STIPULATION AND ORDER FOR CHILD CUSTODY AND VISITATION

1. PARTIES AND CASE

Plaintiff: [NAME] | Defendant: [NAME]
Case No.: [CASE NUMBER] | Court: [COUNTY] District Court, Family Division.
Child(ren): [NAMES, DOBs].

2. LEGAL AND PHYSICAL CUSTODY

• Legal Custody: ☐ Joint ☐ Primary 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/ATTACH PLAN].
• Exchanges: [LOCATION/TIMES]; transportation responsibilities: [DETAILS].

4. DECISION-MAKING

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

5. COMMUNICATION & INFORMATION SHARING

• Each parent will provide school/medical info and keep emergency contacts current.

6. RELOCATION / NOTICE

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

7. DISPUTE RESOLUTION

• ☐ Mediation before motion practice (unless emergency).
• Emergencies or protection-order issues may go directly to court.

8. SAFETY / CONDUCT

• No disparagement to the child; no impairment from drugs/alcohol during parenting time; proper child restraints during transport.

9. CHILD SUPPORT

• Child support addressed separately or per existing order dated [DATE]; adjust via guideline as needed.

10. COURT APPROVAL

The parties request this Stipulation be entered 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 serves the best interests of the child(ren).

text
Dated: ________________
________________________________
DISTRICT COURT JUDGE
[// GUIDANCE: Check local rules for required parenting class certificates or mediation prerequisites. Attach parenting plan exhibits if mandated.]