Proposed Parenting Plan Form - Hawaii

STATE OF HAWAII
FAMILY COURT
First Circuit
PROPOSED PARENTING PLAN
CASE NUMBER
FC- NO. ________
G CHILD SUPPORT ENFORCEMENT AGENCY,
STATE OF HAWAI‘I,
____________________________________________
(Name: First Middle Last) G Mother G Father
PLAINTIFF(S)/PETITIONER(S),
vs.
____________________________________________
(Name: First Middle Last) G Mother G Father G Caretaker
____________________________________________
(Name: First Middle Last) G Mother G Fathe r G Caretaker
G and CHILD SUPPORT ENFORCEMENT AGE NCY,
STATE OF HAWAI‘I,
DEFENDANT(S)/RESPONDENT(S).
This document was prepared by:
[ ] Plaintiff/Petitioner
[ ] Defendant/Respondent
[ ] Caretaker/Other*
[ ] Attorney for:
[ ]Petitioner/Plaintiff [ ]Defendant/Respondent
_______________________________________________
Name
_______________________________________________
Address
______________________________ _________________
City, State, Zip Code
_______________________________________________
Telephone Number
* Relationship of Caretaker/Other to the child(ren):
_______________________________________________
I will be relocating to _________________________________ on or about _________________.
[If you are relocating, file one plan for before relocation and another plan for after relocation.]
G This is the plan for before relocation. G This is the plan for after relocation.
1. Child(ren): G See attached sheet for additional children. Is CPS*
Full Name Birth Date Gender School/Grade Involved?
Child 1 / / GM GF GYes GNo
Child 2 / / GM GF GYes GNo
Child 3 / / GM GF GYes GNo
Child 4 / / GM GF GYes GNo
Child 5 / / GM GF GYes GNo
Child 6 / / GM GF GYes GNo
*CPS stands for Child Protective Services
2. Legal Custody should be awarded to (person(s) making the major decisions, such as, school enrollment,
medical, driver’s license):
G Mother G Father G Jointly to both Mother and Father G Caretaker
3. Physical Custody should be awarded to (the child(ren) will primarily live with this p erson):
G Mother G Father G Jointly to both Mother and Father G Caretaker
(State Parenting Time Below*)
* Joint custody with the child(ren) will be shared between Mother and
Father as follows (even if you are suggesting joint custody, you can also use
the checklists in Sections 5 and 6.):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
FOR COURT USE ONLY
Effective 12/19/05 Page 1 of 4 PROPOSED PARENTING PLAN
Page 1/4
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Proposed Parenting Plan Form - Hawaii PDF

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