
Alaska Court System 
Model Parenting Agreement 
 
Instructions 
 
This form was developed by a superior court judge to help parents reach 
agreement on important issues concerning their children.  It covers many issues 
that parents may not think about when making custody decisions.  The form may 
be used in a divorce case, a dissolution, a custody case between unmarried 
parents, or an action to modify an existing custody order. 
 
If you want this agreement to be part of your custody order, you must file it with 
the court.  If the judge approves your agreement, it will become part of the 
custody order in your case. 
 
The form offers you many options for arranging your children’s custody and care.  
Fill out the sections you agree will apply to your children and you.  Be sure to 
print neatly in black ink.  In each section, you can pick one of the choices that 
is offered, or you can write your own arrangement in the space marked “Other.”  
If you need more space, you can attach additional pages.  (If you continue on a 
separate page, you need to make it clear which section of the agreement that 
you are writing about (for example: "Continuation of agreement on vacations and 
travel by children – Sec. 4.4"). 
 
Each parent must sign the form in front of a notary public. A court clerk can 
provide this notary service for you (at no charge) when you file this agreement 
with the court. You must bring a photo ID with you for the notarization. 
 
If you have attached additional pages to the agreement, you should write the 
name of the document, the case title, and the case number in the bottom left 
corner of each page (for example: Parenting Agreement, Smith v. Jones,  
4FA-01-1234CI).  This form is also available on the Alaska Court System’s web 
site at www.courts.alaska.gov/forms.htm
DR-475 (2/10) (cs) 
PARENTING AGREEMENT 
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