Child Custody Agreement - New York
CHILD CUSTODY AGREEMENT AND PROPOSED ORDER
Court: ☐ Supreme Court of the State of New York, County of [COUNTY] ☐ Family Court of the State of New York, County of [COUNTY]
| Party | Role |
|---|---|
| [PARENT A FULL NAME] | [PETITIONER / PLAINTIFF] |
| v. | |
| [PARENT B FULL NAME] | [RESPONDENT / DEFENDANT] |
Docket or index number: [NUMBER] Judge: [NAME, IF ASSIGNED]
Parent A and Parent B (the "Parents") agree on the proposed custody and parenting terms below for their children. They sign on [__/__/____] and request that the court with jurisdiction approve and enter the selected terms as an order. An existing court order remains controlling until changed by the court.
| Child's full name | Date of birth | Present residence |
|---|---|---|
| [NAME] | [__/__/____] | [ADDRESS] |
| [NAME] | [__/__/____] | [ADDRESS] |
| [NAME] | [__/__/____] | [ADDRESS] |
Existing custody or support orders: [COURT, CASE NUMBER, DATE, AND CONTROLLING TERMS]. Related protection, child welfare, or out-of-state proceeding: [DETAILS OR NONE]. These matters must be brought to the court's attention.
1. Requested custody and jurisdiction
Legal custody: ☐ Joint ☐ Sole to Parent A ☐ Sole to Parent B ☐ Other requested allocation: [DETAILS].
Physical custody: ☐ Shared according to Section 3 ☐ Primary residence with Parent A ☐ Primary residence with Parent B ☐ Other: [DETAILS]. School enrollment address: [ADDRESS].
The Parents ask the court to decide custody under the children's best interests as required by N.Y. Dom. Rel. Law § 240(1)(a), considering the circumstances and any safety concern in the record.
Interstate facts for the court's jurisdiction review under N.Y. Dom. Rel. Law §§ 76, 76-a and 76-h: For each child, provide the present address or whereabouts [DETAILS], each place the child lived during the last five years [DATES AND PLACES], and the names and present addresses of the people with whom the child lived during that period [DETAILS]. Identify any other custody or visitation proceeding in which a Parent participated [COURT, CASE NUMBER, DATE OF DETERMINATION, OR NONE]; any proceeding that could affect this case, including enforcement, domestic violence, protection, termination of parental rights, or adoption [COURT, CASE NUMBER, NATURE, OR NONE]; and any nonparty with physical custody or a claim to custody or visitation [NAME, ADDRESS, OR NONE]. Identify any prior issuing court and each Parent's present residence, subject to the confidentiality rule below. Each party must provide the information required by § 76-h(1), if reasonably ascertainable, under oath in the party's first pleading or an attached affidavit; signing this agreement does not replace that filing. If disclosure of identifying information would unreasonably endanger a party or child, or a protective order applies, seek the protection in § 76-h(5) before filing an address. The Parents do not claim that their agreement alone gives a New York court jurisdiction.
2. Major decisions and information
If joint legal custody is selected, the Parents will consult before major decisions about education, nonemergency health care, religion, and significant activities. A proposal will be sent by [EMAIL / CO-PARENTING APP / OTHER] with relevant information; the other Parent will respond within [NUMBER] days when practicable. If they disagree, they will ☐ confer directly ☐ use a mutually selected mediator, if safe and available ☐ seek a court decision. Neither Parent must postpone urgent court relief for a private process.
If sole legal custody is selected, the selected Parent makes major decisions subject to the court's order. The other Parent will receive this information and notice: [DETAILS].
Either Parent may make routine decisions while the child is in that Parent's care, subject to the custody order. For an immediate health or safety need, the caring Parent may act and will notify the other Parent as soon as practicable. The Parents will share school, health, and activity notices by [METHOD] within [TIME], subject to any protective order.
3. Regular parenting schedule
Effective starting date: [__/__/____]. Select one pattern and complete every applicable exchange time:
☐ Alternating weeks. Parent A's first week begins [DAY, DATE, TIME] and ends [DAY, TIME]; Parent B's next week uses the same start and end times, and the weeks continue alternating.
☐ Primary residence with [PARENT]. The other Parent has [FIRST / SECOND / THIRD / ALTERNATING] weekends from [DAY, TIME] to [DAY, TIME] and midweek time [DAY, START, END].
☐ Custom schedule:
| Period | Parent A's time | Parent B's time | Exchange place and transportation |
|---|---|---|---|
| School weeks | [DAYS AND TIMES] | [DAYS AND TIMES] | [DETAILS] |
| Summer or nonschool weeks | [DAYS AND TIMES] | [DAYS AND TIMES] | [DETAILS] |
| Other: [PERIOD] | [DAYS AND TIMES] | [DAYS AND TIMES] | [DETAILS] |
Exchange protocol: [PLACE, PICKUP PERSON, TRANSPORT RESPONSIBILITY, HANDOFF METHOD]. If school is closed, the exchange will occur at [PLACE AND TIME]. A Parent expecting a substantial delay will contact the other Parent by [METHOD]. Make-up time for a missed period will be [AGREED METHOD], subject to the court's order.
Optional first offer of care: ☐ Not selected ☐ If a Parent needs alternate care for more than [NUMBER] consecutive hours during that Parent's scheduled time, offer that period to the other Parent by [METHOD] and allow [NUMBER] hours to respond. Exceptions and safety conditions: [DETAILS].
