Extraordinary Medical Expenses are defined as uninsured expenses, including co-payments and deductible
amounts in excess of $250.00 per child per calendar year. The parties agree that extraordinary medical, dental,
vision, or mental health expenses for the child(ren) shall be divided with the Father paying ___________ %, the
Mother paying ____________%, and the Other Party paying _____________%.
Other:
A “Notice to Employer to Deduct for Health Insurance” (JDF 1809) can be completed by the Obligee
(person receiving) and served upon the Obligor (person paying) and Obligor’s employer.
3. Extraordinary Expenses (Private schools, school/sport/extracurricular activities, etc.)
You may use this section to document any agreements made between the parties that are not required by law to
be addressed such as private schools, extracurricular and recreational activities, automobile access or insurance,
or any other agreements affecting the general welfare of the child(ren). Note: Agreements m ade u nder t his
provision, if approved by the Court and made a part of the Decree or Order, become enforceable by the
Court.
The parties agree to the following:
4. OPTIONAL - Post-Secondary Expenses (college, trade school, etc.)
You may use this section to document any agreements made between the parties that are not required by
law to be addressed.
Post-secondary education expenses cannot be ordered by the Court without an agreement. If you agree that
they should be paid by the parents, please indicate the terms of the agreement below.
NOTE: Agreements made under this provision, if approved by the Court and made a part of the Decree or
Final Order, become enforceable by the Court.
Post-secondary education expenses for the child(ren) shall be divided with the Father paying _________% and
Mother paying __________% of every expense checked below. Post-secondary expenses include the following:
Tuition (indicate any restrictions or maximum monetary amounts)
Room and Board
Books
Fees
Travel
Other:
JDF 1113 R5/10
PARENTING PLAN
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