12 995 A Form – Fill Out and Use This PDF

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW

FORM 12.995(a),

PARENTING PLAN (02/18)

When should this form be used?

A Parenting Plan is required in all cases involving time-sharing with minor child(ren), even when time- sharing is not in dispute. The Parenting Plan must be developed and agreed to by the parents and approved by the court. If the parties cannot agree to a Parenting Plan or if the parents agreed to a plan that is not approved by the court, a Parenting Plan will be established by the court with or without the use of parenting plan recommendations. This form or a similar form should be used in the development of a Parenting Plan. If the case involves supervised time-sharing, the Supervised/Safety Focused Parenting Plan, Florida Supreme Court Approved Family Law Form 12.995(b) or a similar form should be used. If the case involves relocation, pursuant to Section 61.13001, Florida Statutes, then a Relocation/Long Distance Parenting Plan, Florida Supreme Court Approved Family Law Form 12.995(c) or a similar form should be used. The parents must identify a name or designation to be used throughout this Parenting Plan.

This form should be typed or printed in black ink. Please either delete or strike-through terms or paragraphs that are inappropriate or inapplicable to your agreement. If an agreement has been reached, both parties must sign the Parenting Plan and have their signatures witnessed by a notary public or deputy clerk. After completing this form, you should file the original with the clerk of the circuit court in the county where the petition was filed and keep a copy for your records. You should then refer to the instructions for your petition, answer, or answer and counterpetition concerning the procedures for setting a hearing or trial (final hearing). If the parents have not reached an agreement, a proposed Parenting Plan may be filed by either parent at the time of or any time prior to the final hearing. If an agreed Parenting Plan is not filed by the parties, the court shall establish a Plan.

IMPORTANT INFORMATION REGARDING E-FILING

The Florida Rules of Judicial Administration now require that all petitions, pleadings, and documents be filed electronically except in certain circumstances. Self-represented litigants may file petitions or other pleadings or documents electronically; however, they are not required to do so. If you choose to file your pleadings or other documents electronically, you must do so in accordance with Florida rule of Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file.

The rules and procedures should be carefully read and followed.

IMPORTANT INFORMATION REGARDING E-SERVICE ELECTION

After the initial service of process of the petition or supplemental petition by the Sheriff or certified process server, the Florida Rules of Judicial Administration now require that all documents required or permitted to be served on the other party must be served by electronic mail (e-mail) except in certain

Instructions for Florida Supreme Court Approved Family Law Form 12.995(a), Parenting Plan (02/18)

circumstances. You must strictly comply with the format requirements set forth in the Rules of Judicial Administration. If you elect to participate in electronic service, which means serving or receiving pleadings by electronic mail (e-mail), or through the Florida Courts E-Filing Portal, you must review Florida Rule of Judicial Administration 2.516. You may find this rule at www.flcourts.org through the link to the Rules of Judicial Administration provided under either Family Law Forms: Getting Started, or Rules of Court in the A-Z Topical Index.

SELF-REPRESENTED LITIGANTS MAY SERVE DOCUMENTS BY E-MAIL; HOWEVER, THEY ARE NOT REQUIRED TO DO SO. If a self-represented litigant elects to serve and receive documents by e-mail, the procedures must always be followed once the initial election is made.

To serve and receive documents by e-mail, you must designate your e-mail addresses by using the Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915, and you must provide your e-mail address on each form on which your signature appears. Please CAREFULLY read the rules and instructions for: Certificate of Service (General), Florida Supreme Court Approved Family Law Form 12.914; Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915; and Florida Rule of Judicial Administration 2.516.

Where can I look for more information?

Before proceeding, you should read “General Information for Self-Represented Litigants” found at the beginning of these forms. The words that are in “bold underline” in these instructions are defined there. For further information, see chapter 61, Florida Statutes, and the instructions for the petition and/or answer that were filed in this case.

Special notes...

At a minimum, the Parenting Plan must describe in adequate detail:

How the parties will share and be responsible for the daily tasks associated with the upbringing of the child(ren),

The time-sharing schedule arrangements that specify the time that the minor child(ren) will spend with each parent,

A designation of who will be responsible for any and all forms of health care, school-related matters, including the address to be used for school-boundary determination and registration, other activities, and

The methods and technologies that the parents will use to communicate with the child(ren).

