STIPULATION AND ORDER FOR CHILD CUSTODY AND VISITATION

1. PARTIES AND CASE

Petitioner: [NAME] | Respondent: [NAME]
Docket No.: [DOCKET] | Court: Family Court of the State of New York, County of [COUNTY].
Child(ren): [NAMES, DOBs].

2. LEGAL AND PHYSICAL CUSTODY

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

3. PARENTING TIME SCHEDULE

• Regular schedule: [DETAILS].
• Holidays/Vacations: [DETAILS/ATTACH PLAN].
• Exchanges: [LOCATION/TIMES]; transport responsibilities: [DETAILS].

4. DECISION-MAKING

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

5. INFORMATION SHARING

• Each parent will share school/medical updates and maintain emergency contacts listing both parents.

6. RELOCATION / NOTICE

• Written notice before relocation affecting schedule: [NUMBER] days; mediation/court motion if disputed.

7. DISPUTE RESOLUTION

• ☐ Mediation first (unless emergency).
• Emergencies/protection matters may go directly to court.

8. SAFETY / CONDUCT

• No disparagement to the child; no impairment by drugs/alcohol during parenting time; proper child restraints in vehicles.

9. CHILD SUPPORT

• Support handled separately or per existing order dated [DATE]; guideline modification reserved.

10. COURT APPROVAL

The parties request this Stipulation be “So Ordered.”

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Dated: _____________ Dated: _____________

_________________________ _________________________
[PARENT NAME] [PARENT NAME]

Approved as to form:
_________________________ _________________________
[ATTORNEY FOR PARENT] [ATTORNEY FOR PARENT]
SO ORDERED

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Dated: ________________ ________________________________
FAMILY COURT JUDGE
[// GUIDANCE: Confirm any required parenting class/ADR steps; ensure service/notice rules complied with. If Supreme Court has jurisdiction (divorce), conform caption accordingly.]