Missouri Parenting Plan Form Open This Missouri Parenting Plan Now

Missouri Parenting Plan Form

The Missouri Parenting Plan form is a legal document designed to outline the custody arrangements and responsibilities of parents following a separation or divorce. This form, specifically Form CCFC179, provides essential information about the children involved, the parents' rights, and the decision-making processes regarding their upbringing. Understanding and accurately completing this form is crucial for ensuring that the best interests of the children are prioritized.

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Article Guide

The Missouri Parenting Plan form, officially designated as Form CCFC179, serves as a crucial document in custody cases, ensuring that the best interests of children are prioritized during and after parental separation or divorce. This form is divided into several key sections that address various aspects of child custody and co-parenting responsibilities. Initially, it gathers essential information about the children involved, the parents, and the case itself. It outlines the rights of both parents to access records related to their children's health, education, and activities, promoting transparency and cooperation. The plan emphasizes the importance of maintaining a positive environment for children by prohibiting negative discussions about the other parent in their presence. Additionally, it delineates the methods of communication between parents and sets guidelines for telephone contact with the children. Critical decisions regarding the children are categorized into major, daily, and emergency decisions, clarifying who holds the authority to make these choices. The form also addresses custody arrangements, including joint or sole legal custody, and details residential schedules to facilitate regular contact with both parents. It includes provisions for dispute resolution, ensuring that any disagreements can be addressed amicably. Finally, the plan emphasizes the need for notification regarding any changes in residential arrangements, reinforcing the importance of stability and consistency in the children's lives. Understanding and completing this form accurately is essential for parents navigating the complexities of custody arrangements in Missouri.

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Form CCFC179 – Parenting Plan Part A – Custody

Case Information

Mother:

Father:

Case Number

County

ST. LOUIS COUNTY

Exhibit Number

1.Children’s Information

Part A of this parenting plan applies to ____________ child(ren). They are:

1. _______________________________

4. _______________________________

2. _______________________________

5. _______________________________

3. _______________________________

6. _______________________________

 

 

2.Designation of Parties

3.Access to Records

4.Children’s Activities

Mother is the petitioner/plaintiff. Father is the respondent/defendant. Father is the petitioner/plaintiff. Mother is the respondent/defendant.

The State of Missouri is the plaintiff. Mother and Father are the defendants.

Unless otherwise provided in this parenting plan, both parents are entitled to access to records and information pertaining to the children, including, but not limited to, full and complete medical, dental, health, child care and educational records. Each parent shall take whatever steps are necessary to ensure that the other parent has such access.

Both parents must attempt to accommodate the social and academic commitments of the children during the time the children are with them. Each parent should attempt to refrain from scheduling activities that occur primarily when the children are with the other parent. If an activity will affect the other parent’s time with the children, the parent scheduling the activity shall obtain the affected parent’s permission before committing the children to the activity.

5.Issues not to be discussed in the Presence of Children

6.Communication Methods between Parents

7.Telephone Contact with Children

Mother and Father shall each refrain from making negative, derogatory or degrading statements about the other parent in front of the children. Both parents shall exercise their best efforts to foster the respect, love and affection of the children toward the other parent. Mother and Father shall avoid discussing parenting issues, financial issues, and other topics related to these proceedings when the children are present.

Mother and Father should prevent other persons from making negative, derogatory or degrading statements about the other parent in the presence of the children.

The children shall not be used as messengers. Communication between the parents concerning

the children may be by the following methods: Check each box that is appropriate in your case.

In person

Home telephone

Work telephone

Mobile telephone

Letter via U.S. Postal Service

Email

Fax

Other ________________________.

 

 

 

 

Each parent may contact the children in a reasonable manner when the children are with the other parent. Neither parent shall contact the children at the other parent’s residence later than

____________. (If this line is left blank, there are no restrictions as to time.)

Each parent shall provide the other parent with the address of their residence and the telephone number at which the children may be contacted. Neither parent shall configure their telephone system in such a manner as to “block” or prevent the other parent from calling. If this telephone number is changed, the parent shall notify the other parent of the new telephone number within a reasonable time.

When a parent travels to an overnight destination with the children, he or she must notify the other parent of the children’s destination. He or she must also provide a telephone number where the children can be reached.

Parenting Plan Part A – Custody of the Children – Page 1

Form CCFC179-02/11

8.Types of Decisions

The three types of decisions that parents must make concerning their children are major decisions, daily or everyday decisions, and emergency decisions.

