Form 4A-302 NMRA
Form 4A-302. Custody plan and order.
STATE OF NEW MEXICO
COUNTY OF _______________
__________________ JUDICIAL DISTRICT
_______________________________,
Petitioner,
v.
No. __________
_______________________________,
Respondent.
CUSTODY PLAN AND ORDER1
_______________________ and _______________________ are the parents of
the children listed below. This document is the custody plan and is in the best interests
of the children.
I.
IDENTIFICATION AND CONTACT INFORMATION
Parent’s name
______________________
Physical address and
phone number
______________________
______________________
______________________
Place of employment
and phone number
______________________
______________________
______________________
______________________
______________________
______________________
______________________
______________________
______________________
______________________
Child’s name
______________________
______________________
______________________
Year of birth
______________________
______________________
______________________
Age
___________
___________
___________
[ ]
The parties shall advise each other of any change to this contact information
within ten (10) days of new information becoming available.
II.
CUSTODY OF THE CHILDREN2
(Choose either Option A, Sole legal custody, or Option B, Joint legal custody)
[ ] A. Sole legal custody and visitation plan. (Do not fill out Option B if you choose this
option)
(Complete 1, 2, and 3)
1. _______________________________ (name of parent with sole custody) shall have
sole legal custody of the children. The parent with sole custody shall make the important
decisions regarding the children.
2. The reason that sole custody is in the best interest of the children is because:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
3. This is the visitation plan:
(Choose a, b, or c)
[ ] a. There shall be no visitation until further order of the Court.
(Or)
[ ] b. _______________________________ (name of other parent) shall have
unsupervised visitation with the children as follows: (Fully describe visitation
plan to include who shall transport the children and where and when the
visitation shall occur. Attach additional sheets if necessary.)
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
(Or)
[ ] c.
_______________________________ (name of other parent) shall have
supervised visitation with the children as follows: (Fully describe visitation plan
to include who shall supervise the visitation, who shall transport the children and
where and when the visitation shall occur. Attach additional sheets if necessary.)
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
[ ] B. Joint legal custody and parenting plan. (Do not fill out Option A if you choose this
option)
1. Important decisions. The parents shall share joint legal custody of the children and
shall make important decisions about the children together. No change regarding any of
the following shall happen unless the parents both agree to the change in writing or the
court changes it:
a.
City and county of residence: ________________________________________
b.
Religion: ________________________________________________________
c.
Activities: _______________________________________________________
d.
Doctor
Name
____________________
Address and telephone
_______________________
_______________________
e.
Dentist
____________________
_______________________
_______________________
f.
School
____________________
_______________________
_______________________
g.
Child care
____________________
_______________________
_______________________
h.
Other
____________________
_______________________
_______________________
2. Solving arguments. The parents shall resolve any parenting or time-sharing dispute
regarding the children in this way (steps continue until problem solved):
a.
Talk together; or
b.
Communicate in writing as follows:
i.
parent requests change, and gives reasons for the change; and
ii.
answering parent sends response within ______ days.
If the answering parent does not agree to the change, that parent must say why,
and, if possible, make a new proposal.
c.
Take the following steps:
(check all that apply and number them if there is a particular order)
[ ]
___. Go to couple, family, or other counseling;
[ ]
___. Go to mediation with a neutral party;
[ ]
___. Other: ___________________________________;
[ ]
___. Go to court.
3. Timesharing schedule.
(Complete “Schedule 1” or “Schedule 2” below.)
[ ]
Schedule 1. Same schedule each week or every two weeks. (Set out the time
that each parent shall have the children for that day.)
Week 1
________’s time
(name of parent)
________’s time
(name of parent)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
Week 2
________’s time
(name of parent)
________’s time
(name of parent)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
[ ]
Schedule 2. Write your own schedule. (Write your own schedule here or
attach a separate sheet or calendar or make additions to Schedule 1.)
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________.
4. Vacation and holiday plan.
a.
Vacations. The parents shall each have ____ [days] [weeks] (circle one) of
uninterrupted time with the children each year. Each parent shall give the other
parent at least ____ [days] [weeks] (circle one) notice of the vacation time.
b.
Holidays. Regardless of the day of the week, the children shall spend holidays
as follows: (Insert name of parent who will have the children on each holiday)
Holidays:
Mother’s Day
Father’s Day
Even year
______
______
Odd Year
______
______
Times
(if split)
From ______
To _______
From ______
To _______
Child’s Birthday
Halloween
Thanksgiving
break
Winter religious
holidays
1st 1/2 winter
break
2nd 1/2 winter
break
Spring Break
July 4th
Other religious
holidays
Other:
______
______
______
______
______
______
______
______
______
______
______
______
______
______
______
______
______
______
______
______
From ______
To _______
From ______
To _______
From ______
To _______
From ______
To _______
From ______
To _______
From ______
To _______
From ______
To _______
From ______
To _______
From ______
To _______
From ______
To _______
The Monday of a 3-day weekend due to a school, federal, or state holiday is the
same as the Sunday schedule unless we agree differently.
5. Details about the timesharing.
a. Communication. Each parent may have reasonable communication with the children
at all times. Neither parent shall unreasonably interfere with the children’s
communications with the other parent.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
b. Transfer of children. Responsibility for transferring the children from one parent to the
other shall be as follows (write what you will do here):
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
c. Long-distance transfer of children. Responsibility for transferring the children from
one parent to the other in long-distance arrangements shall be as follows (write down
what you will do here):
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
d. Emergencies. If there is a medical emergency, the parent with the children shall try to
call the other parent about the emergency. If the other parent cannot be reached, any
decision for emergency medical treatment shall be made by the available parent in the
best interest of the children.
e. Changes. Each parent may ask the other for changes to this schedule. The other
parent has the right to say “no.” If the other parent says “no,” the parent asking for
changes shall not argue or criticize the other parent’s decision.
f. Review of plan. The parents agree to meet [ ] every year (or) [ ] every ____ years to
make sure this plan continues to work well.
VERIFICATION
I affirm under oath and penalty of perjury under the laws of the State of New Mexico
that I have read this document, that I agree with everything in it, and that the statements
in it are true and correct to the best of my knowledge and belief.
________________________________
Name of parent (print)
________________________________
Parent’s signature
________________________________
Date
________________________________
Mailing address
________________________________
Physical address
________________________________
Telephone
________________________________
Name of parent (print)
________________________________
Parent’s signature
________________________________
Date
________________________________
Mailing address
________________________________
Physical address
________________________________
Telephone
STATE OF NEW MEXICO
)
COUNTY OF
__________________
)
ss.
Acknowledged, signed and sworn to before me this _____ day of _____________,
_____ by _______________________, the parent.
_________________________
Notary public
My commission expires: __________________.
STATE OF NEW MEXICO
)
COUNTY OF
__________________
) ss.
Acknowledged, signed and sworn to before me this _____ day of _____________,
_____ by _______________________, the parent.
_________________________
Notary public
My commission expires: __________________.
______________________
Date
Approved, adopted, and ordered
by the District Court
________________________________
District Court Judge