9-1. The parties agree on the terms of the plan and affirm the accuracy of the information provided, as shown by their signatures at the end of this order.
( ) This plan has been prepared by the judge.
This plan
( ) is a new plan.
( ) modifies an existing Parenting Plan dated ___________.
( ) modifies an existing Order dated __________________.
Child’s Name | Year of Birth |
( ) with the Mother
( ) with the Father
( ) Joint
For each of the children named below the primary physical custodian shall be:
_________________ | y/o/b: | ( ) Mother | ( ) Father | ( ) Joint |
_________________ | y/o/b: | ( ) Mother | ( ) Father | ( ) Joint |
_________________ | y/o/b: | ( ) Mother | ( ) Father | ( ) Joint |
_________________ | y/o/b: | ( ) Mother | ( ) Father | ( ) Joint |
_________________ | y/o/b: | ( ) Mother | ( ) Father | ( ) Joint |
WHERE JOINT PHYSICAL CUSTODY IS CHOSEN BY THE PARENTS OR ORDERED BY THE COURT, A DETAILED PLAN OF THE LIVING ARRANGEMENTS OF THE CHILD(REN) SHALL BE ATTACHED AND MADE A PART OF THIS PARENTING PLAN.
Each parent shall make decisions regarding the day-to-day care of a child while the child is residing with that parent, including any emergency decisions affecting the health or safety of a child.
Major decisions regarding each child shall be made as follows:
Educational decisions | ( ) Mother | ( ) Father | ( ) Joint |
Non-emergency health care | ( ) Mother | ( ) Father | ( ) Joint |
Religious upbringing | ( ) Mother | ( ) Father | ( ) Joint |
Extracurricular activities | ( ) Mother | ( ) Father | ( ) Joint |
_____________________ | ( ) Mother | ( ) Father | ( ) Joint |
_____________________ | ( ) Mother | ( ) Father | ( ) Joint |
Where parents have elected joint decision making in Section I.D above, please explain how any disagreements in decision-making will be resolved.
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
During the term of this parenting plan the non-custodial parent shall have at a minimum the following rights of parenting time/visitation (choose an item):
( ) The weekend of the first and third Friday of each month.
( ) The weekend of the first, third, and fifth Friday of each month.
( ) The weekend of the second and fourth Friday of each month.
( ) Every other weekend starting on __________.
( ) Each _________ starting at _________a.m./p.m. and ending __________ a.m./p.m.
( ) Other: ______________________________________________________
( ) and weekday parenting time/visitation on (choose an item):
( ) None
( ) Every Wednesday evening
( ) Every other Wednesday during the week prior to a non-visitation weekend.
( ) Every ___________________ and _____________ evening.
( ) Other: ______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
For purposes of this parenting plan, a weekend will start at ______ a.m./p.m. on [Thursday/ Friday/Saturday/Other: _____________ ] and end at _______ a.m./p.m. on [Sunday/Monday/ Other: _________________ ].
Weekday visitation will begin at _____ a.m./p.m. and will end [___p.m. / when the child(ren) return(s) to school or day care the next morning / Other:________ ].
This parenting schedule begins:
( ) ____________________ (day and time) OR ( ) date of the Court’s Order
Thanksgiving
The day to day schedule shall apply unless other arrangements are set forth:
____________________________________________________________________________
____________________________________________________________________________
beginning ____________________________________________________________________.
Winter Vacation
The ( ) mother ( ) father shall have the child(ren) for the first period from the day and time school is dismissed until December ______ at _____ a.m./p.m. in ( ) odd numbered years ( ) even numbered years ( ) every year. The other parent will have the child(ren) for the second period from the day and time indicated above until 6:00 p.m. on the evening before school resumes. Unless otherwise indicated, the parties shall alternate the first and second periods each year.
Other agreement of the parents:
Summer Vacation
Define summer vacation period: _______________________________________________
The day to day schedule shall apply unless other arrangements are set forth: ____________________________________________________________________________________________________________________________________________________________ beginning _____________________.
Spring Vacation (if applicable)
Define:________________________________________________________________________
The day to day schedule shall apply unless other arrangements are set forth: ____________________________________________________________________________________________________________________________________________________________ beginning _____________________.
Fall Vacation (if applicable)
Define:________________________________________________________________________
The day to day schedule shall apply unless other arrangements are set forth: ____________________________________________________________________________________________________________________________________________________________ beginning _____________________.