Major Decisions - Major decisions are the significant decisions about the children. Major decisions are made by the parent or parents with legal custody. The following are examples of major decisions: the choice or change of schools, including college or special tutoring; choice or change of physician, surgeon or dentist; religious instruction, training or education; selection of child care providers; major medical care, surgery, or any medical procedure requiring hospitalization or out-patient surgery; major dental work and orthodontia; psychological or psychiatric treatment or counseling; the choice or change of camps or other special or extracurricular activities; the extent of any travel away from home; part or full-time employment; purchase or operation of a motor vehicle; contraception and sex education; actual or potential litigation on behalf of the children.

Daily or Everyday Decisions - Daily or everyday decisions are routine decisions like minor medical treatment, bedtimes, homework, chores, selection of clothing and normal daily activities.

Daily decisions shall be made by the parent having actual physical custody at the time of the decision. The parents shall cooperate in establishing mutually agreeable policies regarding such decisions in order that routine decisions remain as consistent as possible.

Emergency Decisions - Emergency decisions are decisions of an urgent nature. They affect the health and safety of the children and have to be made before it is possible to contact the other parent.

The parent who is with the minor child requiring emergency care may make the emergency decision. The parent making the emergency decision shall advise the other parent of the nature and extent of the emergency as soon as possible.

9. Legal Custody

Mother and Father – Joint Legal Custody

It is in the best interests of the children that Mother and Father have joint legal custody of the children. Major decisions shall be made by Mother and Father jointly. If Mother and Father disagree on a major decision they shall resolve their disagreement through the dispute resolution procedure set forth herein.

Mother – Sole Legal Custody to Mother

It is in the best interests of the children that Mother has sole legal custody of the children. Major decisions affecting the children shall be made by Mother. Mother and Father cannot share joint legal custody because:

_____________________________________________________________________________

_____________________________________________________________________________

Father – Sole Legal Custody to Father

It is in the best interests of the children that Father has sole legal custody of the children. Major decisions affecting the children shall be made by Father. Mother and Father cannot share joint legal custody because:

_____________________________________________________________________________

_____________________________________________________________________________

Third Party – Sole Legal Custody to Third Party

It is in the best interest of the children that _____________________ (hereinafter referred to as

“Third Party”) has sole legal and sole physical custody of the children. Major decisions affecting the children shall be made by Third Party. Both parents are unfit, unsuitable, or unable to be a custodian of the children or the welfare of the children requires that neither parent have physical custody.

10.Residential Schedules

Form CCFC179-02/11

Mother and Father shall have physical custody of the children as they agree. In the event they do not agree, then Mother and Father shall exchange the children as set forth in the attached residential schedules marked as Exhibit Number ____________.

Because the children need a continuing relationship with both parents, each parent shall consider reasonable changes when requested by the other parent or the children. If a significant change is made, either parent may reduce their agreement to writing. All changes are unenforceable unless in writing and signed by both parents.

Parenting Plan Part A – Custody of the Children – Page 2

11.Notification of Change from Residential Schedule

12.Transportation

In the event either parent cannot exercise the scheduled time with the children, he or she should tell the other parent as soon as possible, but not later than 24 hours before the start of the scheduled time with the children. If a parent anticipates that he or she may have to cancel at the last minute, he or she should advise the other parent of the possible last minute conflict. If a parent fails to notify the other as set forth above, he or she shall be responsible for the reasonable costs incurred by the other parent.

The parent who has the children takes the children to the exchange location. Each party will pay the expenses associated with his or her own transportation to and from the exchange location unless otherwise indicated in this parenting plan.

13.Location of Exchanges

If a specific location for an exchange is not stated on the schedule, then the exchange shall occur at the following location:

All exchanges shall occur at the children’s school or child care provider. If the children are not in attendance at school or day care, then the exchange shall occur at

____________________________________.

All exchanges shall occur at the Mother’s Residence.

All exchanges shall occur at the Father’s Residence.

All exchanges shall occur at ____________________________________.

14.Physical Custody

Form CCFC179-02/11

Joint Physical Custody Using Mother’s Address - It is in the best interest of the children that Mother and Father have joint physical custody of the children. The address of the children for mailing and educational purposes is the same as that of Mother.

Joint Physical Custody Using Father’s Address – It is in the best interest of the children that Mother and Father have joint physical custody of the children. The address of the children for mailing and educational purposes is the same as that of Father.

