Child Custody Agreement Template – New York

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Child Custody Agreement Template

CHILD CUSTODY AGREEMENT

This Child Custody Agreement (“Agreement”) is entered into on [Effective Date], by and between:

Parent 1: [Full Name], residing at [Address]

Parent 2: [Full Name], residing at [Address]

Child/Children: [Full Name(s) and Date(s) of Birth]

1. Information, Records, and Communication

Each parent shall have access to the child’s [school/medical/activity] information, and routine communications shall occur through [Co-Parenting App/Email/Text] with updates provided within [X hours/days].

2. Custody Allocation

Legal custody shall be [joint/sole to Parent 1/sole to Parent 2] and physical custody shall be [joint/shared/primary with Parent 1/primary with Parent 2], with day-to-day decisions made by the parent exercising parenting time unless otherwise stated.

3. Parenting Time and Exchanges

Parenting time shall follow [Primary Schedule], with exchanges at [Location(s)] and a default exchange window of [Start Time - End Time] unless otherwise specified.

4. Support, Expenses, and Insurance

Child support shall be [Guideline Amount/Separate Order/Mutual Written Arrangement], and the parents shall share [uninsured medical/dental/vision], [childcare], and [extracurricular] costs as [50/50 or %/%] with reimbursement within [X days].

5. Notice, Travel, and Third-Party Care

Travel with the child outside [County/State/Country] shall be disclosed with [Notice Period] and itinerary details of [Dates/Address/Phone], and any third-party caregiver pickups shall be limited to [Authorized Person List].

6. Dispute Resolution and Governing Law

The parents shall attempt [direct discussion/mediation] before court action, written summaries of disputed issues may be exchanged within [X days], and this Agreement shall be governed by the laws of the State of New York.

7. Holiday and School-Break Rotation

Holiday and break time may be set as follows:

[Holiday/Break]	[Even Year Parent]	[Odd Year Parent]	[Exchange Window]
[New Year’s Day]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Spring Break]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Memorial Day Weekend]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Fourth of July]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Thanksgiving]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Winter Break]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]

[Holiday/Break]	[Even Year Parent]	[Odd Year Parent]	[Exchange Window]
[New Year’s Day]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Spring Break]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Memorial Day Weekend]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Fourth of July]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Thanksgiving]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Winter Break]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]

[Holiday/Break]

[Even Year Parent]

[Odd Year Parent]

[Exchange Window]

[New Year’s Day]

[Parent 1/Parent 2]

[Start Time - End Time]

[Spring Break]

[Memorial Day Weekend]

[Fourth of July]

[Thanksgiving]

[Winter Break]

8. Medical Insurance and Contact Intake

Primary medical insurance shall be [Carrier/Plan], policy number [Policy #], with claims handled by [Insurer/TPA], claim or member ID [ID], and contacts for [Customer Service/Adjuster (if any)/Provider Office] at [Phone/Email].

9. Third-Party Contact Matrix

Important contacts may be listed as [Name | Role | Phone/Email | Authorized for Pick-Up (Yes/No) | Notes].

10. Parenting Concern Report

Concerns may be documented using [Who] [What] [Where] [When] [Why] [How], with supporting materials [Message Link/Photo/File] and requested resolution [Requested Outcome].

11. Signatures

Parent 1: [Signature] Date: [Date]

Printed Name: [Printed Name]

Parent 2: [Signature] Date: [Date]

Printed Name: [Printed Name]

Acknowledged by: [Counsel/Mediator Name (optional)] Date: [Date (optional)]

Witness: [Name (optional)] Date: [Date (optional)]

[Holiday/Break]	[Even Year Parent]	[Odd Year Parent]	[Exchange Window]
[New Year’s Day]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Spring Break]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Memorial Day Weekend]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Fourth of July]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Thanksgiving]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]
[Winter Break]	[Parent 1/Parent 2]	[Parent 1/Parent 2]	[Start Time - End Time]

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Child Custody Agreement Template – New York

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Child Custody Agreement Template – New York — quick answers

Reviewed July 2026 Free download, PDF & DOCX

How can we set up holiday and school-break time sharing without confusion?

Holiday and break provisions are clearer when they use a repeatable rule and state the exchange window for each event. Many parents use an even-year and odd-year rotation for major holidays, then set a specific start time and end time so there is no guessing. For school breaks, define what counts as the beginning and end of the break, such as the school dismissal time and the first day back at school. Keep the list focused on the holidays your family actually uses, and make sure the holiday rule clearly overrides the regular weekly schedule.

What does “legal custody” cover in practical day-to-day decisions?

Legal custody generally concerns major decisions, such as education choices and significant medical care. Routine day-to-day decisions are often handled by the parent who has the child during that parenting time, like meals, bedtime, and ordinary activities. A good agreement reduces friction by separating major decisions from routine choices and by stating how parents share information. If there are categories you expect to revisit, such as therapy, tutoring, or changing schools, include a process for proposals, timelines for responses, and what happens if you cannot agree.

How should parents document access to school and medical records?

The agreement can list the types of records each parent may obtain and the method used to authorize access, such as a release form, portal access, or provider authorization. It also helps to state where key documents are stored so both parents can find them without repeated requests. If communication is strained, using one channel for record-related requests reduces confusion and creates a clear history of what was asked for and when it was provided. Clear record-access terms also help schools and providers understand how to share information without being pulled into parental conflict.

What is a good notice process for travel or schedule changes?

A practical notice clause sets a timeframe, a method, and the minimum information required. For travel, parents often include dates, destination address, and a contact phone number, and they limit the rule to overnight travel or travel beyond a set distance. For schedule changes, require written confirmation of the new dates and times, plus an explicit acknowledgment that both parents agree. Choosing one official channel for notices reduces “missed message” arguments and keeps the record easy to find later if questions come up.

How can we reduce conflict about third-party caregivers or pickups?

Conflict tends to drop when the agreement defines who is authorized to pick up the child and how updates to that list are made. Parents can list common caregivers and programs, then state whether either parent may arrange backup care during their parenting time and how the other parent is notified. If safety is a concern, require advance notice for new caregivers and include basic identifiers like name and phone number. Clear rules help schools and programs avoid confusion and reduce last-minute disputes that can spill over into exchanges.

What steps should we take if we cannot agree even after talking?

When direct discussion is not working, a structured process keeps the issue from looping endlessly. Many parents exchange short written summaries of the problem and the requested outcome, then schedule mediation if there is still no resolution. A defined timeline prevents an argument from dragging on while decisions remain stalled. If the agreement allows temporary plans, parents can keep the child’s routine stable while the dispute is addressed. Once there is an outcome, document it in writing so the new plan is easy to follow and does not depend on memory.

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