4. Holidays, breaks, and vacations
The listed holiday schedule controls over the regular schedule for its stated period. At the end of a holiday, the regular rotation ☐ resumes where the calendar places it ☐ restarts with [PARENT] on [DATE].
| Holiday or school break | Even years | Odd years | Start and end times |
|---|---|---|---|
| Thanksgiving | [PARENT] | [PARENT] | [TIMES] |
| Winter break, first part | [PARENT] | [PARENT] | [TIMES] |
| Winter break, second part | [PARENT] | [PARENT] | [TIMES] |
| Spring break | [PARENT] | [PARENT] | [TIMES] |
| Child's birthday | [PARENT / SPLIT] | [PARENT / SPLIT] | [TIMES] |
| Other: [HOLIDAY] | [PARENT] | [PARENT] | [TIMES] |
Each Parent may take [NUMBER] vacation days during [PERIOD]. Dates will be proposed by [DATE] using [METHOD]. Conflicting requests are resolved by [PRIORITY RULE]. The vacation schedule ☐ overrides ☐ does not override the listed holidays.
5. Contact, travel, and safety
Parent-child calls or video contact while apart: [DAYS, TIME WINDOW, DURATION, METHOD], subject to the child's needs and any court protection term.
Travel: The Parent traveling with the child will give [NUMBER] days' notice with destination, dates, transportation, and an emergency contact. Passport custody and any consent to international travel: [DETAILS]. This section does not permit a move that requires an order or conflicts with an existing one.
Safety conditions proposed for court review: ☐ None ☐ Supervised time [SUPERVISOR, LOCATION, HOURS] ☐ Protected exchange [LOCATION AND METHOD] ☐ Confidential contact information [DETAILS] ☐ Other [DETAILS]. Any existing protective order controls over inconsistent terms here.
6. Residence changes and disputes
A Parent proposing a change of the child's primary residence that affects the ordered schedule will give the other Parent written notice at [ADDRESS OR METHOD] at least [NUMBER] days before the proposed move, unless an emergency or court order requires another course. The notice will include the proposed new residence, timing, reason, transportation, and revised schedule. This is the Parents' proposed notice term, not a statement of a statewide statutory deadline.
If they cannot agree, either Parent may ask the court with jurisdiction to decide. Neither a notice nor a private agreement alone changes an existing custody order. A New York court's continuing jurisdiction depends on N.Y. Dom. Rel. Law § 76-a and the case facts.
Temporary schedule changes: The Parents may record a specific short-term swap in writing, stating its start and end dates. A lasting change will be submitted for court approval. A Parent may seek immediate relief when the child's safety or an unauthorized move is at issue.
7. Support and child expenses
☐ Existing support order dated [__/__/____], case [NUMBER], remains in effect. ☐ A separate proposed support order is attached. ☐ Support will be decided by the court. This custody agreement sets no child support or child-expense allocation. Any proposed support terms, including uninsured health costs, childcare, school expenses, and applicable statutory recitals, belong in a separately reviewed support agreement or order. This agreement does not privately waive or change court-ordered child support.
8. Signatures and proposed order
The Parents have reviewed the completed selections, schedules, and attachments. They sign voluntarily and ask the court to enter the custody and parenting terms it approves. Attachments: [IDENTIFY SCHEDULES AND CONTROLLING ORDERS].
| Parent A | Parent B |
|---|---|
| Signature: [SIGNATURE] | Signature: [SIGNATURE] |
| Printed name: [NAME] | Printed name: [NAME] |
| Date: [__/__/____] | Date: [__/__/____] |
PROPOSED COURT ORDER
Having reviewed the Parents' agreement and the children's best interests, the Court ☐ approves and incorporates the selected custody and parenting terms as an order ☐ approves them subject to these modifications, which control over inconsistent terms above: [DETAILS] ☐ declines approval. Any current protection or support order remains in effect except as expressly changed by a valid order.
Ordered legal custody: [DETAILS] Ordered physical custody and schedule: [DETAILS OR INCORPORATED SECTION]. Additional safety or exchange terms: [DETAILS].
Date: [__/__/____] Judge: [SIGNATURE]
About this template
- Last updated
- October 24, 2026
- Citations checked
- October 24, 2026
- Jurisdiction
- New York
- Category
- Family Law
Legal authority
- N.Y. Dom. Rel. Law § 240(1)(a)
- N.Y. Fam. Ct. Act § 651(b)
- N.Y. Dom. Rel. Law § 76
- N.Y. Dom. Rel. Law § 76-a
- N.Y. Dom. Rel. Law § 76-h
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 24, 2026.
N.Y. Dom. Rel. Law § 240(1)(a) (checked October 24, 2026): "shall enter orders for custody and support as, in the court's discretion, justice requires, having regard to the circumstances of the case and of the respective parties and to the best interests of the child"
N.Y. Fam. Ct. Act § 651(b) (checked October 24, 2026): "When initiated in the family court, the family court has jurisdiction to determine, in accordance with subdivision one of section two hundred forty of the domestic relations law"
N.Y. Dom. Rel. Law § 76(1)(a) (checked October 24, 2026): "this state is the home state of the child on the date of the commencement of the proceeding, or was the home state of the child within six months before the commencement of the proceeding"
N.Y. Dom. Rel. Law § 76-a(1) (checked October 24, 2026): "a court of this state which has made a child custody determination consistent with section seventy-six or seventy-six-b of this title has exclusive, continuing jurisdiction over the determination until:"
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