JDF 1113 - Parenting Plan R: October 4, 2022 Page 1 of 9
Parenting Plan
JDF 1113
COURT USE ONLY
District Court
Colorado County:
Court Address:
Parties
Petitioner (Parent or person who started the legal case):
Co-Petitioner/Respondent (Other person in this case):
Lawyer (if any) or Party filing
Name: __________________________________________________
Address: _________________________________________________
Phone: __________________________________________________
E-mail: __________________________________________________
Lawyer Reg. #: ________________________
Case
Number:
Division:
Courtroom:
All parents (and parties) must file a Parenting Plan for the court to review.
If you have special situations not listed on this form, you may add them in Other Terms on page 8.
Attach more pages if needed. You must sign each extra page.
1. Mark the box below that applies (one only):
We agree on everything in this Parenting Plan. We have both signed this form.
We agree on some areas of this Parenting Plan. We have both signed this form. Sections
are left blank in areas of no agreement.
Note: The court may order mediation for areas with no agreement.
We cannot agree on a Parenting Plan. Each of us is filing our own separate Parenting Plan.
Note: The court may order mediation.
2. Parties’ relationship to the child(ren):
Petitioner is the: Mother Father Other __________________________
Co-Petitioner/Respondent is the: Mother Father Other __________________________
Other (explain): ________________________________________________________________________
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3. List child(ren) of this relationship 19 and under:
Full name of child
Current Address
Sex
Date of Birth
4. Parenting Decisions
Who is responsible for the following?
Both
Co-Petitioner/
Respondent
Other*
School, education
Medical, dental, mental health
Religious activities (if any)
Extracurricular and recreational activities
Passport:
Other
(list):
Other (list):
For school attendance, child(ren)’s residence is with:
(check one)
*Other party’s name:
Rules about Making Decisions When the Children Are with You
• You can make day-to-day decisions about activities, minor health care, curfew, chores, allowance, clothing, etc.
on your own.
• You can authorize emergency care on your own. If possible, you must try to contact the other parent first.
• You must give the other parent contact information for all the child(ren)’s health care providers.
• You must update the other parent in advance about any changes to your address or phone number.
• Unless a court order says otherwise, you can access the child(ren)’s school and health care records.
(§14-10-123.8, C.R.S.)
5. School Year Schedule
Weekday and weekend schedule during the School Year:
a. The child(ren) will be in the care of the Petitioner. List the days of the week and times.
b. The child(ren) will be in the care of the Co-Petitioner/Respondent. List the days of the week and times.
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c. The child(ren) will be in the care of __________________________________ (name of Other Party).
Note: This party must be named in the case as the Intervenor to be included in this Parenting Plan.
Do not list babysitters and day care providers as the Other Party.
List the days of the week and times.
d. The transportation and drop-off/pick-up arrangements will be as follows:
6. Summer Schedule (check one)
The above school year schedule will apply during the summer.
Or
The following schedule will be used during the summer:
a. The child(ren) will be in the care of the Petitioner. List the days of the weeks and times.
b. The child(ren) will be in the care of the Co-Petitioner/Respondent. List the days of the weeks
and times.
c. The child(ren) will be in the care of ____________________________ (name of Other Party).
Note: This party must be named in the case as an Intervenor to be included in this
Parenting Plan. Do not list babysitters and day care providers as the Other Party.
List the days of the week and times.
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d. The transportation and drop-off/pick-up arrangements will be as follows:
7. Holidays and Special Occasions
The following schedule will take priority over the schedules in Sections 5 and 6.
Please check all that apply, Identify any unique situations under “Other”. If a box is not checked, the regular
parenting time schedule will apply to that holiday event.
* Indicate Odd or Even or All years in the chart below.
** Circle specific days for long weekends (
M)onday, (T)uesday, (W)ednesday, (T)hursday, (F)riday, (S)aturday, (S)unday.
Event (days)
Petitioner
Co-Petitioner/
Respondent
Other
**Circle days
Spring Break
Odd
Even
All
Odd
Even
All
Odd
Even
All
Easter
Odd
Even
All
Odd
Even
All
Odd
Even
All
Mother’s Day/Weekend
Odd
Even
All
Odd
Even
All
Odd
Even
All
M T W T F S S
Memorial Day/Weekend
Odd
Even
All
Odd
Even
All
Odd
Even
All
M T W T F S S
Father’s Day/Weekend
Odd
Even
All
Odd
Even
All
Odd
Even
All
M T W T F S S
July 4
th
Odd
Even
All
Odd
Even
All
Odd
Even
All
Labor Day/Weekend
Odd
Even
All
Odd
Even
All
Odd
Even
All
M T W T F S S
Halloween
Odd
Even
All
Odd
Even
All
Odd
Even
All
Thanksgiving Day/Break
Odd
Even
All
Odd
Even
All
Odd
Even
All
M T W T F S S
Christmas Eve
Odd
Even
All
Odd
Even
All
Odd
Even
All
Christmas Day
Odd
Even
All
Odd
Even
All
Odd
Even
All
Week 1 of Winter Break
Odd
Even
All
Odd
Even
All
Odd
Even
All
Week 2 of Winter Break
Odd
Even
All
Odd
Even
All
Odd
Even
All
Children’s Birthdays
Odd
Even
All
Odd
Even
All
Odd
Even
All
Other ______________
Other ______________
Other ______________
Other parenting time arrangements:
Rules about Parenting Time
• If there are problems following the plan, talk to a mediator, or file papers
with the court to ask the court to change or enforce the plan.
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8. Overnights
There are 365 overnights per year. The parenting time schedules above:
give the Petitioner _________ overnights; and give the Co-Petitioner/Respondent _________ overnights.
