Form 12.995(C) "Relocation/Long Distance Parenting Plan" - Florida

What Is Form 12.995(C)?

This is a legal form that was released by the Florida Courts - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2018;
  • The latest edition provided by the Florida Courts;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 12.995(C) by clicking the link below or browse more documents and templates provided by the Florida Courts.

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Download Form 12.995(C) "Relocation/Long Distance Parenting Plan" - Florida

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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW
FORM 12.995(c)
RELOCATION/LONG DISTANCE PARENTING PLAN
(02/18)
When should this form be used?
A Parenting Plan is required in all cases involving time-sharing with minor child(ren), even when time-
sharing is not in dispute. The Parenting Plan must be developed and agreed to by the parents and every
other person entitled to access or time-sharing with the child(ren) and approved by the court. “Other
Person” means an individual who is not the parent, but with whom the child resides pursuant to court
order, or who has the right of access to, time-sharing with or visitation with the child(ren). If the parties
cannot agree to a Parenting Plan or if the parents agreed to a Plan that is not approved by the court, a
Parenting Plan will be established by the court with or without the use of Parenting Plan
Recommendations. The parents or Other Person must identify a name or designation to be used
throughout this Parenting Plan.
This form or a similar form should be used in the development of a Parenting Plan when you are
planning to relocate your or the child(ren)’s principal residence more than 50 miles from the principal
place of residence:
at the time of the last order either establishing or modifying time-sharing, or
at the time of filing the pending action to either establish or modify time-sharing
This form should be typed or printed in black ink. If an agreement has been reached, both parties must
sign the Parenting Plan and have their signatures witnessed by a notary public or deputy clerk. After
completing this form, you should file the original with the clerk of the circuit court in the county where
the petition was filed and keep a copy for your records. You should then refer to the instructions for
your petition, answer, or answer and counterpetition concerning the procedures for setting a hearing or
trial (final hearing). If an agreed Parenting Plan is not filed by the parties, the Court shall establish a
Plan.
IMPORTANT INFORMATION REGARDING E-FILING
The Florida Rules of Judicial Administration now require that all petitions, pleadings, and documents be
filed electronically except in certain circumstances. Self-represented litigants may file petitions or other
pleadings or documents electronically; however, they are not required to do so. If you choose to file
your pleadings or other documents electronically, you must do so in accordance with Florida rule of
Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file.
The rules and procedures should be carefully read and followed.
Instructions for Florida Supreme Court Approved Family Law Form 12.995(c), Relocation/Long Distance Parenting
Plan (02/18)
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW
FORM 12.995(c)
RELOCATION/LONG DISTANCE PARENTING PLAN
(02/18)
When should this form be used?
A Parenting Plan is required in all cases involving time-sharing with minor child(ren), even when time-
sharing is not in dispute. The Parenting Plan must be developed and agreed to by the parents and every
other person entitled to access or time-sharing with the child(ren) and approved by the court. “Other
Person” means an individual who is not the parent, but with whom the child resides pursuant to court
order, or who has the right of access to, time-sharing with or visitation with the child(ren). If the parties
cannot agree to a Parenting Plan or if the parents agreed to a Plan that is not approved by the court, a
Parenting Plan will be established by the court with or without the use of Parenting Plan
Recommendations. The parents or Other Person must identify a name or designation to be used
throughout this Parenting Plan.
This form or a similar form should be used in the development of a Parenting Plan when you are
planning to relocate your or the child(ren)’s principal residence more than 50 miles from the principal
place of residence:
at the time of the last order either establishing or modifying time-sharing, or
at the time of filing the pending action to either establish or modify time-sharing
This form should be typed or printed in black ink. If an agreement has been reached, both parties must
sign the Parenting Plan and have their signatures witnessed by a notary public or deputy clerk. After
completing this form, you should file the original with the clerk of the circuit court in the county where
the petition was filed and keep a copy for your records. You should then refer to the instructions for
your petition, answer, or answer and counterpetition concerning the procedures for setting a hearing or
trial (final hearing). If an agreed Parenting Plan is not filed by the parties, the Court shall establish a
Plan.
