CHILD SUPPORT CALCULATION WORKSHEET
State of Arizona — Income Shares Model
Table of Contents
- Case Information
- Children Subject to This Order
- Gross Income Determination
- Adjusted Child Support Income
- Basic Child Support Obligation
- Adjustments for Additional Expenses
- Parenting Time Adjustment
- 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 | [________________________________] |
| 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
-
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.
-
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.
-
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.
-
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.
-
Four-Year Review Cycle: Arizona law requires the child support guidelines to be reviewed every four years by the Supreme Court.
-
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
- A.R.S. § 25-320 — Child Support Guidelines
- Arizona Child Support Guidelines (Supreme Court)
- Arizona Child Support Guidelines — FindLaw
- Maricopa County 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 #: [____________]
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