Sole Physical Custody to Mother and Visitation to Father – It is in the best interests of the children that Mother has sole physical custody of the children and that Father have visitation as set forth herein.

Sole Physical Custody to Father and Visitation to Mother – It is in the best interests of the children that Father has sole physical custody of the children and that Mother have visitation as set forth herein.

Sole Physical Custody to Mother and Supervised Visitation to Father – It is in the best interests of the children that Mother have sole physical custody of the children and Father have supervised visitation as set forth herein. Unsupervised visitation would endanger the children’s physical health or impair their emotional development because:____________________________________________________________________.

Visitation will be supervised by __________________________________________________.

Sole Physical Custody to Father and Supervised Visitation to Mother - It is in the best interests of the children that Father have sole physical custody of the children and Mother have supervised visitation as set forth herein. Unsupervised visitation would endanger the children’s physical health or impair their emotional development because:

___________________________________________________________________________.

Visitation will be supervised by __________________________________________________.

Other:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Parenting Plan Part A – Custody of the Children – Page 3

15. Relocation

RSMo. §452.377states:

“Absent exigent circumstances as determined by a court with jurisdiction, you as a party to this action are ordered to notify, in writing by certified mail, return receipt requested, and at least sixty days prior to the proposed relocation, each party to this action of any proposed relocation of the principal residence of the child, including the following information:

(1)The intended new residence, including the specific address and mailing address, if known, and if not known, the city;

(2)The home telephone number of the new residence, if known;

(3)The date of the intended move or proposed relocation;

(4)A brief statement of the specific reasons for the proposed relocation of the child; and

(5)A proposal for a revised schedule of custody or visitation with the child.

Your obligation to provide this information to each party continues as long as you or any other party by virtue of this order is entitled to custody of a child covered by this order. Your failure to obey the order of this court regarding the proposed relocation may result in further litigation to enforce such order, including contempt of court. In addition, your failure to notify a party of a relocation of the child may be considered in a proceeding to modify custody or visitation with the child. Reasonable costs and attorney fees may be assessed against you if you fail to give the required notice.”

16.Dispute Resolution Procedure

17.Additional Provisions Pertaining to Custody of the Children

If the parties do not agree on the interpretation of this Parenting Plan, they shall submit the dispute to a mediator chosen by them for non-binding mediation. In the event they are not able to agree on a mediator they shall each select a mediator from the list of approved mediators maintained by the St. Louis County Family Court and the two mediators shall determine who shall mediate the case. The parents are to make a good faith effort to resolve their disagreement. In the event that the parents cannot resolve the dispute by mediation, they may submit the issue to the Court through appropriate proceedings.

Additional dispute resolution procedures are as follows:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Additional provisions pertaining to the custody of the children are on the attached addendum(s) to parenting plan marked as exhibit(s) ____________.

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

The following paragraphs differ from Form CCFC179 ________________________________________.

____________________________

____________________________

____________________________

Mother

Father

Guardian ad Litem

____________________________

____________________________

 

Attorney for Mother

Attorney For Father

 

____________________________

 

 

Judge or Commissioner

 

 

Parenting Plan Part A – Custody of the Children – Page 4

Form CCFC179-02/11

Form CCFC180 – Residential Schedules

Case Information

Mother:

Father:

Case Number

County

ST. LOUIS COUNTY

Exhibit Number

1.Weekend and Weekday Schedule

Week One

Definition

Each exchange should be written on the Weekend and Weekday Exchange Schedule. A sample entry for one of the exchanges may be as follows: “5:30 p.m. Father receives children”. This means that at 5:30 p.m., Father will begin a period of time during which the children will be with him.

The last person to receive custody on the Weekend and Weekday Schedule must be different than the first person to receive custody on the schedule because after each two week period, the cycle repeats itself. There is always an even number of exchanges for a two week period.

If no exchange location is specified, then the exchange shall occur at the location set forth in Parenting Plan Part A Paragraph 13 “Location of Exchanges.”

To determine whether the week one or week two schedule applies, you should refer to the definitions below.

