Fl-341d Additional Provisions - Physical Custody Attachment Page 2
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1
2PETITIONER:
CASE NUMBER:
RESPONDENT:
11.
No interference with schedule of other parent without that parent's consent. Neither parent will schedule activities for the
children during the other parent's scheduled parenting time without the other parent's prior agreement.
12.
Third-party contact
a.
The children will have no contact with (specify name):
b.
The children must not be left alone in the presence of (specify name):
13.
Children's clothing and belongings
a.
Each parent will maintain clothing for the children so that the children do not have to make the exchanges with
additional clothing.
b.
The children will be returned to the other parent with the clothing and other belongings they had when they arrived.
14.
Log book. The parents will maintain a "log book" and make sure that the book is sent with the children between their two
homes. Using businesslike notes (no personal comments), parents will record information related to the health, education,
and welfare issues that arise during the time the children are with them.
15.
Terms and conditions of order may be changed. The terms and conditions of this order may be added to or changed as
the needs of the children and parents change. Such changes will be in writing, dated and signed by both parents; each
parent will retain a copy. If the parents want a change to be a court order, it must be filed with the court in the form of a court
document.
16.
Other (specify):
Page 2 of 2
FL-341(D) [Rev. January 1, 2005]
ADDITIONAL PROVISIONS—PHYSICAL CUSTODY ATTACHMENT
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