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

New York requires the use of official form UD-8(3) (Child Support Worksheet) and the LDSS-4515 (Child Support Standards Chart) 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 forms are available at https://ww2.nycourts.gov/divorce/childsupport/index.shtml.
Do not file this document directly with the court.

CHILD SUPPORT CALCULATION WORKSHEET

State of New York -- Child Support Standards Act (CSSA)

N.Y. Dom. Rel. Law S 240(1-b)

Table of Contents

1. Case Information
2. Identification of Children
3. Gross Income Determination
4. Allowable Deductions
5. Combined Parental Income
6. Basic Child Support Obligation
7. Add-On Expenses
8. Low-Income Protections
9. Deviation Factors
10. Duration and Modification
11. Certification and Signatures
12. Sources and References

1. Case Information

2. Identification of Children

Total Number of Children Subject to This Order: [____]

Custodial Parent: ☐ Parent 1 ☐ Parent 2

Non-Custodial Parent: ☐ Parent 1 ☐ Parent 2

3. Gross Income Determination

3A. Annual Gross Income

3B. Imputed Income (If Applicable)

☐ Parent 1 has reduced resources to avoid obligations -- Imputed annual income: $[________]

☐ Parent 2 has reduced resources to avoid obligations -- Imputed annual income: $[________]

4. Allowable Deductions

5. Combined Parental Income

Combined Parental Income (Annual): $[________]

Combined Parental Income (Monthly): $[________]

Parent 1's Pro Rata Share: [________]%

Parent 2's Pro Rata Share: [________]%

6. Basic Child Support Obligation

6A. CSSA Percentages

6B. Calculation on Income Up to Statutory Threshold

6C. Non-Custodial Parent's Share

6D. Income Above Statutory Threshold

☐ Not applicable -- combined income does not exceed threshold

☐ Applicable -- Combined income exceeds $193,000

7. Add-On Expenses

8. Low-Income Protections

☐ Non-custodial parent's income is above the self-support reserve -- standard calculation applies

☐ Non-custodial parent's income is at or below the poverty income guidelines

• ☐ Minimum order of $25/month applies
• ☐ Minimum order of $50/month applies

☐ Non-custodial parent's income is between the poverty level and the self-support reserve

Adjusted monthly obligation: $[________]

9. Deviation Factors

☐ No deviation requested

☐ Deviation requested -- Check all applicable factors:

• ☐ Financial resources of the custodial and non-custodial parent and the child
• ☐ Physical and emotional health of the child; special needs or aptitudes
• ☐ Standard of living the child would have enjoyed absent dissolution
• ☐ Tax consequences to the parties
• ☐ Non-monetary contributions by parents toward the child's care and well-being
• ☐ Educational needs of either parent
• ☐ Substantial disparity in gross income between the parents
• ☐ Needs of other children the non-custodial parent supports
• ☐ Extraordinary visitation expenses of the non-custodial parent
• ☐ Other relevant factors: [________________________________]

Requested deviation amount: $[________]/month

Justification: [________________________________]

10. Duration and Modification

Support Commencement Date: [__/__/____]

Termination Events:

• ☐ Child reaches age 21
• ☐ Child becomes emancipated
• ☐ Child marries
• ☐ Child enters military active duty
• ☐ Child dies
• ☐ Other: [________________________________]

Total Monthly Child Support Amount: $[________]

Payable by: ☐ Parent 1 ☐ Parent 2

Payment Method: ☐ Income Execution ☐ Support Collection Unit ☐ Direct Payment

11. Certification and Signatures

I declare under penalty of perjury under the laws of the State of New York that the foregoing information 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

• N.Y. Domestic Relations Law S 240(1-b) (Child Support Standards Act)
• N.Y. Family Court Act S 413(1)(b)
• N.Y. Social Services Law S 111-i
• New York State Unified Court System: https://www.nycourts.gov/courthelp/family/childSupport.shtml
• New York CSSA Income Cap (updated periodically by OTDA)

New York child support obligations generally continue until the child reaches age 21, which is longer than most states. The CSSA income threshold ($193,000 as of the most recent adjustment) is updated biennially. Low-income protections ensure a minimum order of $25 or $50/month for parents at or below the poverty level.