IMPORTANT INFORMATION REGARDING E-FILING
The Florida Rules of Judicial Administration now require that all petitions, pleadings, and documents be
filed electronically except in certain circumstances. Self-represented litigants may file petitions or other
pleadings or documents electronically; however, they are not required to do so. If you choose to file
your pleadings or other documents electronically, you must do so in accordance with Florida rule of
Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file.
The rules and procedures should be carefully read and followed.
Instructions for Florida Supreme Court Approved Family Law Form 12.995(c), Relocation/Long Distance Parenting
Plan (02/18)
IMPORTANT INFORMATION REGARDING E-SERVICE ELECTION
After the initial service of process of the petition or supplemental petition by the Sheriff or certified
process server, the Florida Rules of Judicial Administration now require that all documents required or
permitted to be served on the other party must be served by electronic mail (e-mail) except in certain
circumstances. You must strictly comply with the format requirements set forth in the Rules of Judicial
Administration. If you elect to participate in electronic service, which means serving or receiving pleadings
by electronic mail (e-mail), or through the Florida Courts E-Filing Portal, you must review Florida Rule of
Judicial Administration 2.516. You may find this rule at
www.flcourts.org
through the link to the Rules of
Judicial Administration provided under either Family Law Forms: Getting Started, or Rules of Court in the
A-Z Topical Index.
SELF-REPRESENTED LITIGANTS MAY SERVE DOCUMENTS BY E-MAIL; HOWEVER, THEY ARE NOT
REQUIRED TO DO SO. If a self-represented litigant elects to serve and receive documents by e-mail, the
procedures must always be followed once the initial election is made.
To serve and receive documents by e-mail, you must designate your e-mail addresses by using the
Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form
12.915, and you must provide your e-mail address on each form on which your signature appears. Please
CAREFULLY read the rules and instructions for: Certificate of Service (General), Florida Supreme Court
Approved Family Law Form 12.914; Designation of Current Mailing and E-mail Address, Florida Supreme
Court Approved Family Law Form 12.915; and Florida Rule of Judicial Administration 2.516.
Where can I look for more information?
Before proceeding, you should read “General Information for Self-Represented Litigants” found at the
beginning of these forms. The words that are in “bold underline” in these instructions are defined
there. For further information, see chapter 61, Florida Statutes, and the instructions for the petition
and/or answer that were filed in this case
Special notes...
At a minimum, the Relocation/Long Distance Parenting Plan must describe in adequate detail:
How the parties will share and be responsible for the daily tasks associated with the upbringing of the
child(ren),
The time-sharing schedule that specifies the time that the minor child(ren) will spend with each
parent and every other person entitled to access or time-sharing,
A designation of who will be responsible for any and all forms of health care, school-related matters,
including the address to be used for school-boundary determination and registration, other activities,
Instructions for Florida Supreme Court Approved Family Law Form 12.995(c), Relocation/Long Distance Parenting
Plan (02/18)
The methods and technologies that the parties will use to communicate with the child(ren), and
Any transportation arrangements related to access or time-sharing.
The best interests of the child(ren) is the primary consideration in the Parenting Plan. In creating the
Parenting Plan, all circumstances between the parties, including the parties’ historic relationship,
domestic violence, and other factors must be taken into consideration. Determination of the best
interests of the child(ren) shall be made by evaluating all of the factors affecting the welfare and interest
of the particular minor child(ren) and the circumstances of the family as listed in section 61.13(3), Florida
Statutes, including, but not limited to:
 The demonstrated capacity and disposition of each party to facilitate and encourage a close
and continuing parent-child relationship, to honor the time-sharing schedule, and to be
reasonable when changes are required;
The anticipated division of parental responsibilities after the litigation, including the
extent to which parental responsibilities will be delegated to third parties;
The demonstrated capacity and disposition of each party to determine, consider, and
act upon the needs of the child(ren) as opposed to the needs or desires of the parent;
The length of time the child(ren) has lived in a stable, satisfactory environment and the
desirability of maintaining continuity;
The geographic viability of the parenting plan, with special attention paid to the needs
of school-age children and the amount of time to be spent traveling to effectuate the
parenting plan. This factor does not create a presumption for or against relocation of
either party with a child(ren);
The moral fitness of the parties;
The mental and physical health of the parties;
The home, school, and community record of the child(ren);
The reasonable preference of the child(ren), if the court deems the child(ren) to be of
