Child Support Calculation Worksheet
IMPORTANT: THIS IS A PREPARATION GUIDE — NOT THE OFFICIAL COURT WORKSHEET
The District of Columbia requires the use of official Worksheet A (Sole Physical Custody) or Worksheet B (Shared Physical Custody) under D.C. Code § 16-916.01 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 guideline calculator is available at https://csgc.oag.dc.gov/.
Do not file this document directly with the court.
CHILD SUPPORT CALCULATION WORKSHEET
District of Columbia — Income Shares Model (D.C. Code § 16-916.01)
Table of Contents
- Case Information
- Children Subject to This Order
- Gross Income Determination
- Adjusted Gross Income
- Basic Child Support Obligation
- Additional Expenses and Adjustments
- Parenting Time Adjustment
- Total Child Support Obligation
- Deviation Factors
- Duration and Modification
- State-Specific Notes
- Sources and References
1. Case Information
| Field | Details |
|---|---|
| Court | D.C. Superior Court, Family Division |
| Case Number | [________________________________] |
| Parent A (Residential) | [________________________________] |
| Parent B (Nonresidential) | [________________________________] |
| 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 (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
| Source | Amount |
|---|---|
| Salary / Wages | $ [________________________________] |
| Commissions / Bonuses | $ [________________________________] |
| Self-Employment Income | $ [________________________________] |
| Overtime | $ [________________________________] |
| Dividends / Interest | $ [________________________________] |
| Rental Income (net) | $ [________________________________] |
| Pension / Retirement | $ [________________________________] |
| Social Security Benefits | $ [________________________________] |
| Workers' Compensation | $ [________________________________] |
| Unemployment Benefits | $ [________________________________] |
| Disability Benefits | $ [________________________________] |
| Trust Income | $ [________________________________] |
| Alimony Received | $ [________________________________] |
| 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 (net) | $ [________________________________] |
| Pension / Retirement | $ [________________________________] |
| Social Security Benefits | $ [________________________________] |
| Workers' Compensation | $ [________________________________] |
| Unemployment Benefits | $ [________________________________] |
| Disability Benefits | $ [________________________________] |
| Trust Income | $ [________________________________] |
| Alimony Received | $ [________________________________] |
| Other Income | $ [________________________________] |
| Total Monthly Gross Income — Parent B | $ [________________________________] |
4. Adjusted Gross Income
| Deduction | Parent A | Parent B |
|---|---|---|
| Pre-existing child support orders (other children) | $ [____________] | $ [____________] |
| Court-ordered alimony/maintenance paid | $ [____________] | $ [____________] |
| Health insurance premium (parent only) | $ [____________] | $ [____________] |
| 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 Schedule) | $ [________________________________] |
| Parent A's Proportionate Share ([____]%) | $ [________________________________] |
| Parent B's Proportionate Share ([____]%) | $ [________________________________] |
6. Additional Expenses and Adjustments
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 Expenses
| Item | Amount |
|---|---|
| Unreimbursed medical/dental expenses | $ [________________________________] |
| Special education or tutoring | $ [________________________________] |
| Travel expenses for visitation | $ [________________________________] |
| Other extraordinary expenses | $ [________________________________] |
| Total Extraordinary Expenses | $ [________________________________] |
7. Parenting Time Adjustment
☐ Parenting time adjustment applies (nonresidential parent has 128+ overnights)
☐ Parenting time adjustment does not apply
| Item | Amount |
|---|---|
| Nonresidential parent's overnights per year | [____] |
| Shared custody adjustment factor | [____] |
| Adjusted child support 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: Residential Parent Direct Expenditures | ($ [____________]) | — |
| Net 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
-
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.
-
Age 21 Obligation: D.C. child support continues until the child reaches age 21, which is significantly longer than most jurisdictions.
-
Shared Custody Threshold: The shared custody adjustment applies when the nonresidential parent exercises 128 or more overnights per year (approximately 35% of the year).
-
D.C. OAG Calculator: The D.C. Office of the Attorney General provides an online Child Support Guideline Calculator for preliminary calculations.
-
Imputation of Income: Courts may impute income to a voluntarily unemployed or underemployed parent based on education, training, work history, and available job opportunities.
-
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 #: [____________]
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