__________________COUNTY SUPERIOR COURT
STATE OF GEORGIA
Plaintiff, ) Civil Action
) Case Number ________________
( ) 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 plan has been prepared by the judge.
This plan ( ) is a new plan.
( ) modifies an existing Parenting Plan dated ___________.
( ) modifies an existing Order dated __________________.
Child’s Name Date of Birth
I. Custody and Decision Making:
A. Legal Custody shall be (choose one:)
( ) with the Mother
( ) with the Father
( ) Joint