Parenting Plan Example - Georgia

_____ Initials _____ Initials
The Mediation Center, 5105 Paulsen Street, Suite 125D, Savannah, Georgia 31405
(912) 354-6686 (office) (912) 354-8690
1
IN THE SUPERIOR COURT OF _____________COUNTY
STATE OF GEORGIA
________________________,
Plaintiff,
vs. Civil Action No. _______________
________________________,
Defendant.
PARENTING PLAN
The parties have agreed to the terms of this plan and this information has been furnished by both parties to meet the
requirements of OCGA Section 19-9-1. The parties agree on the terms of the plan and affirm the accuracy of the
information provided, as shown by their signatures at the end of this order.
This Plan:
is a new plan.
modifies an existing Parenting Plan dated: __________
modifies an existing Order dated: _________
Child’s Name
Date of
Birth
Child’s Name
I. CUSTODY AND DECISION MAKING:
A. Legal Custody (choose one:)
Joint
Father
Mother
Other __________
B. Primary Physical Custodian
Child’s Name
Primary Physical Custodian
Joint
Mother
Father
Joint
Mother
Father
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