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West Virginia Parenting Plan Worksheet Form

In this worksheet, parent/s must indicate their plans for the minor children’s education, extra-curricular, sports, and other activities after the finalization of the divorce.Download

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SCA-FC-128  (12/01)  Worksheet for Individual Proposed Parenting Plan Page 1 of 4
IN THE FAMILY COURT OF ________________ COUNTY, WEST VIRGINIA.
In Re:
The Marriage / Children of: Civil Action No.  ____________       
    
_________________________,        and    _________________________.   
Petitioner            Respondent
_________________________ _________________________           
                                      
_________________________ _________________________
Address Address
_________________________ _________________________
Daytime phone Daytime phone	
Worksheet for Individual Proposed Parenting  Plan	
This Worksheet completed by:  ____________________________      Date: _________	
(Print your name.)	
PARENTING  RESPONSIBILITIES	
Complete the following list which shows how you and the other parent have shared
parenting responsibilities in the last twelve months before your divorce was filed	
.  Do not	
provide information for any time after the filing of the divorce	. 
This list is for the children named: ________________________________________.
(A)  Daily physical needs and care	
.
Examples: feeding; bedtime and wake-up routines; care when child is sick or hurt;
bathing, grooming, personal hygiene, dressing; recreation and play; physical safety;
transportation.
Mother ___% Father ___%           
(B) Developmental needs	
.
Examples: learning to walk, talk, and use eating utensils; toilet training; development of
self-confidence and maturity.
Mother ___% Father ___%              
(C)  Development of proper behavior	
.
Examples: discipline; instruction in manners; assignment and supervision of chores.
Mother ___% Father ___%              
(D) Educational matters	
.
Examples: making school arrangements; communicating with teachers and counselors;
supervision of homework; monitoring grades and discussing school related matters.
Mother ___% Father ___%

SCA-FC-128  (12/01)  Worksheet for Individual Proposed Parenting Plan Page 2 of 4
(E)  Development of social skills	.
Examples: teaching the child how to develop proper personal relationships with friends,
brothers and sisters, and adults.
Mother ___% Father ___%               
(F) Health care	
.
Examples: Making arrangements and appointments for health care; accompanying child
to doctor’s and dentist’s appointments; discussing child’s health care needs with doctors,
dentists, and other health care providers; providing care in the home when child is ill.
Mother ___% Father ___%               
(G)  Moral and religious matters	
.
Examples: Discussing moral and religious matters with the child; providing moral and
religious guidance; accompanying the child to church.
Mother ___% Father ___%               
(H)  Child care matters	
.
Examples: Making arrangements for child care by family members, baby-sitters, or child
care facilities; supervising and communicating with these child care providers.
Mother ___% Father ___%                
MAKING  MAJOR  DECISIONS  FOR  THE  CHILDREN	
Explain how you and your spouse have shared the responsibilities for making major
decisions for your children.  This information is for only the last twelve months before your	
divorce was filed	.  Do not provide information for any time after the filing of the divorce	. 
1. First, review the types of decisions in the list, then answer the following question
.
Did you and your spouse always	
 make the types of major decisions on the list by talking
the decision over, and coming to an agreement on what the decision should be? 
___  Yes    ___  No  
If you answered “Yes,” you don’t need to complete the list	
; you’re finished with this
section.  If you answered “No,” read item 2	
.  
2. Complete the list by indicating the percentage of time each type of decision was shared,
which means you and your spouse talked the decision over and came to an agreement on
the decision; or the percentage of time each type of decision was made Mother, or Father,
alone, without talking it over.  For each type of decision, the numbers in all of the blanks
should always add up to 100.  In items (F) and (G), you may write in other types of major
decisions, and complete those items just as you completed the first part of the list. 
This list is for the children named: ________________________________________.
(A) Education	
.    Shared ___%    Mother ___%    Father ___% 
(B) Non-emergency health care	
.    Shared ___%    Mother ___%    Father___%     
(C) Religion	
.    Shared ___%    Mother ___%    Father ___%        
(D) Child care
.    Shared ___%    Mother ___%    Father ___%

SCA-FC-128  (12/01)  Worksheet for Individual Proposed Parenting Plan Page 3 of 4
(E) School related activities	.    Shared ___%    Mother ___%    Father ___%
(F) _____________________    Shared ___%    Mother ___%    Father ___%      \
 
(G) _____________________     Shared ___%    Mother ___%    Father ___%     \
 
PARENTS’   CURRENT  WORK   SCHEDULES	
List your current	 work schedule.  Complete only	 the part on your	 work schedule. 
Mother’s  Work  Schedule	
________________________________________________________________________\
_____________________
________________________________________________________________________\
_____________________	
 	
________________________________________________________________________\
_____________________
Father’s  Work  Schedule
________________________________________________________________________\
_____________________
________________________________________________________________________\
_____________________	
 	
________________________________________________________________________\
_____________________	
CHILDREN’S  SCHOOL,  AFTER SC HOOL &  SPORTS  ACTIVITIES	
List your children’s current	 school, after school activity, and sports schedules.  School
includes pre-school and kindergarten programs.  Explain when and how the children go to school
and other activities, and when and how they come home.
___ None of our children attend school, pre-school, or kindergarten.
This list is for the children named: ________________________________________.	
________________________________________________________________________\
_____________________
________________________________________________________________________\
_____________________	
 	
________________________________________________________________________\
_____________________
________________________________________________________________________\
_____________________	
 	
________________________________________________________________________\
_____________________	
CHILD CARE	
Explain the arrangements for child care currently	 provided to your children by persons other	
than the parents	.  Explain who provides child care, and explain the child care schedule.\
___ None of our children receive child care from any person other than the parents.

SCA-FC-128  (12/01)  Worksheet for Individual Proposed Parenting Plan Page 4 of 4
This list is for the children named: ________________________________________.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
OTHER INFORMATION	
Provide any other information you think the court should know concerning how you and the
other parent take care of the children.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
VERIFICATION
I, __________________________________, after making an oath of affirmation to tell the
truth, say that the facts I have stated in this Proposed Parenting Plan Worksheet are true of my
personal knowledge; and if I have set forth certain matters stated to be upon information given to
me by others, I believe that information to be true.
___________________________ ____________
Parent’s Signature Date
This Verification was sworn to or affirmed before me on the ____ day of __________________, 
_____.	
______________________________   
Notary Public / Other Official
Commission expires:___________________
Relevant article from our knowledge database

The plan must concentrate on what exactly the little one needs. Each parenting program ought to be tailored to the demands of each family. As a joint parenting program is arranged, you are going to want to seek advice from your child custody attorney.
Read more

The plan should incorporate details about where the kid will live, once the kid will go to the other parent, where the kid will spend holidays, the way the parents will share legal duty of the kid, etc.. The parenting program may also have agreements concerning extra-curricular activities, education, faith and wellness. The parenting program is created to provide for the requirements of the youngster, and the basic requirements of the youngster are these material requirements. A suitable Custodial Parenting program is critical to set a good foundation for a healthy, cooperative exchange of the children.

A parenting program ought to be consistent and detailed. It cannot cover every aspect of life and cannot anticipate how real life will change over the years. It is the same thing as a custody agreement and it contains all of the information about how the parents will continue to handle their parenting responsibilities. You're able to contain in your parenting plan an overall statement that you fully grasp these issues might develop in the future and the way you mean to address them when they do.

Next: West Virginia Motion to Adopt Parenting Plan Form Previous: Wisconsin Admission of Service Form
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