Templates Family Law Child Support Calculation Worksheet

Child Support Calculation Worksheet

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

Nebraska requires the use of the official Worksheet 1 (DC 6:1.1) — Basic Net Income and
Support Calculation — and related worksheets 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 worksheets before filing.
The official forms are available at https://nebraskajudicial.gov/self-help/families-children/child-support.
Do not file this document directly with the court.

CHILD SUPPORT CALCULATION WORKSHEET

State of Nebraska — Income Shares Model

Court: [________________________________]
County: [________________________________]
Case Number: [________________________________]
Judge: [________________________________]


TABLE OF CONTENTS

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

1. PARTY AND CHILDREN INFORMATION

Parent A (Petitioner):
Name: [________________________________]
Address: [________________________________]
Employer: [________________________________]

Parent B (Respondent):
Name: [________________________________]
Address: [________________________________]
Employer: [________________________________]

Children Subject to This Order:

# Full Legal Name Date of Birth Age Resides Primarily With
1 [________________] [__/__/____] [____] ☐ Parent A ☐ Parent B
2 [________________] [__/__/____] [____] ☐ Parent A ☐ Parent B
3 [________________] [__/__/____] [____] ☐ Parent A ☐ Parent B
4 [________________] [__/__/____] [____] ☐ Parent A ☐ Parent B

Parenting Arrangement:
☐ Primary physical custody — Parent A
☐ Primary physical custody — Parent B
☐ Joint physical custody
☐ Split custody (each parent has primary custody of at least one child)


2. GROSS INCOME DETERMINATION

Income Source Parent A (Monthly) Parent B (Monthly)
Salary/Wages $[________] $[________]
Overtime $[________] $[________]
Commissions/Bonuses $[________] $[________]
Self-Employment (net) $[________] $[________]
Rental Income $[________] $[________]
Dividends/Interest/Capital Gains $[________] $[________]
Pension/Retirement $[________] $[________]
Social Security Benefits $[________] $[________]
Workers' Compensation $[________] $[________]
Unemployment Benefits $[________] $[________]
Spousal Support Received $[________] $[________]
Trust/Estate Income $[________] $[________]
Other: [____________] $[________] $[________]
TOTAL MONTHLY GROSS INCOME $[________] $[________]

☐ Income imputed to Parent A — Basis: [________________________________]
☐ Income imputed to Parent B — Basis: [________________________________]


3. ADJUSTED MONTHLY INCOME

Deduction Parent A (Monthly) Parent B (Monthly)
Federal income tax $[________] $[________]
State income tax $[________] $[________]
FICA (Social Security and Medicare) $[________] $[________]
Mandatory retirement contributions $[________] $[________]
Prior-born child support obligations $[________] $[________]
Spousal support paid $[________] $[________]
TOTAL DEDUCTIONS $[________] $[________]
ADJUSTED MONTHLY INCOME $[________] $[________]

4. COMBINED INCOME AND PROPORTIONATE SHARES

Combined Adjusted Monthly Income: $[________]

Parent A Parent B
Adjusted Monthly Income $[________] $[________]
Percentage Share of Combined Income [____]% [____]%

5. BASIC CHILD SUPPORT OBLIGATION

Number of children subject to this order: [____]

Basic Child Support Obligation (from Guidelines Table): $[________] per month

Parent A Parent B
Pro Rata Share of Basic Support $[________] $[________]

6. ADDITIONAL EXPENSES

Additional Expense Monthly Amount Parent A Share Parent B Share
Health insurance premiums for child(ren) $[________] $[________] $[________]
Unreimbursed medical/dental expenses $[________] $[________] $[________]
Work-related child care costs $[________] $[________] $[________]
Extraordinary expenses $[________] $[________] $[________]
TOTAL ADDITIONS $[________] $[________] $[________]

7. TOTAL CHILD SUPPORT OBLIGATION

Calculation Component Parent A Parent B
Pro rata share of basic obligation $[________] $[________]
Plus: share of additional expenses $[________] $[________]
TOTAL MONTHLY OBLIGATION $[________] $[________]
Less: direct payments made ($[________]) ($[________])
NET MONTHLY CHILD SUPPORT OWED $[________] $[________]

Obligor (parent who pays): ☐ Parent A ☐ Parent B
Monthly child support payment amount: $[________]


8. DEVIATIONS FROM GUIDELINES

☐ No deviation requested
☐ Deviation requested — Basis:

☐ Extraordinary medical expenses of the child
☐ Special educational needs
☐ The earning capacity of each parent
☐ The financial resources of the child
☐ The standard of living the child would have enjoyed
☐ The physical and emotional condition of the child
☐ The parenting time arrangement
☐ Other: [________________________________]

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


9. DURATION AND TERMINATION

Child support shall continue for each child until:
☐ The child reaches age 19 (Nebraska age of majority)
☐ The child is emancipated
☐ The child marries
☐ Other: [________________________________]


10. NEBRASKA-SPECIFIC NOTES

  • Income Shares Model: Nebraska uses the Income Shares Model under the Supreme Court Child Support Guidelines (Ch. 4, Art. 2).
  • 2025 Amendment: The Nebraska Child Support Guidelines were amended January 29, 2025, with updated tables and provisions.
  • Age 19 Majority: Nebraska sets the age of majority at 19, meaning child support typically continues one year longer than in most states.
  • Rebuttable Presumption: The guidelines amount is a rebuttable presumption of the correct amount of support (§ 42-364.16).
  • Modification: Either party may seek modification upon a material change in circumstances that is ongoing and affects the child's well-being.
  • Income Withholding: All child support orders include an automatic income withholding provision.

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.

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

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


SOURCES AND REFERENCES

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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: April 2026