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CHILD SUPPORT CALCULATION WORKSHEET

State of Arizona — Income Shares Model


Table of Contents

  1. Case Information
  2. Children Subject to This Order
  3. Gross Income Determination
  4. Adjusted Child Support Income
  5. Basic Child Support Obligation
  6. Adjustments for Additional Expenses
  7. Parenting Time Adjustment
  8. Total Child Support Obligation
  9. Deviation Factors
  10. Duration and Modification
  11. State-Specific Notes
  12. Sources and References

1. Case Information

Field Details
Court [________________________________]
Case Number [________________________________]
Parent A [________________________________]
Parent B [________________________________]
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 / Parenting Time Arrangement:
☐ One parent has majority of parenting time
☐ Equal or near-equal parenting time
☐ Split custody (each parent has primary custody of at least one child)

Parenting Time Days Per Year:
- Parent A: [____] days
- Parent B: [____] days


3. Gross Income Determination

Parent A — Monthly Gross Income

Source Amount
Salary / Wages $ [________________________________]
Commissions / Bonuses $ [________________________________]
Self-Employment Income (gross receipts minus ordinary expenses) $ [________________________________]
Overtime (recurring) $ [________________________________]
Dividends / Interest $ [________________________________]
Rental Income (net) $ [________________________________]
Pension / Retirement $ [________________________________]
Social Security Benefits $ [________________________________]
Workers' Compensation $ [________________________________]
Unemployment Benefits $ [________________________________]
Disability Benefits $ [________________________________]
Trust Income $ [________________________________]
Spousal Maintenance Received $ [________________________________]
Other Income $ [________________________________]
Total Monthly Gross Income — Parent A $ [________________________________]

Parent B — Monthly Gross Income

Source Amount
Salary / Wages $ [________________________________]
Commissions / Bonuses $ [________________________________]
Self-Employment Income (gross receipts minus ordinary expenses) $ [________________________________]
Overtime (recurring) $ [________________________________]
Dividends / Interest $ [________________________________]
Rental Income (net) $ [________________________________]
Pension / Retirement $ [________________________________]
Social Security Benefits $ [________________________________]
Workers' Compensation $ [________________________________]
Unemployment Benefits $ [________________________________]
Disability Benefits $ [________________________________]
Trust Income $ [________________________________]
Spousal Maintenance Received $ [________________________________]
Other Income $ [________________________________]
Total Monthly Gross Income — Parent B $ [________________________________]

4. Adjusted Child Support Income

Deduction Parent A Parent B
Court-ordered spousal maintenance paid to prior spouse $ [____________] $ [____________]
Court-ordered child support for other children $ [____________] $ [____________]
Parent-only health/dental insurance premium $ [____________] $ [____________]
Total Deductions $ [____________] $ [____________]
Adjusted Child Support Income $ [____________] $ [____________]

Combined Adjusted Child Support Income: $ [________________________________]

Percentage of Combined Income:
- Parent A: [____] %
- Parent B: [____] %


5. Basic Child Support Obligation

Item Amount
Combined Adjusted Child Support Income $ [________________________________]
Number of Children [____]
Basic Child Support Obligation (from Schedule) $ [________________________________]
Parent A's Proportionate Share ([____]%) $ [________________________________]
Parent B's Proportionate Share ([____]%) $ [________________________________]

6. Adjustments for Additional Expenses

Health Insurance

Item Parent A Parent B
Children's health insurance premium $ [____________] $ [____________]
Children's dental/vision insurance premium $ [____________] $ [____________]
Total Insurance Costs $ [____________] $ [____________]

Childcare Costs

Item Amount
Monthly employment-related childcare costs $ [________________________________]
Less: Federal/state childcare tax credit ($ [________________________________])
Net Childcare Costs $ [________________________________]
Parent A's proportionate share ([____]%) $ [________________________________]
Parent B's proportionate share ([____]%) $ [________________________________]

Extraordinary Expenses

Item Amount
Education expenses $ [________________________________]
Extraordinary medical/dental expenses $ [________________________________]
Gifted/special needs expenses $ [________________________________]
Other court-approved extraordinary expenses $ [________________________________]
Total Extraordinary Expenses $ [________________________________]

7. Parenting Time Adjustment

☐ Parenting time adjustment applies (non-majority parent has 71+ days)
☐ Parenting time adjustment does not apply

Item Amount
Non-majority parent's parenting days [____]
Adjustment factor (from Guidelines § 11) [____]
Parenting time adjustment amount $ [________________________________]

8. Total Child Support Obligation

Component Parent A Parent B
Share of Basic Obligation $ [____________] $ [____________]
Health Insurance Adjustment $ [____________] $ [____________]
Childcare Share $ [____________] $ [____________]
Extraordinary Expenses Share $ [____________] $ [____________]
Parenting Time Adjustment $ [____________] $ [____________]
Total Obligation $ [____________] $ [____________]
Less: Direct Expenditures Credit ($ [____________]) ($ [____________])
Net Child Support Owed $ [____________] $ [____________]

Monthly Child Support Payment: $ [________________________________]
Parent Obligated to Pay: ☐ Parent A ☐ Parent B


9. Deviation Factors

☐ No deviation requested

☐ Deviation requested based on:

☐ Extraordinary educational expenses
☐ Child's significant independent income
☐ Significant disparity in parents' income
☐ Costs of transportation for parenting time
☐ Seasonal or fluctuating income
☐ Financial hardship of either parent
☐ Non-recurring income
☐ Best interests of the child require deviation
☐ Other: [________________________________]

Proposed deviation amount: $ [________________________________]

Justification:
[________________________________]
[________________________________]


10. Duration and Modification

Duration of Support:
- Support continues until the child reaches age 18, or
- Age 19 if the child is still attending high school or an equivalency program
- ☐ 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
☐ Difference exceeds 15%: ☐ Yes ☐ No


11. State-Specific Notes

  1. Income Shares Model: Arizona uses an Income Shares Model that considers both parents' incomes and allocates the child support obligation proportionally based on each parent's share of the combined income.

  2. Minimum Wage Imputation: Courts presume each parent capable of earning at least minimum wage. In 2026, Arizona minimum wage is $15.15/hour in most counties; $18.35/hour in Flagstaff; $15.45/hour in Tucson.

  3. Parenting Time Adjustment: A parenting time adjustment applies when the parent with fewer days has 71 or more parenting days per year, recognizing the duplicated costs of maintaining two households.

  4. Self-Employment: Self-employment income is calculated as gross receipts minus ordinary and necessary business expenses. Depreciation and other non-cash deductions are generally added back.

  5. Four-Year Review Cycle: Arizona law requires the child support guidelines to be reviewed every four years by the Supreme Court.

  6. No Automatic COLA: Arizona child support orders do not include automatic cost-of-living adjustments. A modification petition must be filed.


12. Sources and References


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 #: [____________]

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CHILD SUPPORT CALCULATION WORKSHEET

STATE OF ARIZONA


Effective Date: [DATE]
Party A: [PARTY A NAME]
Address: [PARTY A ADDRESS]
Party B: [PARTY B NAME]
Address: [PARTY B ADDRESS]
Governing Law: [GOVERNING STATE]

This document is entered into by and between [PARTY A NAME] and [PARTY B NAME], effective as of the date set forth above, subject to the terms and conditions outlined herein and the laws of [GOVERNING STATE].
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