IMPORTANT: THIS IS A PREPARATION GUIDE — NOT THE OFFICIAL COURT WORKSHEET
Florida requires the use of official form 12.902(e) (Child Support Guidelines Worksheet) 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 form is available at https://www.flcourts.gov/Services/Family-Courts/domestic-relations-court-resources/family-law-forms/Additional-Supporting-Documents-12.902-Forms-B-J/Child-Support-Guidelines-Worksheet.
Do not file this document directly with the court.
CHILD SUPPORT CALCULATION WORKSHEET
State of Florida -- Income Shares Model
Fla. Stat. S 61.30
Table of Contents
- Case Information
- Identification of Children
- Gross Income Determination
- Allowable Deductions
- Net Monthly Income
- Basic Support Obligation
- Additional Expenses
- Substantial Time-Sharing Adjustment
- Deviation Factors
- Duration and Modification
- Certification and Signatures
- Sources and References
1. Case Information
| Field | Entry |
|---|---|
| Court Name | [________________________________] |
| Case Number | [________________________________] |
| Petitioner (Parent 1) | [________________________________] |
| Respondent (Parent 2) | [________________________________] |
| Date of Worksheet | [__/__/____] |
| Prepared By | [________________________________] |
2. Identification of Children
| # | Full Legal Name | Date of Birth | Age |
|---|---|---|---|
| 1 | [________________________________] | [__/__/____] | [____] |
| 2 | [________________________________] | [__/__/____] | [____] |
| 3 | [________________________________] | [__/__/____] | [____] |
| 4 | [________________________________] | [__/__/____] | [____] |
Total Number of Children Subject to This Order: [____]
3. Gross Income Determination
3A. Monthly Gross Income
| Income Source | Parent 1 ($) | Parent 2 ($) |
|---|---|---|
| Salary / Wages | [________] | [________] |
| Bonuses / Commissions | [________] | [________] |
| Business Income / Self-Employment | [________] | [________] |
| Disability Benefits | [________] | [________] |
| Workers' Compensation | [________] | [________] |
| Unemployment Compensation | [________] | [________] |
| Pension / Retirement | [________] | [________] |
| Social Security Benefits | [________] | [________] |
| Spousal Support Received | [________] | [________] |
| Interest / Dividends | [________] | [________] |
| Rental Income | [________] | [________] |
| Trust Income | [________] | [________] |
| Reimbursed Expenses Reducing Living Costs | [________] | [________] |
| Other: [________________] | [________] | [________] |
| TOTAL MONTHLY GROSS INCOME | $[________] | $[________] |
3B. Imputed Income (If Applicable)
☐ Parent 1 voluntarily unemployed/underemployed -- Imputed income: $[________]/month
☐ Parent 2 voluntarily unemployed/underemployed -- Imputed income: $[________]/month
4. Allowable Deductions
| Deduction | Parent 1 ($) | Parent 2 ($) |
|---|---|---|
| Federal Income Tax (actual or estimated) | [________] | [________] |
| State Income Tax | [________] | [________] |
| Local Income Tax | [________] | [________] |
| FICA / Self-Employment Tax | [________] | [________] |
| Mandatory Union Dues | [________] | [________] |
| Mandatory Retirement Payments | [________] | [________] |
| Health Insurance Premiums (parent only, excluding child coverage) | [________] | [________] |
| Court-Ordered Support for Other Children Actually Paid | [________] | [________] |
| Spousal Support Actually Paid | [________] | [________] |
| TOTAL DEDUCTIONS | $[________] | $[________] |
5. Net Monthly Income
| Calculation | Parent 1 ($) | Parent 2 ($) |
|---|---|---|
| Total Monthly Gross Income (from 3A) | [________] | [________] |
| Less: Total Deductions (from Section 4) | ([________]) | ([________]) |
| NET MONTHLY INCOME | $[________] | $[________] |
Combined Net Monthly Income: $[________]
Parent 1's Percentage of Combined Income: [________]%
Parent 2's Percentage of Combined Income: [________]%
6. Basic Support Obligation
| Item | Amount ($) |
|---|---|
| Combined Net Monthly Income | [________] |
| Number of Children | [____] |
| Basic Support Obligation (from Schedule) | $[________] |
| Parent 1's Share ([________]%) | $[________] |
| Parent 2's Share ([________]%) | $[________] |
7. Additional Expenses
