CHILD SUPPORT CALCULATION WORKSHEET

District of Columbia — Income Shares Model (D.C. Code § 16-916.01)

Table of Contents

1. Case Information
2. Children Subject to This Order
3. Gross Income Determination
4. Adjusted Gross Income
5. Basic Child Support Obligation
6. Additional Expenses and Adjustments
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

2. Children Subject to This Order

Total Number of Children: [____]

Custody Arrangement:
☐ Sole Physical Custody (nonresidential parent has fewer than 128 overnights/year)
☐ Shared Physical Custody (each parent has 128+ overnights/year)
☐ Split Custody (each parent has primary custody of at least one child)

Overnights Per Year:
- Parent A: [____] overnights
- Parent B: [____] overnights

3. Gross Income Determination

Parent A — Monthly Gross Income

Parent B — Monthly Gross Income

4. Adjusted Gross Income

Combined Adjusted Gross Income: $ [________________________________]

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

5. Basic Child Support Obligation

6. Additional Expenses and Adjustments

Health Insurance

Childcare Costs

Extraordinary Expenses

7. Parenting Time Adjustment

☐ Parenting time adjustment applies (nonresidential parent has 128+ overnights)
☐ Parenting time adjustment does not apply

8. Total Child Support Obligation

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

9. Deviation Factors

☐ No deviation requested

☐ Deviation requested based on:

☐ Needs of the child
☐ Extraordinary educational expenses
☐ Extraordinary medical expenses
☐ Age of the child (older children may have greater costs)
☐ Financial resources of each parent
☐ Standard of living the child would have enjoyed
☐ Income of the child
☐ Tax consequences
☐ Travel costs for visitation
☐ Other: [________________________________]

Proposed deviation amount: $ [________________________________]

Justification:
[________________________________]
[________________________________]

10. Duration and Modification

Duration of Support:
- Support continues until the child reaches age 21 (D.C. Code § 16-916(c))
- ☐ 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
☐ Material change in circumstances: ☐ Yes ☐ No

11. State-Specific Notes

1. Income Shares Model: The District of Columbia uses the Income Shares Model that considers both parents' incomes to estimate what would have been spent on children in an intact household.

2. Age 21 Obligation: D.C. child support continues until the child reaches age 21, which is significantly longer than most jurisdictions.

3. Shared Custody Threshold: The shared custody adjustment applies when the nonresidential parent exercises 128 or more overnights per year (approximately 35% of the year).

4. D.C. OAG Calculator: The D.C. Office of the Attorney General provides an online Child Support Guideline Calculator for preliminary calculations.

5. Imputation of Income: Courts may impute income to a voluntarily unemployed or underemployed parent based on education, training, work history, and available job opportunities.

6. Federal Employment: D.C. has a high proportion of federal employees; government salary and benefits (including locality pay) are included in gross income.

12. Sources and References

• D.C. Code § 16-916.01 — Child Support Guideline
• D.C. Child Support Guideline Calculator
• D.C. OAG — Establishing Child Support
• D.C. Child Support Guidelines — FindLaw

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 #: [____________]