Child Custody Agreement - District of Columbia

District of Columbia Family Law Updated October 23, 2026 Free Word and PDF

CHILD CUSTODY AGREEMENT AND PARENTING PLAN

Proposed order for the Superior Court of the District of Columbia, Family Court. The signing parents agree to the completed terms below and ask the Court to incorporate them into its custody order. Court orders and protection orders already in effect control until changed by the Court.

1. CASE AND PARENTS

Case detail Entry
Case number [________________________________]
Plaintiff / Parent A [________________________________]
Defendant / Parent B [________________________________]
Related case or order [________________________________]
Effective date requested, subject to court order [__/__/____]

Parent A address or protected mailing address: [________________________________]

Parent B address or protected mailing address: [________________________________]

Preferred contact methods: Parent A [________________________________]; Parent B [________________________________].

2. CHILDREN AND EXISTING ORDERS

Child's full name Date of birth Present residence School or care program Different schedule, if any
[________________________________] [__/__/____] [________________________________] [________________________________] [________________________________]
[________________________________] [__/__/____] [________________________________] [________________________________] [________________________________]
[________________________________] [__/__/____] [________________________________] [________________________________] [________________________________]

Other children needing a separate plan because their arrangements differ: [________________________________]

Protection, custody, child support, no-contact, or other relevant order, including court and date: [________________________________]

Safe exchange, protected address, supervision, or contact conditions required by an order: [________________________________]

3. LEGAL CUSTODY AND DECISIONS

☐ Joint legal custody is proposed.

☐ Sole legal custody to Parent A is proposed.

☐ Sole legal custody to Parent B is proposed.

☐ Other allocation for court review: [________________________________]

Decision Parent A Parent B Joint Other process or limit
School and education ☐ ☐ ☐ [________________________________]
Health, dental, and mental health care ☐ ☐ ☐ [________________________________]
Religious training, if any ☐ ☐ ☐ [________________________________]
Activities and sports ☐ ☐ ☐ [________________________________]
Other: [________________________________] ☐ ☐ ☐ [________________________________]

Consultation method and response time for joint decisions: [________________________________]

If a joint decision cannot be made: [________________________________]

Emergency health decision and notice procedure: [________________________________]

Access to educational, medical, and other child records, subject to court orders: [________________________________]

4. PHYSICAL CUSTODY AND REGULAR SCHEDULE

☐ Joint physical custody is proposed.

☐ Physical custody primarily with Parent A is proposed.

☐ Physical custody primarily with Parent B is proposed.

☐ Other arrangement for court review: [________________________________]

This schedule repeats: ☐ weekly ☐ every two weeks ☐ other: [________________________________]

Day or period Child with Start time and place End time and place Transporter
Sunday [________________________________] [________________________________] [________________________________] [________________________________]
Monday [________________________________] [________________________________] [________________________________] [________________________________]
Tuesday [________________________________] [________________________________] [________________________________] [________________________________]
Wednesday [________________________________] [________________________________] [________________________________] [________________________________]
Thursday [________________________________] [________________________________] [________________________________] [________________________________]
Friday [________________________________] [________________________________] [________________________________] [________________________________]
Saturday [________________________________] [________________________________] [________________________________] [________________________________]

Alternating-week or child-specific detail: [________________________________]

School closing, illness, weather, and missed exchange procedure: [________________________________]

5. HOLIDAYS, BREAKS, AND VACATION

Completed holiday rows override the ordinary schedule for their stated periods.

Occasion Even years Odd years Start and end Exchange or other term
Martin Luther King Jr. Day [________________________________] [________________________________] [________________________________] [________________________________]
Spring break [________________________________] [________________________________] [________________________________] [________________________________]
Memorial Day [________________________________] [________________________________] [________________________________] [________________________________]
Independence Day [________________________________] [________________________________] [________________________________] [________________________________]
Inauguration Day, when held in an odd year N/A [________________________________] [________________________________] [________________________________]
Labor Day [________________________________] [________________________________] [________________________________] [________________________________]
Thanksgiving [________________________________] [________________________________] [________________________________] [________________________________]
Winter break, first part [________________________________] [________________________________] [________________________________] [________________________________]
Winter break, second part [________________________________] [________________________________] [________________________________] [________________________________]
Child's birthday [________________________________] [________________________________] [________________________________] [________________________________]
Mother's Day and Father's Day [________________________________] [________________________________] [________________________________] [________________________________]
Religious or cultural holiday: [________________________________] [________________________________] [________________________________] [________________________________] [________________________________]

Summer schedule or continuation of ordinary schedule: [________________________________]

Uninterrupted vacation periods, notice, and selection priority: [________________________________]

6. EXCHANGES, CONTACT, AND TEMPORARY CHANGES

Ordinary exchange location and transportation: [________________________________]

Protected or supervised exchange arrangement, if applicable: [________________________________]

Late arrival and emergency delay notice: [________________________________]

Parent-to-parent communication method and frequency: [________________________________]

Child's phone, video, and written contact with the other parent: [________________________________]

Request for a temporary schedule change, response time, and written record: [________________________________]

First offer of care, if agreed and consistent with safety orders: ☐ None ☐ Offer to the other parent when care by someone else is needed for more than [____] hours; notice by [________________________________]; response within [____] hours; exceptions [________________________________].

