IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT
IN AND FOR __________________COUNTY, FLORIDA
________________________________________
Petitioner
Case No.______________________
and
Family Division:______________________
________________________________________
Respondent
LONG DISTANCE PARENTING PLAN
1. PARENTING PLAN OF:
Check all that apply
Both Parents
Mother
Father
Court Ordered Plan
Temporary
Final Judgment
Modification
Name
Address
Phone
E-Mail
Father: ___________________________________________________________________________________
Mother: ___________________________________________________________________________________
Local Parent (with whom the child(ren) regularly resides) is (check one) Father Mother.
Away Parent (with whom the child(ren) travels to spend time with) is (check one) Father
Mother
THIS PARENTING PLAN INVOLVES THE FOLLOWING CHILD(REN):
Name
Date of Birth
Current Address
Future Address
Child 1: __________________________________________________________________________________
Child 2:___________________________________________________________________________________
Child 3:___________________________________________________________________________________
Child 4:___________________________________________________________________________________
Child 5:___________________________________________________________________________________
LIST ANY MINOR CHILDREN YOU HAVE NOT ADDRESSED BY THIS PLAN.
Name
Date of Birth
Current Address
Child 1: __________________________________________________________________________________
Child 2:___________________________________________________________________________________
Child 3:___________________________________________________________________________________
IF THE PARENTING ARRANGEMENTS ARE DIFFERENT FOR SOME OF YOUR CHILDREN,
YOU SHOULD WRITE UP A SEPARATE PARENTING PLAN FOR EACH CHILD.
2. JURISDICTION
The United States is the country of habitual residence of the child(ren).
The State of Florida maintains the most significant contacts with the child(ren) and is the most
appropriate forum for addressing parenting contact.
This Parenting Plan is a child custody determination for the purposes of the Uniform Child Custody
Jurisdiction and Enforcement Act, the International Child Abduction Remedies Act, 42 U.S.C. ss 11601
_______
______
Basic LDPP
Page 1 of 24
Mother
Father
Rev. 9/09/08