Please fill in the information below, and we will pull together the information you need to work on your own parenting plan.

General information:

  1. What is your name? _________ (capture for agreement form)
  2. What is the other parent’s name? __________ (capture for agreement form)
  3. What are your children’s names and ages? (capture for agreement form)
    1. ___________   ___
    2. ___________   ___
    3. ___________   ___
    4. ___________   ___
  4. Are there other children in the family? (capture for agreement form)
    1. ___________   ___
    2. ___________   ___
    3. ___________   ___
  5. Will you need to ensure that the parenting decisions you make for this agreement take the schedules of these additional children into account? (yes/no) (take to separate form to fill out relevant information)
  6. Are you separated now? (yes/no)
    1. If yes, what was the date of separation? _____ (capture for agreement form)
    2. If no, do you plan to separate? ______ (ensure info. transferred to next steps plan)
  7. Are you divorced now? (yes/no)
    1.  If yes, what was the date of divorce? _____ (capture for agreement form)
    2. If no, do you plan to divorce? ______ (ensure info. transferred to next steps plan)
  8. Do you have an existing parenting agreement?
    1. If yes,
      1. Do you want to renegotiate one or more parts of the agreement?
        1. Yes, I want to decide which issues to discuss (Route to list of issue/option sets)
      2. Do you already have a court order that includes this agreement?  (ensure info. transferred to next steps plan)
      3. Will you need a court order to enforce this agreement? (ensure info. transferred to next steps plan)
    2. If no,
      1. Have you and the other parent talked about any of these issues yet? (ensure info. transferred to next steps plan)
      2. Is there an open court case? (ensure info. transferred to next steps plan)
      3. Do you have a deadline for creating your first agreement? If so, what is it? ____________________ (ensure info. transferred to next steps plan)