Child Support Calculation Worksheet

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

Minnesota requires the use of the official Child Support Guidelines Calculator and Worksheet
maintained by the Department of Human Services 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 calculator and worksheet are available at https://childsupportcalculator.dhs.state.mn.us/.
Do not file this document directly with the court.

CHILD SUPPORT CALCULATION WORKSHEET

State of Minnesota — Income Shares Model

Court: [________________________________]
County: [________________________________]
Court File Number: [________________________________]
Judge/Child Support Magistrate: [________________________________]

TABLE OF CONTENTS

1. Party and Children Information
2. Gross Income Determination
3. Parental Income for Child Support (PICS)
4. Combined PICS and Proportionate Shares
5. Basic Support Obligation
6. Parenting Expense Adjustment
7. Additional Support Components
8. Total Child Support Obligation
9. Deviations from Guidelines
10. Duration and Termination
11. Minnesota-Specific Notes

1. PARTY AND CHILDREN INFORMATION

Obligee (Custodial Parent):
Name: [________________________________]
Address: [________________________________]
Employer: [________________________________]

Obligor (Non-Custodial Parent):
Name: [________________________________]
Address: [________________________________]
Employer: [________________________________]

Children Subject to This Order:

Parenting Time Category (§ 518A.36):
☐ Less than 10% of parenting time (no parenting expense adjustment)
☐ 10% to 45% of parenting time (moderate adjustment)
☐ 45.1% or more (~146+ overnights — full parenting expense adjustment)

2. GROSS INCOME DETERMINATION

☐ Income imputed to Obligee — Basis: [________________________________]
☐ Income imputed to Obligor — Basis: [________________________________]

3. PARENTAL INCOME FOR CHILD SUPPORT (PICS)

4. COMBINED PICS AND PROPORTIONATE SHARES

Combined Monthly PICS: $[________]

5. BASIC SUPPORT OBLIGATION

Number of children subject to this order: [____]

Basic Support Obligation (from Guidelines Table, § 518A.35): $[________] per month

6. PARENTING EXPENSE ADJUSTMENT

Obligor's Parenting Time Percentage: [____]%

Adjusted basic support obligation for Obligor: $[________] per month

7. ADDITIONAL SUPPORT COMPONENTS

8. TOTAL CHILD SUPPORT OBLIGATION

Monthly child support order: $[________]
Monthly medical support order: $[________]
Monthly childcare support order: $[________]

9. DEVIATIONS FROM GUIDELINES

☐ No deviation requested
☐ Deviation requested — Basis:

☐ All earnings, income, and resources of the parents
☐ The extraordinary financial needs of the child or parent
☐ The standard of living the child would have enjoyed
☐ A child's special medical, educational, or psychological needs
☐ The financial resources, needs, and obligations of both parents
☐ Debts determined as jointly incurred during the marriage
☐ Whether a parent has the ability to increase earnings
☐ Other: [________________________________]

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

10. DURATION AND TERMINATION

Child support shall continue for each child until:
☐ The child reaches age 18
☐ The child reaches age 20 while attending secondary school full-time
☐ The child is emancipated or married
☐ Other: [________________________________]

11. MINNESOTA-SPECIFIC NOTES

• Income Shares Model: Minnesota uses the Income Shares Model under Minn. Stat. § 518A.35, combining both parents' PICS to determine the basic obligation.
• Three-Component System: Minnesota separates child support into three components: basic support, medical support, and childcare support.
• Income Cap: The guidelines table applies to combined PICS up to $20,000 per month.
• Parenting Time Tiers: Less than 10% (no adjustment), 10-45% (moderate adjustment), 45.1%+ (full parenting expense adjustment).
• Wage Garnishment: Under Minn. Stat. § 518A.53, refined rules govern how much of a parent's earnings can be garnished for child support enforcement.
• Modification: Either party may seek modification upon a substantial change in circumstances or if the existing order differs by at least 20% and $75 from the guidelines amount.

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.

Obligee:
Signature: [________________________________]
Printed Name: [________________________________]
Date: [__/__/____]

Obligor:
Signature: [________________________________]
Printed Name: [________________________________]
Date: [__/__/____]

SOURCES AND REFERENCES

• Minn. Stat. Ch. 518A — Child Support
• Minn. Stat. § 518A.35 — Basic Support Guidelines
• Minn. Stat. § 518A.36 — Parenting Expense Adjustment
• Minn. Stat. § 518A.34 — Computation of Obligations