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

As used in this Parenting Plan, “Week One” on the Weekday and Weekend Exchange Schedule is defined as a week that has Sunday on one of the following dates:

 

January

1

2

3

4

5

6

 

7

15

16

17

18

19

20

21

29

30

 

31

 

February

1

2

3

4

12

13

14

15

16

17

18

26

27

28

29

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

March

1

2

3

4

12

13

 

14

15

16

17

18

26

27

28

29

30

 

31

 

April

1

9

10

11

12

13

14

15

23

24

25

26

27

28

29

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

May

7

8

9

10

11

12

 

13

21

22

23

24

25

26

27

 

 

 

 

 

June

4

5

6

7

8

9

10

18

19

20

21

22

23

24

 

 

 

 

 

July

2

3

4

5

6

7

 

8

16

17

18

19

20

21

22

30

31

 

 

 

August

1

2

3

4

5

13

14

15

16

17

18

19

27

28

29

30

31

 

September

1

2

10

11

12

13

 

14

15

16

24

25

26

27

28

29

30

 

 

 

October

8

9

10

11

12

13

14

22

23

24

25

26

27

28

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

November

5

6

7

8

9

10

 

11

19

20

21

22

23

24

25

 

 

 

 

 

December

3

4

5

6

7

8

9

17

18

19

20

21

22

23

31

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Week Two Definition

As used in this Parenting Plan, “Week Two” on the Weekday and Weekend Exchange Schedule is defined as a week that has Sunday on one of the following dates:

 

January

8

9

10

11

12

13

 

14

22

23

24

25

26

27

28

 

 

 

 

 

February

5

6

7

8

9

10

11

19

20

21

22

23

24

25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

March

5

6

7

8

9

10

 

11

19

20

21

22

23

24

25

 

 

 

 

 

April

2

3

4

5

6

7

8

16

17

18

19

20

21

22

30

31

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

May

1

2

3

4

5

6

 

14

15

16

17

18

19

20

28

29

30

 

31

 

June

1

2

3

11

12

13

14

15

16

17

25

26

27

28

29

30

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

July

1

9

10

11

12

13

 

14

15

23

24

25

26

27

28

29

 

 

 

 

August

6

7

8

9

10

11

12

20

21

22

23

24

25

26

 

 

 

 

 

September

3

4

5

6

7

8

 

9

17

18

19

20

21

22

23

 

 

 

 

 

October

1

2

3

4

5

6

7

15

16

17

18

19

20

21

29

30

31

 

November

1

2

3

4

12

13

 

14

15

16

17

18

26

27

28

29

30

 

 

 

December

1

2

10

11

12

13

14

15

16

24

25

26

27

28

29

30

 

 

Parenting Plan Part A – Residential Schedules – Page 1

Form CCFC180-11/09

2.Vacation Schedule

3. Holidays

No specific weeks will be set aside for vacations.

The parents will have physical custody of the children for alternating weeks during the summer. This schedule commences on the first Friday after the last day of classes for the child(ren) for the school year at 6:00 p.m. and ends on the last Friday at 6:00 p.m. preceding the first day of school for the following school year. Mother shall have the first week of physical custody in even numbered years, and Father shall have the first week of physical custody in odd numbered years. All exchanges will occur at 6:00 p.m. on Friday.

The parents will alternate the weeks throughout the summer, coordinating the childcare and recreational programs to the extent possible. Each parent is responsible for ensuring that the child is cared for during the workday during his or her weeks of physical custody.

If the school year ends during different weeks for the child(ren), then the summer schedule commences on the first Friday at 6:00 p.m. after the last day of classes for the last child to finish classes for the school year. If the school year begins during different weeks for the child(ren), then the summer schedule shall end on the last Friday at 6:00 p.m. before the first day of classes for the first child to begin classes for the school year.

Each parent may designate ______ week(s) each year during which they will have exclusive

physical custody of the children and the regular or alternative exchange weekday and weekend schedules do not apply. Father shall have first choice of weeks in odd-numbered years. Mother will have first choice of weeks in even-numbered years.

The parent with the first choice of weeks must designate his or her vacation week(s) by

___________. Thereafter, the other parent must designate his or her vacation week(s) by

___________. If the vacation schedule conflicts with the holiday schedule, the holiday

schedule takes precedence. Other Vacation Provisions:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

A different schedule can apply on holidays. The times each parent will have with the children during the holidays are set forth on the Holiday Exchange Schedule on page 5 and the Additional Special Occasion Exchange Schedule of these Residential Schedules.

Holidays and vacations do not alter the “Week One” or “Week Two” designation, but they do apply ahead of the regular schedule. If the holiday schedule conflicts with any other schedule, the holiday schedule takes precedence.

