Shared Parenting Plan

Supreme Court of Ohio
Uniform Dom estic Relations Form 17
SHARE D PARENTING PL AN
Approved under Ohio Civil Rule 84 and Ohio Juvenile Rule 46
Effecti ve Date: 7/1/2013
Page 4 of 14
F.
Other orders:
G.
Pub lic Benefits
Father shall be designated as the residential parent for receipt of public benefits purposes of the
following child(ren):
Mother shall be designated as the residential parent for rec eipt of public benefits purposes of the
following child(ren):
H.
This designation of a particular parent as the residential parent for the purposes of determining
the school attendance and enrollment of the child(ren) or the receipt of public benefits of the
child(ren) does not affect the designation of each parent as the “residential parent,”
“residential parent and legal custodian,” or the “custodial parent of the child(ren).
I.
Transportation (select one):
Each parent shall be responsible for providing transportation for the child(ren) at the beginning
of his/her parenting period. Each parent shall be responsible for providing transportation for the
child(ren) to and from scho ol and activities during his/her parenting period.
We agree to the f o l lo w in g a rrangements for providing transportation for our child(ren) at the
beginning, during, or end of a parenting period:
J.
Current Address and Telephone Number
Father’s current home address and telephone number, including cellular telephone number:
Mother’s current home address and telephone number, including cellular telephone number:
Page 4/14
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