The best interests of the child(ren) is the primary consideration in the Parenting Plan. In creating the Parenting Plan, all circumstances between the parents, including their historic relationship, domestic violence, and other factors must be taken into consideration. Determination of the best interests of the child(ren) shall be made by evaluating all of the factors affecting the welfare and interest of the particular minor child(ren) and the circumstances of that family, as listed in section 61.13(3), Florida Statutes, including, but not limited to:

Instructions for Florida Supreme Court Approved Family Law Form 12.995(a), Parenting Plan (02/18)

The demonstrated capacity and disposition of each parent to facilitate and encourage a close and continuing parent-child relationship, to honor the time-sharing schedule, and to be reasonable when changes are required;

The anticipated division of parental responsibilities after the litigation, including the extent to which parental responsibilities will be delegated to third parties;

The demonstrated capacity and disposition of each parent to determine, consider, and act upon the needs of the child(ren) as opposed to the needs or desires of the parent;

The length of time the child(ren) has lived in a stable, satisfactory environment and the desirability of maintaining continuity;

The geographic viability of the parenting plan, with special attention paid to the needs of school- age children and the amount of time to be spent traveling to effectuate the parenting plan. This factor does not create a presumption for or against relocation of either parent with a child(ren);

The moral fitness of the parents;

The mental and physical health of the parents;

The home, school, and community record of the child(ren);

The reasonable preference of the child(ren), if the court deems the child(ren) to be of sufficient intelligence, understanding, and experience to express a preference;

The demonstrated knowledge, capacity, and disposition of each parent to be informed of the circumstances of the minor child(ren), including, but not limited to, the child(ren)’s friends, teachers, medical care providers, daily activities, and favorite things;

The demonstrated capacity and disposition of each parent to provide a consistent routine for the child(ren), such as discipline, and daily schedules for homework, meals, and bedtime;

The demonstrated capacity of each parent to communicate with and keep the other parent informed of issues and activities regarding the minor child(ren), and the willingness of each parent to adopt a unified front on all major issues when dealing with the child(ren);

Evidence of domestic violence, sexual violence, child abuse, child abandonment, or child neglect, regardless of whether a prior or pending action relating to those issues has been brought. If the court accepts evidence of prior or pending actions regarding domestic violence, sexual violence, child abuse, child abandonment, or child neglect, the court must specifically acknowledge in writing that such evidence was considered when evaluating the best interests of the child(ren);

Evidence that either parent has knowingly provided false information to the court regarding any prior or pending action regarding domestic violence, sexual violence, child abuse, child abandonment, or child neglect;

The particular parenting tasks customarily performed by each parent and the division or parental responsibilities before the institution of litigation and during the pending litigation, including the extent to which parenting responsibilities were undertaken by third parties;

The demonstrated capacity and disposition of each parent to participate and be involved in the child(ren)’s school and extracurricular activities-

The demonstrated capacity and disposition of each parent to maintain an environment for the child(ren) which is free from substance abuse;

The capacity and disposition of each parent to protect the child(ren) from the ongoing litigation as demonstrated by not discussing the litigation with the child(ren), not sharing documents or

Instructions for Florida Supreme Court Approved Family Law Form 12.995(a), Parenting Plan (02/18)

electronic media related to the litigation with the child(ren), and refraining from disparaging comments about the other parent to the child)ren); and

The developmental stages and needs of the child(ren) and the demonstrated capacity and disposition of each parent to meet the child(ren)’s developmental needs.

This standard form does not include every possible issue that may be relevant to the facts of your case. The Parenting Plan should be as detailed as possible to address the time-sharing schedule. Additional provisions should be added to address all of the relevant factors. The parties should give special consideration to the age and needs of each child.

In developing the Parenting Plan, you may wish to consult or review other materials which are available at your local library, law library or through national and state family organizations.

Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these forms, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law Rules of Procedure Form 12.900 (a), before he or she helps you. A nonlawyer helping you fill out these forms also must put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps you complete.

Instructions for Florida Supreme Court Approved Family Law Form 12.995(a), Parenting Plan (02/18)

IN THE CIRCUIT COURT OF THE _____________________ JUDICIAL CIRCUIT

IN AND FOR _________________ COUNTY, FLORIDA

Case No: _____________________

Division: _____________________

_______________________________

Petitioner,

and

______________________________

Respondent.

PARENTING PLAN

This parenting plan is: {Choose only one}

_____A Parenting Plan submitted to the court with the agreement of the parties.

_____A proposed Parenting Plan submitted by or on behalf of:

{Parent’s Name}_______________________________________________.