Other party ______________ overnights.
Note: If these numbers do not add up to 365, explain:
9. Travel and Vacations (check all that apply):
The parents (parties) agree to tell each other about plans for overnight and out-of-state travel with the
children, and to provide contact information.
Other arrangement (describe):
Passports:____________________________(name) may authorize travel for the minor child(ren)
____________________________________________________________(names) and may prepare
any documents required for travel, without consent, knowledge, and signature of
____________________________________________________ (names).
10. Phone Access (check all that apply):
The parents (parties) may have reasonable phone contact with the child(ren) during the child(ren)’s
normal waking hours.
Details or other arrangement (describe):
11. Moving
The parents (parties) understand they must file a new parenting plan and get the court’s permission to
move a significant distance.
(§14-10-129, C.R.S.)
(Check one):
Neither parent (or party) has current plans to move a significant distance.
One parent may be moving, and the parents have agreed on a new parenting plan for that situation.
Explain which party is moving and how it will affect your parenting plan:
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12. Child Support
• The court will review the amount to see if it meets legal support
guidelines. Child support is an obligation by statute.
a. Amount of Child Support
Check one:
The amount is based on a court order or Child Support Services case.
Provide details below:
The amount is $
Court order or case number:
Date of order/case:
County:
Or
The amount is from the child support worksheet.
The amount is $ __________________ Check one:
I/We agree on the above child support amount.
Instead of the child support worksheet amount, the parties agree on a monthly child
support of: $_____________________________
Explain: _______________________________________________________________
_______________________________________________________________
The court has the final decision on the child support amount.
b. Child Support Payment Agreement
The Petitioner Co-Petitioner/ Respondent must pay monthly child support as follows:
Monthly amount: $
Starting (date):
How often (check one): monthly twice a month every 2 weeks every week
To be paid on the: day of the (check one): week month
To: (check one): Family Support Registry (FSR), P. O. Box 2171, Denver, CO 80201-2171
Petitioner Co-Petitioner/Respondent Other Party
Rules about Child Support
• You must obey the child support order even if one parent does not follow the parenting plan.
• If child support is NOT paid on time, the party owed support may ask for the money to be taken
from the paycheck of the other party. See form JDF 1801. §14-14-111.5(3)(a)(II), C.R.S.
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13. Health Insurance and Costs
Check all that apply:
The Petitioner will provide
medical
dental
vision
mental health insurance for the child(ren)
in this case, except these children (list any):
The Co-Petitioner/Respondent will provide
medical
dental
vision
mental health insurance
for the child(ren) in this case, except these children (list any):
The Other Party will provide
medical
dental
vision
mental health insurance for the
child(ren) in this case, except these children (list any):
The parties will share health costs, including copays, deductibles over $250, and other costs not
covered by insurance in the following way:
The Petitioner will pay ____________ %.
The Co-Petitioner/Respondent will pay ______________ %.
The Other Party (intervenor) will pay _______________ %.
Other arrangement (describe):
Warning! If the party ordered to provide insurance does not do so, the other party may ask the party’s
employer to deduct it from his/her paycheck. See form JDF 1809
14. Optional Expenses
List any other expenses (such as private schools, university, trade school, extracurricular activities, etc.)
Check all that apply:
The parties agree to these other expenses (describe):
The parties agree to share costs for (specify): in the following way:
The Petitioner will pay _____________ %.
The Co-Petitioner/Respondent will pay _____________ %.
The Other Party will pay _____________ %.
15. Child Tax Exemption
Only one party may claim a child as a dependent on their tax return per year. If you do not make an
agreement below, follow Colorado law, which is based on your contributions to the children. §14-10-
115(12), C.R.S.
Check who will claim the child(ren) as a dependent:
Child’s Name Petitioner
Co-Petitioner/Respondent
Other
Odd
Even
All
Odd
Even
All
Odd
Even
All
Odd Even All Odd Even All Odd Even All
Odd
Even
All
Odd
Even
All
Odd
Even
All
Odd
Even
All
Odd
Even
All
Odd
Even
All
Odd Even All Odd Even All Odd Even All
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Other tax arrangements (describe): ___________________________________________________
Warning! If you are ordered to pay child support, you may not claim a child as your dependent if you
are not current for that tax year. §14-10-115(12), C.R.S.
16. Other Terms
Check all terms that apply to your situation:
The parties have made other agreements not listed above, including (specify):
If the parties cannot agree on the parenting plan in the future, they agree to:
Mediation. Arbitration. Other alternative dispute resolution process.
The parties agree to exchange financial information every year in the future, such as income tax
information, insurance information, and other (specify):
Before you sign, read this document carefully to make sure it correctly shows everything you agreed to.
The court may not be able to enforce items that are not in this plan.
Verification
I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct.
Executed on the day of , , at
(date) (month) (year) (city or other location, and state OR country)
Print Petitioner’s Name Petitioner’s Signature
Lawyer Name (if any) Signature of Lawyer (if any)
Verification
I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct.
Executed on the day of , , at
(date) (month) (year) (city or other location, and state OR country)
Print Co-Petitioner/Respondent’s Name Co-Petitioner/Respondent’s Signature
Lawyer Name (if any) Signature of Lawyer (if any)
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If only one parent (or party) has signed the Verification above, complete
the Certificate of Service below.
Certificate of Service
I certify that on (date): a copy of this document was served on the other parties by:
Hand Delivery Colorado Courts Efiling
Fax or email to (number/address):
U.S. Mail, sent to this address:
To: ______________________________________
______________________________________
______________________________________
Signature (Required)
Check here if you also sent a copy to the Child Support Enforcement Unit. You must send them a
copy if they are involved in the case.