Child Support Calculation Worksheet
IMPORTANT: THIS IS A PREPARATION GUIDE — NOT THE OFFICIAL COURT WORKSHEET
Arkansas requires the use of the official Child Support Worksheet (Administrative Order No. 10) and Affidavit of Financial Means for child support calculations.
This template provides the substantive content and calculation methodology to help you
prepare — but you must transfer your figures to the official worksheet before filing.
The official forms and online calculator are available at https://arcourts.gov/forms-and-publications/arkansas-child-support-guidelines.
Do not file this document directly with the court.
CHILD SUPPORT CALCULATION WORKSHEET
State of Arkansas — Income Shares Model (Administrative Order No. 10)
Table of Contents
- Case Information
- Children Subject to This Order
- Gross Income Determination
- Adjusted Gross Income
- Basic Child Support Obligation
- Additional Child-Rearing Expenses
- Total Child Support Obligation
- Deviation Factors
- Duration and Modification
- State-Specific Notes
- Sources and References
1. Case Information
| Field | Details |
|---|---|
| Court | [________________________________] |
| Case Number | [________________________________] |
| Parent A (Custodial) | [________________________________] |
| Parent B (Non-Custodial) | [________________________________] |
| Date of Worksheet | [__/__/____] |
| Type of Action | ☐ Initial Determination ☐ Modification ☐ Review |
2. Children Subject to This Order
| # | Child's Full Name | Date of Birth | Age |
|---|---|---|---|
| 1 | [________________________________] | [__/__/____] | [____] |
| 2 | [________________________________] | [__/__/____] | [____] |
| 3 | [________________________________] | [__/__/____] | [____] |
| 4 | [________________________________] | [__/__/____] | [____] |
| 5 | [________________________________] | [__/__/____] | [____] |
Total Number of Children: [____]
Custody Arrangement:
☐ Sole Physical Custody — Parent A
☐ Sole Physical Custody — Parent B
☐ Joint Physical Custody
☐ Split Custody
3. Gross Income Determination
Parent A — Monthly Gross Income
| Source | Amount |
|---|---|
| Salary / Wages | $ [________________________________] |
| Commissions / Bonuses | $ [________________________________] |
| Self-Employment Income | $ [________________________________] |
| Overtime | $ [________________________________] |
| Dividends / Interest | $ [________________________________] |
| Rental Income | $ [________________________________] |
| Pension / Retirement | $ [________________________________] |
| Social Security Benefits | $ [________________________________] |
| Workers' Compensation | $ [________________________________] |
| Unemployment Benefits | $ [________________________________] |
| Disability Benefits | $ [________________________________] |
| Trust Income | $ [________________________________] |
| Alimony Received | $ [________________________________] |
| Severance Pay | $ [________________________________] |
| Other Income | $ [________________________________] |
| Total Monthly Gross Income — Parent A | $ [________________________________] |
Parent B — Monthly Gross Income
| Source | Amount |
|---|---|
| Salary / Wages | $ [________________________________] |
| Commissions / Bonuses | $ [________________________________] |
| Self-Employment Income | $ [________________________________] |
| Overtime | $ [________________________________] |
| Dividends / Interest | $ [________________________________] |
| Rental Income | $ [________________________________] |
| Pension / Retirement | $ [________________________________] |
| Social Security Benefits | $ [________________________________] |
| Workers' Compensation | $ [________________________________] |
| Unemployment Benefits | $ [________________________________] |
| Disability Benefits | $ [________________________________] |
| Trust Income | $ [________________________________] |
| Alimony Received | $ [________________________________] |
| Severance Pay | $ [________________________________] |
| Other Income | $ [________________________________] |
| Total Monthly Gross Income — Parent B | $ [________________________________] |
4. Adjusted Gross Income
| Deduction | Parent A | Parent B |
|---|---|---|
| Pre-existing court-ordered child support | $ [____________] | $ [____________] |
| Pre-existing court-ordered alimony | $ [____________] | $ [____________] |
| Total Deductions | $ [____________] | $ [____________] |
| Adjusted Gross Income | $ [____________] | $ [____________] |
Combined Adjusted Gross Income: $ [________________________________]
Percentage of Combined Income:
- Parent A: [____] %
- Parent B: [____] %
5. Basic Child Support Obligation
| Item | Amount |
|---|---|
| Combined Adjusted Gross Income | $ [________________________________] |
| Number of Children | [____] |
| Basic Child Support Obligation (from Family Support Chart) | $ [________________________________] |
| Parent A's Proportionate Share ([____]%) | $ [________________________________] |
