Blank Parenting Plan - Illinois

CC-1252 V4
Parenting Plan Form Page 1 of 7
STATE OF ILLINOIS
IN THE CIRCUIT COURT OF THE 17
th
JUDICIAL CIRCUIT
COUNTY OF WINNEBAGO
)
) IN CHANCERY
)
Petitioner, )
) Case No.
vs. )
)
)
Respondent. )
PARENTING PLAN
1.
Parenting Plan:
Parenting Plan prepared by Petitioner Respondent Other Party:__________________.
The Parties are unable to arrive at a Joint Parenting Plan.
Full Joint Parenting Plan (The parties agree to everything and the plan is signed by both parties.)
Partial Joint Parenting Plan (We agree to some things and the plan is signed by both parties.)
2.
The personal identifying information regarding the Petitioner Respondent Other
Party in subsections 4, 5, 7(b) and 15 is not required to be provided because there is a history
of domestic violence or abuse.
3.
The Court has found that the Petitioner Respondent Other Party is not required to
provide the personal identifying information stated in subsections 4, 5, 7(b) and 15 because
disclosure is not in the best interests of the child(ren) or party.
4.
The Petitioner, _________________________________________(name), is the child(ren)’s:
Father Mother Other Party (state relationship to child(ren): ______________________
The Petitioner’s Address is: _____________________________________________________
____________________________________________________________________________
The Petitioner’s Telephone Number is: ____________________________________________
The Petitioner’s Employer is: ___________________________________________________
The Petitioner’s Employer Address is: ____________________________________________
____________________________________________________________________________
The Petitioner’s Employer Telephone Number is: ___________________________________
5.
The Respondent, ______________________________________(name), is the child(ren)’s:
Father Mother Other Party (state relationship to child(ren): ______________________
The Respondent’s Address is: ___________________________________________________
____________________________________________________________________________
The Respondent’s Telephone Number is: __________________________________________
The Respondent’s Employer is: __________________________________________________
FILE STAMP
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