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. Dispute Resolution and Temporary Adjustments
Disagreements shall follow the process in Section 7, and any temporary adjustment shall be confirmed in [Email/App/Text] with [Start Date], [End Date], and [Temporary Terms].
2. Parenting Roles and Custody Allocation
Legal custody shall be [joint/sole], physical custody shall be [joint/shared/primary], and each parent’s core responsibilities shall include [School Coordination/Medical Scheduling/Transportation/Other].
3. Parenting Time and Exchanges
Parenting time shall follow [Primary Schedule], exchanges shall occur at [Location(s)], and late arrivals over [X minutes] shall be communicated via [Call/Text/App].
Major decisions about [medical/education/religion/other] shall be made [jointly/by Parent 1/by Parent 2], and records access shall be supported by [Release/Authorization] as needed.
5. Expenses, Support, and Insurance
Child support shall be handled as [Guideline Amount/Separate Order/Mutual Written Arrangement], shared expenses shall be split [50/50 or %/%], and insurance information shall be [Carrier/Plan/Policy #].
6. Governing Law and Changes
This Agreement shall be governed by the laws of the State of Washington, and modifications shall be made by [Written Amendment Signed by Both Parents/Court Order].
7. Dispute-Resolution Step Tracker
Steps may be tracked as follows:
[Step] | [Initiated Date] | [Deadline] | [Outcome] | [Next Action] |
[Direct Discussion] | [MM/DD/YYYY] | [MM/DD/YYYY] | [Resolved/Unresolved/Deferred] | [Next Step/Notes] |
[Written Summary Exchange] | [MM/DD/YYYY] | [MM/DD/YYYY] | [Resolved/Unresolved/Deferred] | [Next Step/Notes] |
[Mediation/Coordinator Session] | [MM/DD/YYYY] | [MM/DD/YYYY] | [Resolved/Unresolved/Deferred] | [Next Step/Notes] |
[Documented Outcome] | [MM/DD/YYYY] | [MM/DD/YYYY] | [Resolved/Unresolved/Deferred] | [Next Step/Notes] |
[Step] | [Initiated Date] | [Deadline] | [Outcome] | [Next Action] |
[Direct Discussion] | [MM/DD/YYYY] | [MM/DD/YYYY] | [Resolved/Unresolved/Deferred] | [Next Step/Notes] |
[Written Summary Exchange] | [MM/DD/YYYY] | [MM/DD/YYYY] | [Resolved/Unresolved/Deferred] | [Next Step/Notes] |
[Mediation/Coordinator Session] | [MM/DD/YYYY] | [MM/DD/YYYY] | [Resolved/Unresolved/Deferred] | [Next Step/Notes] |
[Documented Outcome] | [MM/DD/YYYY] | [MM/DD/YYYY] | [Resolved/Unresolved/Deferred] | [Next Step/Notes] |
[Step]
[Initiated Date]
[Deadline]
[Outcome]
[Next Action]
[Direct Discussion]
[MM/DD/YYYY]
[Resolved/Unresolved/Deferred]
[Next Step/Notes]
[Written Summary Exchange]
[Mediation/Coordinator Session]
[Documented Outcome]
If a neutral professional is used, details may be recorded as [Mediator/Coordinator Name], case number [Case #], scheduling contact [Phone/Email], location [In-Person/Remote], and agreed scope [Scope].
9. Parenting-Time Deviation Report
Deviations may be documented as [Hazard/Concern], [Control/Expectation], [Failure], [Exposure], and [Impact], with supporting materials [Message/Photo/File Link] and requested remedy [Requested Outcome].
10. Evidence Checklist
Relevant materials may be listed as [Calendar Entry], [Message Link], [Receipt/Invoice], [School/Provider Notice], and [File Link], stored in [Shared Folder/Account] through [Retention Period].
11. Signatures
Parent 1: [Signature] Date: [Date]
Printed Name: [Printed Name]
Parent 2: [Signature] Date: [Date]
Printed Name: [Printed Name]
Approved by: [Mediator/Parenting Coordinator Name (optional)] Date: [Date (optional)]
Reviewed by: [Case Owner Name (optional)] Date: [Date (optional)]
[Step] | [Initiated Date] | [Deadline] | [Outcome] | [Next Action] |
[Direct Discussion] | [MM/DD/YYYY] | [MM/DD/YYYY] | [Resolved/Unresolved/Deferred] | [Next Step/Notes] |
[Written Summary Exchange] | [MM/DD/YYYY] | [MM/DD/YYYY] | [Resolved/Unresolved/Deferred] | [Next Step/Notes] |
[Mediation/Coordinator Session] | [MM/DD/YYYY] | [MM/DD/YYYY] | [Resolved/Unresolved/Deferred] | [Next Step/Notes] |
[Documented Outcome] | [MM/DD/YYYY] | [MM/DD/YYYY] | [Resolved/Unresolved/Deferred] | [Next Step/Notes] |