| Parent B's Proportionate Share ([____]%) | $ [________________________________] |
6. Additional Child-Rearing Expenses
Health Insurance
| Item | Parent A | Parent B |
|---|---|---|
| Children's health insurance premium | $ [____________] | $ [____________] |
| Children's dental/vision insurance | $ [____________] | $ [____________] |
| Total Insurance Costs | $ [____________] | $ [____________] |
Childcare Costs
| Item | Amount |
|---|---|
| Monthly work-related childcare costs | $ [________________________________] |
| Parent A's proportionate share ([____]%) | $ [________________________________] |
| Parent B's proportionate share ([____]%) | $ [________________________________] |
Extraordinary Medical Expenses
| Item | Amount |
|---|---|
| Uninsured extraordinary medical expenses (annual ÷ 12) | $ [________________________________] |
| Parent A's proportionate share | $ [________________________________] |
| Parent B's proportionate share | $ [________________________________] |
7. Total Child Support Obligation
| Component | Parent A | Parent B |
|---|---|---|
| Share of Basic Obligation | $ [____________] | $ [____________] |
| Health Insurance Credit/Adjustment | $ [____________] | $ [____________] |
| Childcare Share | $ [____________] | $ [____________] |
| Extraordinary Medical Share | $ [____________] | $ [____________] |
| Subtotal | $ [____________] | $ [____________] |
| Less: Direct Expenditures by Custodial Parent | ($ [____________]) | — |
| Net Child Support Obligation | — | $ [____________] |
Monthly Child Support Payment: $ [________________________________]
8. Deviation Factors
☐ No deviation requested
☐ Deviation requested based on:
☐ Extraordinary educational expenses
☐ Extraordinary medical expenses
☐ Special needs of the child
☐ Seasonal or irregular income
☐ Income of the child
☐ Shared or split custody arrangements
☐ Travel expenses for visitation
☐ Tax consequences
☐ Significant disparity in parents' income
☐ Other: [________________________________]
Proposed deviation amount: $ [________________________________]
Justification:
[________________________________]
[________________________________]
9. Duration and Modification
Duration of Support:
- Support continues until the child reaches age 18, or
- Through high school graduation if the child turns 18 during the senior year (but not beyond age 19)
- ☐ Child is emancipated
- ☐ Child marries
- ☐ Child enters active military duty
- ☐ Other terminating event: [________________________________]
Modification:
☐ This is a modification of a prior order dated [__/__/____]
☐ Existing order amount: $ [____________] per month
☐ Recalculated amount: $ [____________] per month
☐ Change exceeds 20%: ☐ Yes ☐ No
10. State-Specific Notes
-
Income Shares Model: Arkansas uses the Income Shares Model under Administrative Order No. 10, combining both parents' gross monthly incomes and applying the Family Support Chart to determine obligations.
-
Gross Income Basis: Arkansas bases calculations on gross income — before taxes, retirement, or insurance deductions — rather than net income.
-
Imputation of Income: Courts may impute full-time income at minimum wage or higher if a parent is voluntarily unemployed or underemployed. The court considers the parent's education, skills, and work history.
-
Family Support Chart: The chart covers a range of combined monthly gross incomes and provides the basic obligation for one through six children.
-
Extraordinary Medical Threshold: Extraordinary medical expenses exceeding $250 per child per year that are not covered by insurance are shared proportionally between parents.
-
Administrative Review: The Arkansas child support guidelines are reviewed every four years as required by federal law.
11. Sources and References
- Administrative Order No. 10 — Arkansas Child Support Guidelines
- Ark. Code Ann. § 9-14-106
- Arkansas Child Support Guidelines — FindLaw
- Review of Arkansas Child Support Guidelines
CERTIFICATION
I declare under penalty of perjury that the information provided in this worksheet is true and correct to the best of my knowledge.
Parent A Signature: [________________________________] Date: [__/__/____]
Parent B Signature: [________________________________] Date: [__/__/____]
Attorney for Parent A: [________________________________] Bar #: [____________]
Attorney for Parent B: [________________________________] Bar #: [____________]
About This Template
Family law covers the paperwork that shapes divorce, custody, child support, adoption, guardianship, and other family matters. These filings are emotional and high-stakes, and they also have to meet strict procedural rules for service, financial disclosure, and parenting plans. Clean, accurate paperwork keeps the focus on getting a workable outcome for the family instead of getting derailed by technical problems that delay hearings or force amended filings.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Last updated: May 2026