IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF
Petitioner )
CASE
NO:
Co-Petitioner
)
) MEDIUM/LONG DISTANCE PARENTING PLAN
and ) (EXHIBIT 1 PART 1 OF 2)
)
Respondent ) Proposed by: Petitioner Respondent
Co-Petitioner )
) Agreed upon by both parents
) Ordered by the Court
IMPORTANT NOTICE: The provisions of your Parenting Plan may have important legal
consequences. You should consult the complete BASIC PARENTING PLAN GUIDE FOR PARENTS
available at http://courts.oregon.gov/familylaw before filling out this form. Your decisions about
how much time the children will spend in the care of each parent may have important financial
implications. This decision may affect how much child support a parent is responsible for, whether
a parent can claim a tax dependency deduction, etc. You should consult an attorney or your
caseworker before filing your Parenting Plan.
1.
GOALS FOR OUR CHILDREN
This plan is intended to ensure the children’s optimal development by providing continuity, stability and
predictability for the children, while ensuring frequent and continued contact with each parent. Because a
written plan cannot address every possible situation that might occur, the parents will implement this plan in a
spirit of good faith and mutual cooperation. Parents are encouraged to re-evaluate this plan from time to time
as their children’s needs change.
2.
WHO OUR CHILDREN ARE ( additional names are listed on an attached page)
Full Name Date of Birth Current age Sex (check one)
M / F
M /
F
M /
F
M /
F
3.
WHO WE ARE
The parents acknowledge that they remain the children’s parents at all times. Each parent is responsible
for providing the children with a quality experience and for acting in the children’s best interests.
For the purposes of describing the parenting time schedule, Parent Ais the parent who the children stay
with more than half the time, and Parent Bis the parent who the children stay with less than half the time.
If the parenting time is exactly even, it does not matter who is assigned which letter. In this document:
Parent A is (name) . Parent B is (name) .
Page 1 of 5 MEDIUM/LONG DISTANCE PARENTING PLAN (GUIDE) [Rev. 8/2008] Exhibit 1 Part 1 of 2
- Select a County -
3.1
Primary Residence. (CHECK ONE)
Parent A’s home shall be considered the “primary residence”.
Neither parent’s home shall be considered the primary residence”.
3.2
Temporary Changes to Parenting Time. Temporary changes to the parenting time schedule may be
made at any time so long as both parents agree ahead of time. (CHECK ONE)
The parents may agree verbally to any temporary changes in the parenting time schedule; however,
changes shall be put in writing at the request of either parent.
Temporary changes to the parenting time schedule must be agreed upon in writing.
4.
WHAT THE SCHEDULE WILL BE (CHECK ONE - AN ATTACHMENT IS REQUIRED)
Attachment 4A, the Medium Distanceschedule is completed and attached (suggested for parents
who live at least 60 and not more than 180 miles apart from each other).
Attachment 4B, the Long Distanceschedule is completed and attached (suggested for parents who live
180 miles or more apart from each other).
5.
HOW WE WILL EXCHANGE OUR CHILDREN
5.1
Transportation.
The parents shall equally share the transportation of the children by: (CHECK ONE)
exchanging the children at a midway point between Parent A’s and Parent B’s home.
taking turns (one parent transports at the beginning and the other transports at the end,
or one parent transports for one trip and the other transports for the next)
Other transportation arrangements:
5.2
Clothing & Medication. The parents shall have the children ready with the clothing they need and any
necessary medications at the scheduled time of exchange. All clothing and medications that accompanied
the children shall be returned with them to the other parent.
6.
HOW WE WILL MAKE DECISIONS ABOUT OUR CHILDREN
IMPORTANT NOTICE: Your decision to select Joint or Sole Custody may have important legal
consequences. You are strongly encouraged to consult with an attorney regarding these
consequences before making your final decision about Joint or Sole Custody.
6.1
Day-to-Day Decisions. Each parent will make day-to-day decisions regarding the care and control of
our children during the time they are caring for our children. This includes any emergency decisions
affecting the health or safety of our children.
Page 2 of 5 MEDIUM/LONG DISTANCE PARENTING PLAN (GUIDE) [Rev. 8/2008] Exhibit 1 Part 1 of 2
6.2
Major Decisions (Legal Custody) Major decisions include, but are not limited to, decisions about
the children’s residence, education, non-emergency health care, and religious training.
(CHECK ONE)
The parents have agreed to share in the responsibility for making major decisions about the children.
This arrangement is known by the courts as Joint Custody.
(parent’s name) shall make major decisions about the children.
This
arrangement is known by the courts as Sole Custody.
(OPTIONAL)
The parent with sole custody will consult (discuss) with the other parent:
prior to making major decisions.
prior to making major decisions on these specific issues:
(OPTIONAL)
The parent with sole custody will notify the other parent:
prior to making major decisions.
prior to making major decisions on these specific issues:
Note: If this parenting plan is attached to a signed order or judgment of the court, the custody
provisions in the plan should be consistent with what is in the judgment or order. In the event
of a conflict, the custody designation in the signed order or judgment shall prevail.
