Parenting Plan Format - Arizona

Revised: 1/1/2013 Page 1 of 5
Name of Person Filing: ________________________________________
Mailing Address: ________________________________________
City, State, Zip Code: ________________________________________
Phone Number(s): ________________________________________
ATLAS Number (If Applicable):_____________________________________
State Bar Number (If Applicable):___________________________________
Representing:
Self Petitioner Respondent
SUPERIOR COURT OF ARIZONA
MOHAVE COUNTY
_
____________________________
_
__
_
__
(Name of Petitioner)
AND
___________________________________
(Name of Respondent)
Case Number:
_
________________________
PARENTING PLAN FOR:
JOINT LEGAL DECISION MAKING
AGREEMENT
OR
SOLE LEGAL DECISION MAKING
Mother
Father
INSTRUCTIONS
This document has 3 parts: PART 1) General Information; PART 2) Legal Decision Ma king and Parenting
Time; PART 3) Joint Legal Decision Making Agreement.
One or both parents must complete and sign the Plan as Follows:
a. If both parents agree to joint legal decisi on making: Both parents must sign the Plan at the end of
PART 2 and at the end of PART 3;
b. If both parents agree to legal decision making and parenting time arrangements but not to joint
legal decision making: Both parents mu st sign the Plan at the end of PART 2;
c. If only one parent is submitting the Plan: that parent must sign at the end of PART 2.
PART 1: GENERAL INFORMATION
A. MINOR CHILDREN.
This plan concerns the following minor children: (Use addition al paper if
necessary)
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
B. LEGAL DECISION MAKING ARRANGEMENTS REQUESTED IN THIS PL AN:
The following legal decision making arrangement is requested: (Check the box(es) that apply.)
JOINT LEGAL DECISION MAKI NG DETERMIN ATI ON DEFER RE D: The parent’s re quest for joint
legal decision making is de ferred to the court for determination. OR,
FOR CLERK’S USE ONLY
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