West Virginia Proposed Parenting Plan Form

Through the completion of this form, the divorcing spouses are able to create the custody arrangement for the minor children resulting from their union.Download

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SCA-FC-121  (06/03)  Parenting Plan  Page 1 of 12	
IN THE FAMILY COURT OF ________________ COUNTY, WEST VIRGINIA.	
In Re:  The Marriage / Children of: Civil Action No.  ____________        
    
_________________________,        and    _________________________.   
Petitioner            Respondent
_________________________ _________________________            
                              
_________________________ _________________________
Current address Current address
_________________________ _________________________
Daytime phone Daytime phone	
PARENTING  PLAN	
This Parenting Plan is proposed:	
’  Individually by _________________________________, the     	’  Mother     	’ Father.  	
* Every Individual Plan must	 be accompanied by a completed Worksheet.        	
’  Jointly by ___________________________, and______________________________
    
This plan is proposed for use:     	
’ Temporarily      	’ Permanently      	’ Both.	
CHILDREN	
(List the name, date of birth, and social security number of all children subject to this Parenting Plan.)	                                 	
                                                                                                                                                                                                                        
                                                                                                                                                                                                                        	
DECISION	  MAKING	
Two decision-making rules apply to all	 cases, and all	 Parenting Plans. 
1.  The parent with whom a child is residing makes all
 day-to-day decisions about the care and
control of the child.  
2.  Either parent	
 may make emergency	 decisions affecting the health or safety of the children, at	
any time	, regardless of the parent with whom the children are residing at the time	.
Major Decisions	
     (Use the following list to propose whom you think should make each type of decision.) 	
Education	’ Mother	’ Father	’ Shared
Medical, dental, eye care	
’ Mother	’ Father	’ Shared
Religious matters	
’ Mother	’ Father	’ Shared
Child care	
’ Mother	’ Father	’ Shared