STIPULATION AND ORDER FOR CHILD CUSTODY AND VISITATION

1. PARTIES AND CASE

Petitioner: [NAME] | Respondent: [NAME]
Case No.: [CASE NUMBER] | Court: [COUNTY] Superior Court, Family Division.
Child(ren): [NAMES, DOBs].

2. LEGAL AND PHYSICAL CUSTODY

• Legal Custody: ☐ Joint ☐ Sole to [PARENT].
• Physical Custody: ☐ Joint ☐ Primary to [PARENT]; other parent parenting time per Section 3.

3. PARENTING TIME SCHEDULE

• Weekday/Weekend schedule: [DETAILS].
• Holidays/Vacations: [DETAILS OR ATTACH FL-341(C)].
• Exchanges: [LOCATION/TIMES]; transportation responsibilities: [DETAILS].

4. DECISION-MAKING

• Major decisions (education/medical/religion/activities): [JOINT/PRIMARY] with duty to confer in good faith.

5. COMMUNICATION & INFORMATION SHARING

• Each parent will provide school/medical info and maintain emergency contacts naming both parents.

6. RELOCATION / NOTICE

• Advance written notice of proposed relocation affecting the schedule: [NUMBER] days; mediation/court motion if disputed.

7. DISPUTE RESOLUTION

• ☐ Mediation required before filing motions (unless emergency).
• Emergencies and restraining order matters may proceed directly to court.

8. SAFETY / CONDUCT

• No disparagement to the child; no substance use during custodial time; safe transport (car seats/seatbelts).

9. CHILD SUPPORT

• Child support handled separately or per existing order dated [DATE]. (Attach guideline if entering support now.)

10. COURT APPROVAL

The parties request the Court adopt this Stipulation as an Order.

text
Dated: _____________ Dated: _____________

_________________________ _________________________
[PARENT NAME] [PARENT NAME]

Approved as to form and content:
_________________________ _________________________
[ATTORNEY FOR PARENT] [ATTORNEY FOR PARENT]
COURT ORDER

It is so ordered. The Court finds the Stipulation is in the best interest of the child(ren).

text
Dated: ________________
________________________________
JUDGE OF THE SUPERIOR COURT
[// GUIDANCE: Attach FL-341, FL-341(A/B/C/D/E) as needed; file FL-355 (stipulation and order) if required by local rule. Ensure notice to any other guardians per case history.]