Child Support Calculation Worksheet

IMPORTANT: THIS IS A PREPARATION GUIDE — NOT THE OFFICIAL COURT WORKSHEET

Maine requires the use of official form FM-040 (Child Support 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.courts.maine.gov/courts/family/divorce-separation/child-support.html.
Do not file this document directly with the court.

CHILD SUPPORT CALCULATION WORKSHEET

State of Maine — Income Shares Model

Court: [________________________________]
County: [________________________________]
Docket Number: [________________________________]
Justice/Judge: [________________________________]

TABLE OF CONTENTS

1. Party and Children Information
2. Gross Income Determination
3. Adjusted Gross Income and Deductions
4. Combined Income and Pro Rata Shares
5. Basic Support Entitlement
6. Additional Expenses
7. Total Child Support Obligation
8. Deviations from Guidelines
9. Duration and Termination
10. Maine-Specific Notes

1. PARTY AND CHILDREN INFORMATION

Primary Residential Parent:
Name: [________________________________]
Address: [________________________________]
Employer: [________________________________]

Other Parent:
Name: [________________________________]
Address: [________________________________]
Employer: [________________________________]

Children Subject to This Order:

Parenting Arrangement:
☐ Primary residence with one parent
☐ Shared parenting (each parent has child at least 30% of overnights)
☐ Split arrangement (each parent has primary residence of at least one child)

2. GROSS INCOME DETERMINATION

☐ Income imputed to Primary Parent — Basis: [________________________________]
☐ Income imputed to Other Parent — Basis: [________________________________]

3. ADJUSTED GROSS INCOME AND DEDUCTIONS

4. COMBINED INCOME AND PRO RATA SHARES

Combined Adjusted Gross Income: $[________]

5. BASIC SUPPORT ENTITLEMENT

Number of children subject to this order: [____]

Basic Support Entitlement (from Table): $[________] per year

6. ADDITIONAL EXPENSES

7. TOTAL CHILD SUPPORT OBLIGATION

Weekly child support payment: $[________]
Obligor (parent who pays): ☐ Primary Parent ☐ Other Parent

8. DEVIATIONS FROM GUIDELINES

☐ No deviation requested
☐ Deviation requested — Basis:

☐ Extraordinary medical expenses of a party or child
☐ Extraordinary educational expenses
☐ Special needs of the child
☐ Shared or split parenting arrangements
☐ The financial resources of the child
☐ Tax consequences
☐ The economic circumstances of each parent
☐ Other: [________________________________]

Requested adjustment: $[________] per year (☐ increase / ☐ decrease)
Justification: [________________________________]

9. DURATION AND TERMINATION

Child support shall continue for each child until:
☐ The child reaches age 18
☐ The child reaches age 19 while attending secondary school full-time
☐ The child is emancipated
☐ Other: [________________________________]

10. MAINE-SPECIFIC NOTES

• Income Shares Model: Maine uses the Income Shares Model, considering both parents' adjusted gross incomes to determine the total support obligation (19-A M.R.S. § 2006).
• Means-Tested Benefits Excluded: Means-tested public assistance (TANF, SSI, SNAP, general assistance) is excluded from gross income (19-A M.R.S. § 2001(5)).
• Enhanced Support Obligation: Maine provides for an enhanced support entitlement in certain circumstances, calculated separately from the basic support and not including child care, medical expenses, or health insurance (19-A M.R.S. § 2001(12-A)).
• Shared Parenting Adjustment: When both parents have the child at least 30% of overnights, the calculation may be adjusted to reflect shared parenting costs.
• Modification: Either party may seek modification upon a showing of substantial change in circumstances.
• Interest: Overdue child support accrues interest at the rate established by the State Treasurer.

VERIFICATION

I declare under penalty of perjury that the information provided in this worksheet is true, correct, and complete to the best of my knowledge.

Primary Parent:
Signature: [________________________________]
Printed Name: [________________________________]
Date: [__/__/____]

Other Parent:
Signature: [________________________________]
Printed Name: [________________________________]
Date: [__/__/____]

SOURCES AND REFERENCES

• 19-A M.R.S. Chapter 63 — Child Support Guidelines
• 19-A M.R.S. § 2006 — Support Guidelines
• 19-A M.R.S. § 2011 — Child Support Table
• Pine Tree Legal Assistance — Calculating Child Support in Maine