Child Arrangements Separation Agreement - Template Form (2023)




1. The Parties

I. The Child

II. The Parties

(a). Party A

Party A is ________ (Mother).

(b). Party B

Party B is ________ (Mother).

III. Parental Responsibility

(a). Party A

(b). Party B

2. Background

I. Habitual residence

Both of the Parties and the Child are habitually resident in England and Wales.

II. Factual background

The Parties were married on ________ and separated on ________.

III. Previous proceedings

There have been previous proceedings concerning the Parties and the arrangements for the Child as follows:

(a). Case number: ________

(b). In the Family Court sitting at: ________

(c). The proceedings concluded on: ________


The final order made in those proceedings is summarised as follows:


IV. Reason for variation

The parties wish to vary the arrangements for the following reasons:


3. Definitions and Interpretation

I. Term time

Term time shall be defined in reference the timetable of the relevant school attended by the Child. The agreed school arrangements are listed in section 5 (II) below.

II. School holidays

School holidays shall be defined in reference the relevant school attended by the Child. The agreed school arrangements are listed in section 5 (II) below.

III. Duration of this agreement

4. Agreed arrangements

I. Variation to the existing court order

It is recorded that:

(a). it the intention of both of the Parties to vary the court order dated ________ by consent; and

(b). both parties have created this written amendment to the child arrangements in accordance with the following section of the court order: ________; and

(c). both of the Parties agree that the contents of this document shall now constitute the entire agreement in relation to the arrangements for the Child; and

(d). it is the intention of the Parties that this agreement shall supersede the court order dated ________; and

(e). in the event that either Party chooses to issue proceedings under section 11J or section 11O of the Children Act 1989 to enforce the order dated ________, it is agreed that this agreement shall be attached to any such application to show the current intention of the Parties.

II. Living arrangements

The Parties have agreed that the Child shall live with Party A.

III. Contact arrangements

It is agreed that Party B will spend time with the Child in accordance with the schedule set out below.

(a). Term time

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(i). During term time Party B will spend time with the Child as follows:


(ii). The arrangements for handovers during term time are agreed as follows:


(iii). It is also agreed that the Child will have indirect contact in the form of telephone calls and video calls with party B during term time as follows:


(b). School holidays

The time which Party B will spend with the Child shall remain as per the term time arrangements set out above, however additional contact times can be agreed in writing no less than ________ days prior to the relevant end of term date.

(c). Agreed calendar

The Parties have recorded the agreed times and dates in a calendar format for the dates of ________ to ________ for ease of reference. This is set out at the schedule marked 'Calendar' below.

The Parties will agree and re-exhibit a revised calendar each time it lapses. Each calendar shall be put together by the parties in accordance with the above agreement regarding contact. Each new calendar shall be agreed and attached to the agreement no less than 28 days prior to the end date of the existing calendar.

(d). Special occasions

The Parties have also reached an agreement in relation to special occasions. The Parties will spend time with the Child on the agreed special occasions, regardless of whether it is a day which they are due to spend with the the Child in accordance with the rest of this agreement. The agreement in relation to special occasions is:


(e). Transfer of belongings during handovers

Each Party agrees that they shall assist and ensure that the Child transfers to the care of the other Party with all the appropriate belongings the Child will reasonably require.

5. Specific Issues

I. Travel abroad

Where either party intends to take a holiday outside of England and Wales with the Child, they will:

(a). obtain written consent from the other party; and

(b). provide the travel proposals to the other party no less than ________ month prior to the proposed departure date; and

(c). upon receipt of the proposals, the other party will confirm their response (and provide written consent where they are in agreement) within 14 calendar days; and

(d). the party proposing the travel will ensure that the travel takes place within their scheduled time with the Child (unless specifically agreed otherwise); and

(e). the travelling party will provide copies of all relevant travel booking documentation (such as flight times/numbers and the hotel address) to the other party no less than 1 month prior to departure.

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II. School and education

The parties have agreed that the Child will attend school as follows:


6. Approach to parenting

The Parties have discussed their approach to parenting decisions and have recorded their agreed general approach in the Schedule marked 'Approach to Parenting' below.

7. Reviewing the agreement

The Parties have agreed above to ensure that an up-to-date calendar for the arrangements will be prepared in good time.

The Parties will also review and update (where necessary) any other provisions contained within this agreement every ________ YEAR.

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(e). 85252 522 5882522 852222 82 52828825 8222525882 252 2552828 85588 52225 252 252225 22 225852822 58 52252258522.

II. Signatures

Signed and agreed by:

Party A

Signature: _______________________


Dated: __________________________

Party B

Signature: _______________________

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Dated: __________________________



A copy of the calendar with the agreed dates marked in relation to contact is attached below.



The Parties hope to co-parent successfully. This schedule marks out the agreement of the Parties in relation to their approach to parenting.

Method of communication

The Parties will communicate transparently with each other regarding all important parenting matters. It is agreed that:

(a). for all general and day-to-day purposes, the parties will communicate with each other in the following way: ________

(b). in the case of any emergency, the each party will ensure that the other party is notified as soon as is reasonably practicable.

