Child(
ren)
Name Age
JOINT STATEMENT OF THE PARTIES CONCERNING
DECISION-MAKING AUTHORITY AND PARENTING TIME
(Md. Rule 9-204.2)
NOTE: Complete this form if you are NOT able to reach a comp
rehensive parenting plan agreement.
"Party": A person who seeks to establish or maintain a parent-child relationship with a child.
MDEC counties only: You must file a Notice Regarding Restricted Information Pursuant to
Rule 20-201.1 (form MDJ-008) with this submission.
(check one)
☐ This is a jointly-prepared statement by
Party’s Name Relationship to Child(ren)
☐ This is the statement of (a joint statement is not
filed due to an allegation of domestic violence, child abuse, substance abuse, or other reason).
1. AGREE
We agree the following provisions are in the best interest of the child(ren) (consider factors in
Md. Rule 9-204.1 and listed in the Instructions). Attach additional sheets if needed. For example,
attach a Maryland Parenting Plan Tool (CC-DR-109) or other document that lists points of agreement.
A. Parental responsibility and decision-making authority
☐ will make all major decisions for the child(ren).
☐ We will jointly make all major decisions.
☐ We will divide the major decision-making in the following way:
CC-DR-110 (Rev. 11/2020) Page 1 of 3 JSPCD
This form contains Restricted Information.