Wisconsin Proposed Parenting Plan

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STATE OF WISCONSIN, CIRCUIT COURT,
Enter the name of the
county in which this case
COUNTY
is filed.
Check marriage or
In RE: The
marriage
paternity of
paternity. If paternity,
Petitioner/Joint Petitioner-Wife:
enter the initials of the
child.
First name
Middle name
Last name
Enter the name of the
and
petitioner. If joint
petitioners, enter the name
of the wife.
Proposed Parenting Plan
Respondent/Joint Petitioner-Husband:
Enter the name of the
respondent. If joint
petitioners, enter the name
First name
Middle name
Last name
Case No.
of the husband.
Enter the case number.
I understand that Wisconsin law states that in an action in which legal custody or physical
placement is contested:
 I am required to file a proposed parenting plan within 60 days after the court waives
mediation or within 60 days after the mediator notifies the court that no agreement has
been reached.
 If I fail to file such a plan, I may lose my right to contest the plan submitted by the other
parent unless I can show good cause for my delay.
I am the
mother
father of the minor children of this case.
Check mother or father.
I AM PROPOSING THE FOLLOWING PARENTING PLAN:
Note: Legal custody is
A. Legal Custody
the right and
1. Legal custody of the minor children shall be as follows:
responsibility to make
major decisions about a
Joint
Sole
Sole Legal
child, except for those
Date of
Name of Child
Legal
Legal Custody
Custody to
specific decisions
Birth
described in 2, if any.
Custody
to Mother
Father
Enter the name of each
child and check who you
believe should have legal
custody.
2. Specific Decision Making Authority
Check who will be
Decisions in the following listed areas will be made as follows:
making the specific
Decision
Jointly
By Mother
By Father
decisions for each
a.
Non-Emergency Health Care
subject area in a-d. If
b.
Education/School Activities
other, please specify.
c.
Child Care Providers
d.
Non-School Activities
e.
Other:
FA-4147V, 01/09 Proposed Parenting Plan
§767.41(1m), Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
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