Decision making

The parties will consult each other about all important parenting decisions. The Parties record the following:

(a). Important decisions in relation to the Child which the Parties must generally include:


(b). The Parties agree that they do not need to consult each other in relation to the following matters:


(c). Where the Parties do not agree in relation to an important parenting decision, they shall attempt to resolve the matter informally in the first instance in the following manner:


Agreed ground rules

The Parties have agreed upon some basic rules and boundaries in relation to the Child which they will both be responsible for implementing. The Parties have agreed as follows:

(a). The Child will adhere to the following basic rules whilst in each household:


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(b). The Parties will ensure that appropriate boundaries are set for the Child and agree that discipline shall be dealt with by using the following methods/steps:



What issues would you want to make sure are covered in a separation agreement? ›

Consider each issue carefully:
  • Where you will live. Legally separated spouses must live separately at all times.
  • Spousal support. ...
  • Custody. ...
  • Visitation schedules. ...
  • Child support. ...
  • Any additional costs for children. ...
  • Your home. ...
  • Other property.

What should be included in a separation letter? ›

The letter should confirm the reason for ending employment, offer useful information about the termination (such as information on unemployment benefits or options for continuing health coverage), set out the reasons for the separation, and provide a statement of company property for the employee to return.

What voids a separation agreement in NC? ›

An "agreement" means that both parties sign voluntarily. Coercion, fraud, undue influence or lack of knowledge will void the terms of a separation agreement. A separation agreement is not proof of the parties' separation.

What is the first thing to do when separating? ›

7 Tips for Starting a Healthy Separation
  1. Treat your co-parent as you would treat a business partner. ...
  2. Don't make any significant changes. ...
  3. Discuss the various options for pathways to an amicable divorce. ...
  4. Choose your family mediator and/or lawyer. ...
  5. See a counselor and/or doctor. ...
  6. Wait to start a new relationship.

What are the 3 types of separation? ›

Most people know what a separation is: a married couple living apart but remaining legally married.

What to negotiate in separation agreement? ›

Some common elements for a severance package are:
  • Severance pay. Severance pay refers to the cash benefits the company offers after discharging an employee. ...
  • Paid time off.
  • Benefits. ...
  • Stock options. ...
  • Transition and outplacement services. ...
  • Liability release. ...
  • Nondisclosure agreement. ...
  • References.
Dec 5, 2022

Does separation agreement always lead to divorce? ›

A legal separation does not have to lead to divorce. Couples often use the time to work on their marriage without the thought of divorce and court dates hanging over their heads.

What to do before asking for a separation? ›

7 Things to Do Before You Separate
  1. Know where you're going. ...
  2. Know why you're going. ...
  3. Get legal advice. ...
  4. Decide what you want your partner to understand most about your leaving. ...
  5. Talk to your kids. ...
  6. Decide on the rules of engagement with your partner. ...
  7. Line up support.
Jan 17, 2020

What is an example of a letter of separation? ›

Dear [Name], This letter is to inform you that as of [date], we will no longer require your services. We've enjoyed working with [name of company] but due to [reasons], we have decided to terminate our contract. All outstanding deliverables should be completed before our contract is officially terminated.

How do I write a separation letter? ›

What Should a Separation Notice Include?
  1. Business name.
  2. Employer's state unemployment account number and mailing address.
  3. Employee name.
  4. Date of letter.
  5. Date of termination.
  6. Reason for termination.
  7. Company property, such as laptops or cellphones.
  8. Last paycheck details.
Apr 21, 2023

What not to say in a termination letter? ›

Employers don't want a termination letter to provide fuel for a future lawsuit alleging discrimination or retaliation. Companies should avoid including harsh language, jokes, emotional statements or too much detail in the termination letter. The tone should be respectful and direct.

Does sleeping on the couch count as separation? ›

Sleeping on the couch is a good indicator that a separation has taken place or is about to occur, but sleeping on the couch alone probably isn't enough to prove that you're separated. Separation, remember, is a total concept; it's not just related to where you sleep or whether or not you're still having sex.

Is dating during separation adultery in NC? ›

The answer is yes, after you have legally separated, you are free to date as if you are not married.

How do I start a separation from my husband? ›

Here are some immediate steps to take and things to start doing as soon as you've made your decision:
  1. 1) Gather Documents & Keep Records. ...
  2. 2) Open a Separate Bank Account & Create Your Own Budget. ...
  3. 3) List Property & Other Assets. ...
  4. 4) Plan the Logistics of Your Exit. ...
  5. 5) Contact a Divorce Lawyer. ...
  6. 6) To Tell Your Spouse Or Not.
May 6, 2021

How do you create a separation in a marriage? ›

11 Tips for Going through a Marriage Separation While Living Together
  1. 1 Sleep in separate rooms.
  2. 2 Divide up household chores.
  3. 3 Separate your finances.
  4. 4 Create a parenting schedule.
  5. 5 Set boundaries around family time.
  6. 6 Talk to your children about the arrangement.
  7. 7 Discuss how you'll handle social situations.

What is a separation declaration? ›

A Separation Declaration is a declaration that the parties to a marriage or de facto relationship have separated.

What are the disadvantages of a legal separation? ›

Disadvantages of a Legal Separation
  • More Complicated Than Divorce.
  • You Can't Remarry if You Are Legally Separated.
  • Legal Separation Before Divorce May Cost More.
Mar 29, 2023


1. Sitting in on a Divorce Mediation Session - Parenting Plan (Custody) Mock Mediation Part 1
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2. How to Get a Legal Separation | Legal Separation Explained
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3. What NOT to Say When Negotiating Your Parenting Plan with Attorney Susan Guthrie
(Susan Guthrie)
4. What is a Child Arrangements Order & How to Make a Parenting Plan Legally Binding
(Mediate UK)
5. What Are You Legally Required to Do First When Separating?
(Ontario Family Law Podcast with John P. Schuman)
6. In The Know - The separation agreement is the key (divorce is just a formality).
(Feldstein Family Law Group P.C.)
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