Visitation Agreement Template – US

4.71 / 5 (5995 Reviews)

Updated: 2026


Disclaimer

The information provided here is for general illustrative purposes regarding arrangements for family visitations and custody visits. It is not legal advice and should not be used as a substitute for consulting a qualified attorney familiar with family law. Regulations and legal requirements vary by jurisdiction, and modifications may be necessary to comply with local laws. The use of this example is at the user’s own risk, and no liability is assumed for errors, omissions, or any consequences from its use without professional legal review.


PDF

PDF

Word

Word

Sample

Sample

Template

Template


Please note: This is a sample Visitation Agreement template for the United States, provided for illustrative purposes only. Actual terms and conditions may vary based on specific situations and legal requirements.

Sample Visitation Agreement US

Parties Involved:

Parent/Guardian: Jane Doe
Address: 123 Maple Avenue, Springfield, IL 62704

Other Parent/Guardian: John Smith
Address: 456 Oak Street, Springfield, IL 62705

Child Information:

Name: Alex Doe
Date of Birth: January 15, 2010

Visitation Schedule:

The non-custodial parent shall have visitation with the child as follows: Every other weekend from Friday at 6:00 PM to Sunday at 6:00 PM, and holiday visits as specified in the attached schedule.

Parent Responsibilities:

Both parties agree to adhere to the visitation schedule, promote a positive relationship with the child, and communicate respectfully regarding parenting matters.

Governing Law:

This agreement shall be governed by the laws of the State of Illinois. Disputes shall be resolved through mediation or in the appropriate courts of Springfield, Illinois.

Additional Provisions:

  • Both parents agree to notify each other of changes to the visitation schedule at least 48 hours in advance.
  • The parties agree to facilitate transportation and communication related to visitation.
  • This agreement may be amended by mutual written consent of both parties.

Springfield, ______________________

________________________
Jane Doe (Parent/Guardian)
________________________
John Smith (Parent/Guardian)