______________________________________________________________________________

______________________________________________________________________________

The following paragraphs differ from Form CCFC180 ________________________________________.

____________________________

____________________________

____________________________

Mother

Father

Guardian ad Litem

____________________________

____________________________

 

Attorney for Mother

Attorney For Father

 

____________________________

 

 

Judge or Commissioner

 

 

Parenting Plan Part A – Residential Schedules – Page 2

Form CCFC180-11/09

Weekday and Weekend Exchange Schedule

 

 

 

 

DAY OF WEEK

 

 

EXCHANGES FOR DAY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sunday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Monday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tuesday

 

 

 

 

 

 

 

 

 

 

 

ONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WEEK

 

 

Wednesday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thursday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Friday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Saturday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sunday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Monday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tuesday

 

 

 

 

 

TWO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wednesday

 

 

 

 

 

WEEK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thursday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Friday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Saturday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exchanges should be set forth on this schedule. For example, if Father picks up the children at the default location set forth in paragraph 13 for the period of time the children will be with him on Friday, then you would enter “Father receives children at 5:00 p.m.” in the box next to the correct Friday. If the transfer occurs at a different location, you would enter “Father receives children at 5:00 p.m. at Mother’s residence”. There should always be an even number of exchanges on this schedule.

Parenting Plan Part A – Residential Schedules – Page 3

Form CCFC180-11/09

Holiday Exchange Schedule

 

 

 

Even

 

 

Odd

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Physical Custody

 

 

 

Holiday

 

Numbered

 

 

Numbered

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Years

 

 

Years

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FATHER or

 

FATHER or

 

Time

 

Time

 

 

 

 

MOTHER

 

MOTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New Year’s Day

 

 

 

 

 

 

 

 

 

 

 

 

Holiday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

King Day

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

President’s Day

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Easter

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Spring Break

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Memorial Day

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Independence

 

 

 

 

 

 

 

 

 

 

 

 

Day

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Labor Day

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thanksgiving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Christmas Eve

 

 

 

 

 

 

 

 

 

 

 

 

Holiday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Christmas Day

 

 

 

 

 

 

 

 

 

 

 

 

Holiday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parenting Plan Part A – Residential Schedules – Page 4

 

 

Form CCFC180-11/09

Additional Special Occasion Exchange Schedule

 

 

 

Even

 

 

Odd

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Physical Custody

 

 

Holiday

 

Numbered

 

 

Numbered

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Years

 

 

Years

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FATHER or

 

FATHER or

 

Time

 

Time

 

 

 

 

MOTHER

 

MOTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Halloween

 

 

 

 

 

 

 

 

 

 

 

Mother’s Day

Father’s Day

Mother’s

Birthday

Father’s

Birthday

Child’s Birthday

Parenting Plan Part A – Residential Schedules – Page 5

Form CCFC180-11/09

Form CCFC200 – Addendum to Parenting Plan Part A Domestic Violence

Case Information

Mother:

Father:

Case Number

County

ST. LOUIS COUNTY

Exhibit Number

1.Domestic Violence between Parents

You must check one and only one of the following five boxes.

There has been no domestic violence between the parents.

There has been domestic violence by Mother against Father. Any educational records of the children shall not include the address of Father or the children.

There has been domestic violence by Father against Mother. Any educational records of the children shall not include the address of Mother or the children.

There has been domestic violence by Mother against Father; however, the educational records of the children may include the address of Father or the children.

There has been domestic violence by Father against Mother; however, the educational records of the children may include the address of Mother or the children.

2.Pattern of Domestic Violence between Parents

3.Other Domestic Violence Provisions

You must check one and only one of the following three boxes.

There has been no pattern of domestic violence by either Mother or Father.

There has been a pattern of domestic violence by Mother against Father. This parenting plan best protects the children and Father from any further violence.

There has been a pattern of domestic violence by Father against Mother. This parenting plan best protects the children and Mother from any further violence.

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Parenting Plan Part A – Domestic Violence

Form CCFC200-11/10

Form Specifics

Fact Name Details
Form Identification The Missouri Parenting Plan is identified as Form CCFC179.
Applicable Law This form is governed by Missouri Revised Statutes, specifically RSMo. §452.377.
Custody Designation Parents can share joint legal custody or designate sole custody to one parent.
Access to Records Both parents have the right to access the children's medical, educational, and other important records.
Dispute Resolution If disagreements arise, parents are encouraged to seek mediation before involving the court.
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