Martin Luther King Day | _________________ | _________________ |
Presidents’ Day | _________________ | _________________ |
Mother’s Day | _________________ | _________________ |
Memorial Day | _________________ | _________________ |
Father’s Day | _________________ | _________________ |
July Fourth | _________________ | _________________ |
Labor Day | _________________ | _________________ |
Halloween | _________________ | _________________ |
Child(ren)’s Birthday(s) | ||
Mother’s Birthday | _________________ | _________________ |
Father’s Birthday | _________________ | _________________ |
Religious Holidays: | _________________ | _________________ |
________________ | ||
________________ | ||
________________ | _________________ | _________________ |
________________ | _________________ | _________________ |
Other: | _________________ | _________________ |
________________ | _________________ | _________________ |
_________________ | _________________ | |
Other: | _________________ | _________________ |
________________ | ||
Other: | _________________ | _________________ |
________________ |
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
For the purposes of this parenting plan, the holiday will start and end as follows (choose one):
( ) Holidays that fall on Friday will include the following Saturday and Sunday
( ) Holidays that fall on Monday will include the preceding Saturday and Sunday
( ) Other: ______________________________________________________________________
Check if applicable:
( ) The holiday parenting time/visitation schedule takes precedence over the regular parenting time/visitation schedule.
( ) When the child(ren) is/are with a parent for an extended parenting time/visitation period (such as summer), the other parent shall be entitled to visit with the child(ren) during the extended period, as follows:
______________________________________________________________________________
______________________________________________________________________________
For visitation, the place of meeting for the exchange of the child(ren) shall be:
______________________________________________________________________________
______________________________________________________________________________
The ___________ will be responsible for transportation of the child at the beginning of visitation. The ___________ will be responsible for transportation of the child at the conclusion of visitation. Transportation costs, if any, will be allocated as follows: ______________________________________________________________________________ ______________________________________________________________________________
Other provisions: _______________________________________________________________
When the child or children are in the physical custody of one parent, the other parent will have the right to contact the child or children as follows:
( ) Telephone
( ) Other:______________________________________________________________________
( ) Limitations on contact:
______________________________________________________________________________
( ) Check here if applicable
Supervised parenting time shall apply during the day-to-day schedule as follows:
Place: _______________________________________________________
Person/Organization supervising: _________________________________
Responsibility for cost: ( ) Mother ( ) Father ( ) Both equally
Please check:
( ) Each parent shall promptly notify the other parent of a change of address, phone number or cell phone number. A parent changing residence must give at least 30 days notice of the change and provide the full address of the new residence.
( ) Due to prior acts of family violence, the address of the child(ren) and victim of family violence shall be kept confidential. The protected parent shall promptly notify the other parent, through a third party, of any change in contact information necessary to conduct visitation.
Rights of the Parents
Absent agreement to limitations or court ordered limitations, pursuant to OCGA § 19-9-1(b) (1) (D), both parents are entitled to access to all of the child(ren)’s records and information, including, but not limited to, education, health, extracurricular activities, and religious communications. Designation as a non-custodial parent does not affect a parent’s right to equal access to these records.
Limitations on Access Rights: _____________________________________________________
______________________________________________________________________________
Other Information Sharing Provisions: ________________________________________________
______________________________________________________________________________
Should the parents disagree about this parenting plan or wish to modify it, they must make a good faith effort to resolve the issue between them.
Please attach an addendum detailing any special circumstances of which the Court should be aware (e.g., health issues, educational issues, etc.) ______________________________________________________________________________
Please review the following and initial:
Mother’s Initials: ___________ Father’s Initials: ____________
Mother’s Initials: ____________ Father’s Initials: ____________
Mother’s Initials: __________ Father’s Initials: _____________
( ) We knowingly and voluntarily agree on the terms of this Parenting Plan. Each of us affirms that the information we have provided in this Plan is true and correct.
______________________________ | ______________________________ |
Mother’s Signature | Father’s Signature |
_______________________________
ORDER
The Court has reviewed the foregoing Parenting Plan, and it is hereby made the order of this Court.
This Order entered on _____________________________________, 20 __.
__________________________________ |
JUDGE |
_________ COUNTY SUPERIOR COURT |
Ga. R. Sup. Ct. 24.10