6.3
Information Sharing. Unless there is a court order stating otherwise:
Both parents have equal rights to inspect and receive the children’s school records, and both parents are
encouraged to consult with school staff concerning the children’s welfare and education. Both parents are
encouraged to participate in and attend the children’s school events.
Both parents have equal rights to inspect and receive governmental agency and law enforcement records
concerning the children.
Both parents have equal rights to consult with any person who may provide care or treatment for the
children and to inspect and receive the children’s medical, dental and psychological records.
Each parent has a continuing responsibility to provide a residential, mailing, or contact address and contact
telephone number to the other parent.
Each parent has a continuing responsibility to immediately notify the other parent of any emergency
circumstances or substantial changes in the health of the children, including the children’s medical needs.
7.
HOW WE WILL COMMUNICATE ABOUT AND WITH OUR CHILDREN
7.1
Parent and Child Communication.
Both parents and children shall have the right to communicate by telephone, in writing or by
e-
mailing during reasonable hours without interference or monitoring by the other parent.
Page 3 of 5 MEDIUM/LONG DISTANCE PARENTING PLAN (GUIDE) [Rev. 8/2008] Exhibit 1 Part 1 of 2
Rules for telephone, letters, e-mail or other parent and child communication: (DESCRIBE)
7.2
Parent to Parent Communication.
Rules for telephone, letters, e-mail or other parent-to-parent communication: (DESCRIBE)
8.
FUTURE MOVES BY A PARENT. Unless there is a court order stating otherwise neither parent may move
to a residence more than 60 miles further away from the other parent without giving the other parent
days’ notice of the change of residence and providing a copy of such notice to the court.
Additional rules about moving: (DESCRIBE)
9.
OTHER PROVISIONS ON HOW WE WILL WORK TOGETHER FOR OUR CHILDREN
9.1
Children’s Activities. Children are often involved in activities other than school, such as sports,
clubs, music, religious organizations, and social activities. Both parents are encouraged to take part in
non-school activities with their children during their parenting time. Non-school activities should not
unreasonably interfere with either parent’s schedule and parenting time. Non-school activities that may
affect the other parent’s schedule: (CHECK ONE)
Must be coordinated with the other parent.
Will be planned to occur primarily during one parent’s scheduled parenting time.
Other:
9.2
Makeup and Missed Parenting Time. Parenting time should only be postponed for substantial
medical reasons.
If a parent fails to have the children during their scheduled parenting time for any reasons, there will be
no make-up of parenting time unless the parents agree: (CHOOSE ONE) in writing verbally
Other:
9.3
Mutual Respect. The parents will not say things or knowingly allow others to say things in the
presence of the children that would take away the children’s love and respect for the other parent.
Page 4 of 5 MEDIUM/LONG DISTANCE PARENTING PLAN (GUIDE) [Rev. 8/2008] Exhibit 1 Part 1 of 2
9.4
Alternate Care. These are our ground rules for babysitters, day care providers, and other caregivers:
(CHECK ALL THAT APPLY)
We choose not to specify ground rules for alternate care.
If a parent is unable to be with the children during scheduled parenting time, the other parent shall
be the first choice to provide of their care.
Only the following people may provide alternate care:
The following people may not provide alternate care:
Other:
9.5
Other Items. (ADD ANY OTHER ITEMS YOU WOULD LIKE TO INCLUDE IN YOUR PLAN.)
Additional sheets attached (Attachment 9.5).
10.
PERMANENT CHANGES TO THE SCHEDULE. Any changes that we do not agree on can be made only
by applying to the court for a modification. One parent cannot change a court-ordered Parenting Plan on their
own.
11.
DISPUTE RESOLUTION. We will try to work out any parenting plan disputes on our own. Only as a
last resort will we resolve disputes through court action. (Local court rules will apply after filing a court
action) Prior to filing any court action: (CHECK ONE)
We will use a mutually agreed-upon, neutral third-party (such as a mediator, counselor, or other
professional) to resolve any parenting plan disputes before filing a court action about the parenting plan.
This shall not apply in the event of an emergency or abusive circumstance.
(OPTIONAL)
For now, the following professional(s) will assist us, if available:
A dispute resolution process shall not be required prior to filing a court action.
12.
SIGNATURES. My signature below indicates that I have read and agree with what has been decided and
written in this document.
(CHECK ONE)
(CHECK ONE)
Petitioner
Co-Petitioner
Respondent
Signature Date Signature Date
Page 5 of 5 MEDIUM/LONG DISTANCE PARENTING PLAN (GUIDE) [Rev. 8/2008] Exhibit 1 Part 1 of 2
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