_____A Parenting Plan established by the court.

This parenting plan is: {Choose only one}

_____A final Parenting Plan established by the court.

_____A temporary Parenting Plan established by the court.

_____A modification of a prior final Parenting Plan or prior final order.

I. PARENTS

Petitioner, hereinafter referred to in this Parenting Plan as Parent

{name or designation} ___________________________________________________

Name:__________________________________________________________________

Address: ________________________________________________________________

Telephone Number: __________________E-Mail: _______________________________

_____ Address Unknown: {Please indicate here if Petitioner’s address is unknown}

_____ Address Confidential: {Please indicate here if Petitioner’s address and phone numbers are

confidential pursuant to either a _____ Final Judgment for Protection Against Domestic Violence,

or _____ other court order ______________________________________}.

Respondent, hereinafter referred to in this Parenting Plan as Parent

{name or designation} _________________________________________________________

Name:__________________________________________________________________

Florida Supreme Court Approved Family Law Form 12.995(a), Parenting Plan (02/18)

Address: ________________________________________________________________

Telephone Number: _________________ E-Mail: ________________________________

_____ Address Unknown: {Please indicate here if Respondent’s address is unknown}

_____ Address Confidential: {Please indicate here if Respondent’s address and phone numbers

are confidential pursuant to either a _____ Final Judgment for Protection Against Domestic

Violence or _____ other court order______________________________________.}

II.CHILDREN: This parenting plan is for the following child(ren) born to, or adopted by the parties: (add additional lines as needed)

NameDate of Birth

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

III. JURISDICTION

The United States is the country of habitual residence of the child(ren).

The State of Florida is the child(ren)’s home state for the purposes of the Uniform Child Custody Jurisdiction and Enforcement Act.

This Parenting Plan is a child custody determination for the purposes of the Uniform Child Custody Jurisdiction and Enforcement Act, the International Child Abduction Remedies Act, 42 U.S.C. Sections 11601 et seq., the Parental Kidnapping Prevention Act, and the Convention on the Civil Aspects of International Child Abduction enacted at the Hague on October 25, 1980, and for all other state and federal laws.

Other: _________________________________________________________________________.

IV. PARENTAL RESPONSIBILITY AND DECISION MAKING

{Insert the name or designation of the appropriate parent in the space provided.}

1. Parental Responsibility {Choose only one}

a._____ Shared Parental Responsibility.

It is in the best interests of the child(ren) that the parents confer and jointly make all major decisions affecting the welfare of the child(ren). Major decisions include, but are not limited to, decisions about the child(ren)’s education, healthcare, and other responsibilities unique to this family. Either parent may consent to mental health treatment for the child(ren).

OR

Florida Supreme Court Approved Family Law Form 12.995(a), Parenting Plan (02/18)

b._____ Shared Parental Responsibility with Decision Making Authority

It is in the best interests of the child(ren) that the parents confer and attempt to agree on the major decisions involving the child(ren). If the parents are unable to agree, the authority for making major decisions regarding the child(ren) shall be as follows:

OR

c._____ Sole Parental Responsibility:

It is in the best interests of the child(ren) that Parent {name or designation}

____________________ shall have sole authority to make major decisions for the

child(ren.) It is detrimental to the child(ren) to have shared parental responsibility.

2.Day-to-Day Decisions

Unless otherwise specified in this plan, each parent shall make decisions regarding day-to- day care and control of each child while the child is with that parent. Regardless of the allocation of decision making in the parenting plan, either parent may make emergency decisions affecting the health or safety of the child(ren) when the child is residing with that parent. A parent who makes an emergency decision shall share the decision with the other parent as soon as reasonably possible.

3. Extra-curricular Activities {Indicate all that apply}

{Insert the name or designation of the appropriate parent in the space provided.

a._____Either parent may register the child(ren) and allow them to participate in the activity

of the child(ren)’s choice.

b._____The parents must mutually agree to all extra-curricular activities.

c._____The parent with the minor child(ren) shall transport the minor child(ren) to and/or

from all mutually agreed upon extra-curricular activities, providing all necessary uniforms and equipment within the parent’s possession.

d._____ The costs of the extra-curricular activities shall be paid by:

Parent __________________ ______%

Parent __________________ ________ %

e._____ The uniforms and equipment required for the extra-curricular activities shall be paid

by:

Parent __________________ _______ %

Parent __________________ ________%

Florida Supreme Court Approved Family Law Form 12.995(a), Parenting Plan (02/18)

f._____ Other: {Specify}_____________________________________________________

_______________________________________________________________.

V. INFORMATION SHARING. Unless otherwise indicated or ordered by the Court:

Unless otherwise prohibited by law, each parent shall have access to medical and school records and information pertaining to the child(ren) and shall be permitted to independently consult with any and all professionals involved with the child(ren). The parents shall cooperate with each other in sharing information related to the health, education, and welfare of the child(ren) and they shall sign any necessary documentation ensuring that both parents have access to said records.

