Uniform Domestic Relations Form 17 - Shared Parenting Plan Page 4

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F.
Other orders:
G.
Public Benefits
Plaintiff/Petitioner 1 shall be designated as the residential parent for receipt of public benefits
purposes of the following child(ren):
Defendant/Petitioner 2 shall be designated as the residential parent for receipt of public
benefits purposes of the following child(ren):
H.
This designation of a particular parent as the residential parent for the purposes of determining
the school attendance and enrollment of the child(ren) or the receipt of public benefits of the
child(ren) does not affect the designation of each parent as the “residential parent,”
“residential parent and legal custodian,” or the “custodial parent of the child(ren)”.
I.
Transportation (select one):
Each parent shall be responsible for providing transportation for the child(ren) at the beginning
of the parent’s parenting period. Each parent shall be responsible for providing transportation for the
child(ren) to and from school and activities during the parent’s parenting period.
We agree to the following arrangements for providing transportation for our child(ren) at the
beginning, during, or end of a parenting period:
J.
Current Address and Telephone Number
Plaintiff’s/Petitioner 1’s current home address and telephone number, including cellular telephone
number:
Defendant’s/Petitioner 2’s current home address and telephone number, including cellular telephone
number:
Supreme Court of Ohio
Uniform Domestic Relations Form – 17
SHARED PARENTING PLAN
Approved under Ohio Civil Rule 84 and Ohio Juvenile Rule 46
Amended: March 15, 2016
Page 4 of 14

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