Parenting Plan Template - Arizona

Name:
Mailing Address:
Daytime Telephone
ATLAS #:
Representing Self, Without a Lawyer
IN T
HE SUPERIO R COURT OF ARIZONA, YAVAPAI COUNTY
Reg
arding the Matter of
Case No. 1300DO
Petitioner
PARENTING P LAN FOR:
and [ ] JOINT LEGAL DECISION-MAKING WITH
JOINT LEGAL DECISION-MAKING
AGREEMENT
or
[ ] SOLE LEGAL DECISION-MAKING
Respondent [ ] to Mother
[ ] to Father
INSTRUCTIONS
Thi
s document has 4 parts: PART 1) General Informat ion; PART 2) Legal Decision-Making and Parenting
Time; P A RT 3) Danger to Children Notification Statement; and PART 4) Joint Legal-Decision Making
Agreement. (Where this form refers to “children” it refers to any and all minor children that are common to the
parties, whether one or more.)
One o
r both parents must complete and sign the Plan as follows:
a. If both parents agree to joint legal decision-making, both parents must sign the Plan at the end of PART
2, at the end of PART 3, and at the end of PART 4;
b. If
both parents agree to legal decision-making and parenting time arrangements but not to joint legal
decision-making, both parents must sign the Plan at the end of PART 2 and at the end of PART 3;
c. If only one parent is submitting the Plan, that parent must sign at the end of PART 2 and at the end of
PART 3.
PART 1: GENERAL INFORMATION:
A. MIN
OR CHILDREN: This Plan concerns the following m inor children: (Use addit ional paper if
necessary)
CHILD’S NAME BIRTH D ATE
For Clerk’s Use Only
Page 1 of 8 DRDC72f
Superior Court of Ar
izona in Yavapai County
February 2016
Page 1/8
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