sufficient intelligence, understanding, and experience to express a preference;
The demonstrated knowledge, capacity, and disposition of each party to be informed of
the circumstances of the minor child(ren), including, but not limited to, the child(ren)’s
friends, teachers, medical care providers, daily activities, and favorite things;
The demonstrated capacity and disposition of each party to provide a consistent routine for
the child(ren), such as discipline, and daily schedules for homework, meals, and bedtime;
The demonstrated capacity of each party to communicate with and keep the other part(y)ies
informed of issues and activities regarding the minor child(ren), and the willingness of
each party to adopt a unified front on all major issues when dealing with the child(ren);
Evidence of domestic violence, sexual violence, child abuse, child abandonment, or child
neglect, regardless of whether a prior or pending action relating to those issues has
been brought. If the court accepts evidence of prior or pending actions regarding
domestic violence, sexual violence, child abuse, child abandonment, or child neglect, the
court must specifically acknowledge in writing that such evidence was considered when
evaluating the best interests of the child(ren);
Evidence that any party has knowingly provided false information to the court regarding any
prior or pending action regarding domestic violence, sexual violence, child abuse,
Instructions for Florida Supreme Court Approved Family Law Form 12.995(c), Relocation/Long Distance Parenting
Plan (02/18)
child abandonment, or child neglect;
The particular parenting tasks customarily performed by each party and the division of
parental responsibilities before the institution of litigation and during the pending
litigation, including the extent to which parenting responsibilities were undertaken by third
parties;
The demonstrated capacity and disposition of each party to participate and be involved
in the child(ren)’s school and extracurricular activities;
The demonstrated capacity and disposition of each party to maintain an environment
for the child(ren) which is free from substance abuse;
The capacity and disposition of each party to protect the child(ren) from the ongoing
litigation as demonstrated by not discussing the litigation with the child(ren), not sharing
documents or electronic media related to the litigation with the child(ren), and refraining
from disparaging comments about any other party to the child)ren); and
The developmental stages and needs of the child(ren) and the demonstrated capacity
and disposition of each party to meet the child(ren)’s developmental needs.
This standard form does not include every possible issue that may be relevant to the facts of your case.
The Parenting Plan should be as detailed as possible to address the time-sharing schedule. Additional
provisions should be added to address all of the relevant factors. The parties should give special
consideration to the age and needs of each child.
In developing the Parenting Plan, you may wish to consult or review other materials which are available
at your local library, law library or through national and state family organizations.
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out
these forms, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law Rules
of Procedure Form 12.900 (a), before he or she helps you. A nonlawyer helping you fill out these forms
also must put his or her name, address, and telephone number on the bottom of the last page of every
form he or she helps you complete.
Instructions for Florida Supreme Court Approved Family Law Form 12.995(c), Relocation/Long Distance Parenting
Plan (02/18)
IN THE CIRCUIT COURT OF THE ___________ JUDICIAL CIRCUIT,
IN AND FOR ______________________________ COUNTY, FLORIDA
Case No: __________________
Division: __________________
_________________________________,
Petitioner,
And
_________________________________,
Respondent.
RELOCATION/LONG-DISTANCE PARENTING PLAN
This parenting plan is: {Choose only one}
_____ A Parenting Plan submitted to the court with the agreement of the parties.
_____ A proposed Parenting Plan submitted by or on behalf of:
{Name of Parent or Other Person}__________________________________.
_____ A Parenting Plan established by the court.
This parenting plan is: {Choose only one}
_____ A final Parenting Plan established by the court.
_____ A temporary Parenting Plan established by the court.
_____ A modification of a prior final Parenting Plan or prior final order.
I.
PARTIES
Petitioner, hereinafter referred to as Parent
{name or designation} __________________________________________________
Name:__________________________________________________________________
Address: ________________________________________________________________
Telephone Number: ___________________ E-Mail: ____________________________
Respondent, hereinafter referred to as Parent
{name or designation} ___________________________________________________
Name:__________________________________________________________________
Address: ________________________________________________________________
Telephone Number: ___________________ E-Mail: ____________________________
Other Person {If Applicable}, hereinafter referred to as
Florida Supreme Court Approved Family Law Form 12.995(c), Relocation/Long Distance Parenting Plan (02/18)