Parenting Plan Template - Vermont

Form 825
STATE OF VERMONT
FAMILY DIVISION
SUPERIOR COURT
Docket No.
Unit
Defendant
Plaintiff
DOB
Name
DOB
V.
AGREEMENT
ON PARENTAL RIGHTS AND RESPONSIBILITIES,
PARENT CHILD CONTACT and PROVISIONS RELATING TO CHILDREN
This Parenting Plan is: (choose one)
Agreed upon by the parties
Proposed by:
Name of Parent
This Parenting Plan is: (choose one)
Temporary. We request that the agreed upon provisions be made part of a temporary order
and remain in effect until a final order on parental rights and responsibilities and parent
child contact is issued by the court.
Final. All completed paragraphs shall be incorporated into a final order.
A Modification of a prior final order on parental rights and responsibilities and parent child
contact. The date of the prior order or plan is:
/
/
This Parenting Plan is for the following children of the parties:
A relief from abuse order involving the parties and/or these children:
Is not in effect.
Is in effect.
Starting date for the plan:
9/12 SML
1
Name
DOB
Name of Child
DOB
Name of Child
DOB
Name of Child
Name of Child
DOB
DOB
Name of Child
Name of Child
DOB
Page 1/8
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