Each parent shall be responsible for obtaining records and reports directly from the school and health care providers.

Both parents have equal rights to inspect and receive governmental agency and law enforcement records concerning the child(ren).

Both parents shall have equal and independent authority to confer with the child(ren)’s school, day care, health care providers, and other programs with regard to the child(ren)’s educational, emotional, and social progress.

Both parents shall be listed as “emergency contacts” for the child(ren).

Each parent has a continuing responsibility to provide a residential, mailing, and contact address and contact telephone number to the other parent. Each parent shall notify the other parent in writing within 24 hours of any changes. Each parent shall notify the court in writing within seven

(7) days of any changes.

Other: _________________________________________________________________

________________________________________________________________.

VI. SCHEDULING

1.School Calendar

If necessary, on or before ______________ of each year, both parents should obtain a

copy of the school calendar for the next school year. The parents shall discuss the calendars and the time-sharing schedule so that any differences or questions can be resolved.

The parents shall follow the school calendar of: {Indicate all that apply} a._____the oldest child

b._____the youngest child

c.______________________ County

Florida Supreme Court Approved Family Law Form 12.995(a), Parenting Plan (02/18)

d.______________________ School

2.Academic Break Definition

When defining academic break periods, the period shall begin at the end of the last scheduled day of classes before the holiday or break and shall end on the first day of regularly scheduled classes after the holiday or break.

3.Schedule Changes {Indicate all that apply}

a._____ A parent making a request for a schedule change will make the request as soon as possible, but in any event, except in cases of emergency, no less than _____________

__________________before the change is to occur.

b._____ A parent requesting a change of schedule shall be responsible for any additional

child care, or transportation costs caused by the change.

c._____ Other {Specify}____________________________________________________.

VII. TIME-SHARING SCHEDULE

{Insert the name or designation of the appropriate parent in the space provided.} {A time-sharing schedule must be provided for both parents.}

1. Weekday and Weekend Schedule

The following schedule shall apply beginning on ________________________ with

Parent {name or designation}_________________________ and continue as follows:

The child(ren) shall spend time with Parent _______________ on the following dates

and times:

WEEKENDS: _____ Every _____ Every Other _____ Other {specify} _____________

From____________________________ to _________________________________

WEEKDAYS: {Specify days} ______________________________________________

From _____________________________ to _______________________________

OTHER: {Specify} _____________________________________________________

___________________________________________________________________

___________________________________________________________________.

The child(ren) shall spend time with the Parent _______________ on the following

dates and times:

WEEKENDS: _____ Every _____ Every Other _____ Other {specify}______________

From____________________________ to _________________________________

WEEKDAYS: {Specify days} ______________________________________________

From _____________________________ to _______________________________

OTHER: {Specify} _____________________________________________________

___________________________________________________________________

Florida Supreme Court Approved Family Law Form 12.995(a), Parenting Plan (02/18)

___________________________________________________________________.

Please indicate if there is a different time sharing schedule for any child. Complete a separate Attachment for each child for whom there is a different time sharing schedule.

_____ There is a different time-sharing schedule for the following child(ren) in

Attachment _________.

_____________________________, and _________________________.

2.Holiday Schedule {Choose only one}

a._____No holiday time sharing shall apply. The regular time-sharing schedule set forth above shall apply.

b._____Holiday time-sharing shall be as the parties agree.

c._____Holiday time-sharing shall be in accordance with the following schedule. The Holiday schedule will take priority over the regular weekday, weekend, and summer schedules. Fill in the blanks with the name or designation of the appropriate parent to indicate where the child(ren) will be for the holidays. Provide the beginning and ending times. If a holiday is not specified as even, odd, or every year with one parent, then the child(ren) will remain with the parent in accordance with the regular schedule

Florida Supreme Court Approved Family Law Form 12.995(a), Parenting Plan (02/18)