7. SAFETY, TRAVEL, AND MOVES

Child-specific safety provisions and any controlling order: [________________________________]

Domestic travel notice and emergency contact: [________________________________]

International travel, passport, and consent terms: [________________________________]

Proposed change of residence affecting the schedule: The parent proposing a change will notify the other by [________________________________] as soon as the proposed move is known, provide a proposed revised schedule, and seek any required court order. This paragraph sets the parents' proposed process; it does not itself authorize a change to a court order.

8. SUPPORT, HEALTH COVERAGE, AND OTHER COSTS

☐ Existing support order or case controls: [________________________________]

☐ The parents propose support of $[________________________________] paid ☐ weekly ☐ biweekly ☐ monthly ☐ other: [________________________________], subject to the Court's review under the child support guideline.

Guideline calculation or support worksheet supplied to the Court: [________________________________]

Expense Responsible parent or percentage Documentation and payment process
Health insurance [________________________________] [________________________________]
Uninsured medical and dental care [________________________________] [________________________________]
Mental health care [________________________________] [________________________________]
Child care [________________________________] [________________________________]
Education and activities [________________________________] [________________________________]
Other [________________________________] [________________________________]

Tax-dependent proposal, subject to applicable tax law and the support order: [________________________________]

Joint custody does not remove a parent's child support responsibility. The Court reviews support terms in an agreement that is to become or merge into an order against the guideline.

9. DISAGREEMENTS AND COURT REVIEW

Voluntary discussion or counseling process, when safe and permitted by orders: [________________________________]

Issues reserved for Court decision: [________________________________]

Other terms agreed for Court review: [________________________________]

A custody award may be modified by the Court after the required substantial and material change in circumstances and best-interest determination. This agreement creates no automatic modification, private cure period, fee award, or substitute for the Court's order.

10. SIGNATURES

We have reviewed the completed plan and ask the Court to approve it as a custody order, subject to the Court's best-interest determination. We identify any disagreement above rather than treating an uncompleted field as agreed.

Parent A printed name: [________________________________]

Signature: [________________________________] Date: [__/__/____]

Parent B printed name: [________________________________]

Signature: [________________________________] Date: [__/__/____]

Counsel for Parent A, if any: [________________________________]

Counsel for Parent B, if any: [________________________________]

11. COURT DISPOSITION

☐ Approved and incorporated into the custody order.

☐ Approved with changes stated in the attached or separate order.

☐ Not approved; the Court's separate order controls.

Date: [__/__/____] Judicial Officer: [________________________________]

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About this template

Last updated
October 23, 2026
Citations checked
October 23, 2026
Jurisdiction
District of Columbia
Category
Family Law

Legal authority

  • D.C. Code § 1-612.02(c)
  • D.C. Code § 11-1101(a)(4)
  • D.C. Code § 16-914(a)(1), (c), (e), (f)(1), and (h)
  • D.C. Code § 16-916.01(b) and (o)(1)

Family law covers the paperwork that shapes divorce, custody, child support, adoption, guardianship, and other family matters. These filings are emotional and high-stakes, and they also have to meet strict procedural rules for service, financial disclosure, and parenting plans. Clean, accurate paperwork keeps the focus on getting a workable outcome for the family instead of getting derailed by technical problems that delay hearings or force amended filings.

Not legal advice

This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Checked against the law it cites

A reviewer verified this template's legal citations against the official source on October 23, 2026.

D.C. Code § 1-612.02(c) (checked October 23, 2026): "January 20th of each 4th year starting in 1981, Inauguration Day, is a legal public holiday for the purpose of pay and leave of employees scheduled to work on that day."

D.C. Code § 11-1101(a)(4) (checked October 23, 2026): "actions seeking custody of minor children, including petitions for writs of habeas corpus;"

D.C. Code § 16-914(a)(1)(A)-(B) (checked October 23, 2026): "In any proceeding between parents in which the custody of a child is raised as an issue, the best interest of the child shall be the primary consideration."

D.C. Code § 16-914(c) (checked October 23, 2026): "In any custody proceeding under this chapter, the Court may order each parent to submit a detailed parenting plan which shall delineate each parent’s position with respect to the scheduling and allocation of rights and responsibilities that will best serve the interest of the minor child or children."

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