SAUVOLAW UPDATE
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FLORIDA - PARENTING ISSUES CHECKLIST

By Nicole Sauvola

Sauvola & Associates, P.A.

Updated:  October 2008

 

PARENTING ISSUES CHECKLIST

GENERAL INFORMATION:

 

Name: _______________________________________________________________________

Date of marriage: ______________________________________________________________

Children of marriage:

            Name:________________________________ Date of birth: ______________________

            Address:  _______________________________________________________________

 

            Name:________________________________ Date of birth: ______________________

            Address:  _______________________________________________________________

 

            Name:________________________________ Date of birth: ______________________

            Address:  _______________________________________________________________

 

            Name:________________________________ Date of birth: ______________________

            Address:  _______________________________________________________________

 

PARENTING ISSUES

 

Decision-Making:

Educational:

q  

Joint

q  

Mother

q  

Father

Daycare

q  

Joint

q  

Mother

q  

Father

Medical/Dental/Mental Health:

q  

Joint

q  

Mother

q  

Father

Spiritual Training:

q  

Joint

q  

Mother

q  

Father

Recreational/Extracurricular Activities:

q  

Joint

q  

Mother

q  

Father

Other (specify):

q  

Joint

q  

Mother

q  

Father

 

 Residential Care:

 

Child(ren) to live primarily with:

 q   

Both

  q  

Mother

 q  

Father

 

              If both, I’m thinking about the following schedule:

 

 

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Week 1

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

Week 2

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

Drop off location:

 

 

 

 

 

 

 

 

 

 

 Parenting Time:

              If you think both parents will not share residential care, what kind of parenting time (visitation) schedule, including overnights, are you thinking about?

 

 

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Week 1

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

Week 2

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

qFather

qMother

qOther

Drop off (D) or pick-up (P) Time:

(a.m. or p.m.)

 

 

 

 

 

 

 

 

Pick-up or Drop off location:

 

 

 

 

 

 

 

 

 

 Thoughts About Major Holidays and Special Occasions:

 

Event

Party spending time with child(ren)

Odd years

Even years

All Years

Time & Place of exchange

q    Spring Break

 

 

 

 

 

q    Easter Day/Weekend

 

 

 

 

 

q    Mother’s Day

 

 

 

 

 

q    Memorial Day

 

 

 

 

 

q    Father’s Day

 

 

 

 

 

q    July 4th

 

 

 

 

 

q    Labor Day

 

 

 

 

 

q    Thanksgiving Day/Break

 

 

 

 

 

q    Christmas Eve

 

 

 

 

 

q    Christmas Day

 

 

 

 

 

q    Winter Break

 

 

 

 

 

q    Summer Break

 

 

 

 

 

q    Other (Identify)

 

 

 

 

 

 

q    Other (Identify)

 

 

 

 

 

 

q    Other (Identify)

 

 

 

 

 

 

             Thoughts About Other Holidays and Special Occasions:

 

Event

Party spending time with child(ren)

Odd years

Even years

All Years

Time & Place of exchange

q    Martin Luther King, Jr. Day/Weekend

 

 

 

 

 

q    President’s Day/Weekend

 

 

 

 

 

q    New Year’s Eve

 

 

 

 

 

q    New Year’s Day

 

 

 

 

 

q    Mother’s Birthday

 

 

 

 

 

q    Father’s Birthday

 

 

 

 

 

q    Halloween

 

 

 

 

 

q    Children’s Birthdays

 

 

 

 

 

q    Other (Identify)

 

 

 

 

 

 

q    Other (Identify)

 

 

 

 

 

 

q    Other (Identify)

 

 

 

 

 

 

 

            Other Thoughts About Parenting Time:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Child Support:

            Your monthly income[1]: ____________________________________________________

            Your spouse’s monthly income[2]:  ____________________________________________

            Party paying for health insurance for child(ren): _________________________________

            Total monthly health insurance premium: ______________________________________

            Portion of health insurance premium for child(ren)[3]:  _____________________________

            Number of children in daycare during school year: _______________________________

            Number of children in daycare during summer and school vacations:  ________________

            Party paying for daycare for child(ren): ________________________________________

            Amount paid per week for daycare during school year:  ___________________________

            Amount paid per week for daycare during school vacations:  _______________________

            Amount paid per month for extra-curricular activities: ____________________________

            Party paying for extra-curricular activities: _____________________________________

            Other special expenses for child(ren) (list):      ____________________________________

                                                                                    ____________________________________

                                                                                    ____________________________________

                                                                                    ____________________________________

            Party paying for other special expenses:  _______________________________________

 


 

[1]  If self-employed, average monthly gross receipts and average monthly expenses necessary to earn gross receipts

[2]  If self-employed, average gross monthly receipts and average monthly expenses necessary to earn gross receipts

[3]  If unable to determine amount just for child(ren), divide total monthly premium by number of people covered and multiply by number of children


 

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