| Expense | Monthly Cost ($) | Parent 1 Share ($) | Parent 2 Share ($) |
|---|---|---|---|
| Health/Dental Insurance Premiums for Child(ren) | [________] | [________] | [________] |
| Noncovered Medical/Dental/Prescription Expenses | [________] | [________] | [________] |
| Work-Related Childcare Expenses | [________] | [________] | [________] |
| TOTAL ADDITIONAL EXPENSES | $[________] | $[________] | $[________] |
Total Support Obligation (Basic + Additional):
| Parent 1 ($) | Parent 2 ($) | |
|---|---|---|
| Basic Support Share | [________] | [________] |
| Additional Expense Share | [________] | [________] |
| TOTAL OBLIGATION | $[________] | $[________] |
8. Substantial Time-Sharing Adjustment
☐ Not applicable -- noncustodial parent has fewer than 73 overnights/year
☐ Applicable -- Substantial time-sharing adjustment:
| Parent | Number of Overnights | Percentage of Overnights |
|---|---|---|
| Parent 1 | [________] | [________]% |
| Parent 2 | [________] | [________]% |
Adjusted Monthly Child Support Amount After Time-Sharing: $[________]
9. Deviation Factors
☐ No deviation requested
☐ Deviation of 5% or less (within judicial variance)
☐ Deviation exceeding 5% -- Check all applicable factors:
- ☐ Extraordinary medical, psychological, educational, or dental expenses
- ☐ Independent income of the child (excluding SSI)
- ☐ Payment of support for a parent with demonstrated need
- ☐ Seasonal variations in income or expenses
- ☐ Age of the child (greater needs of older children)
- ☐ Special needs or disabilities traditionally met within family budget
- ☐ Total available assets of the obligee, obligor, and child
- ☐ Impact of IRS tax credits and dependency exemptions
- ☐ Guideline amount would require more than 55% of obligor's gross income
- ☐ Parenting plan / time-sharing schedule
- ☐ Other adjustment needed to achieve an equitable result: [________________________________]
Requested deviation amount: $[________]/month
Justification: [________________________________]
10. Duration and Modification
Support Commencement Date: [__/__/____]
Termination Events:
- ☐ Child reaches age 18
- ☐ Child becomes emancipated
- ☐ Child marries
- ☐ Child joins the military
- ☐ Child dies
- ☐ Other: [________________________________]
Total Monthly Child Support Amount: $[________]
Payable by: ☐ Parent 1 ☐ Parent 2
Payment Method: ☐ Income Deduction Order ☐ Florida State Disbursement Unit ☐ Direct Payment
11. Certification and Signatures
I certify under penalty of perjury that the information contained in this worksheet is true and correct to the best of my knowledge and belief.
Parent 1:
Signature: [________________________________]
Printed Name: [________________________________]
Date: [__/__/____]
Parent 2:
Signature: [________________________________]
Printed Name: [________________________________]
Date: [__/__/____]
Attorney for Parent 1 (if applicable):
Signature: [________________________________]
Bar Number: [________________________________]
Date: [__/__/____]
Attorney for Parent 2 (if applicable):
Signature: [________________________________]
Bar Number: [________________________________]
Date: [__/__/____]
12. Sources and References
- Fla. Stat. S 61.30 (Child Support Guidelines; Obligation)
- Fla. Stat. S 61.13(1)(b) (Support of Children)
- Fla. Stat. S 409.2554 (Public Assistance Definition)
- Florida Family Law Rules of Procedure, Rule 12.902(e) (Child Support Guidelines Worksheet)
- Florida Department of Revenue, Child Support Program: https://floridarevenue.com/childsupport
Florida law provides a statutory cap preventing a single support order from exceeding 55% of the obligor's gross income. A +/- 5% judicial variance is permitted without specific findings. Incarceration cannot be treated as voluntary unemployment for purposes of imputing income.
About This Template
Jurisdiction-Specific
This template is drafted specifically for Florida, incorporating applicable state statutes, local court rules, and jurisdiction-specific compliance requirements.
How It's Made
Drafted using current statutory databases and legal standards for family law. Each template includes proper legal citations, defined terms, and standard protective clauses.
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: April 2026