Child Support Calculation Worksheet
IMPORTANT: THIS IS A PREPARATION GUIDE — NOT THE OFFICIAL COURT WORKSHEET
Utah requires the use of official child support worksheets (Form 1021 for Sole Custody, 1020 for Joint Physical Custody, 1022 for Split Custody) 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 and calculator are available at https://ors.utah.gov/child-support/calculate-child-support/.
Do not file this document directly with the court.
CHILD SUPPORT CALCULATION WORKSHEET
State of Utah
Court: [________________________________] District Court
County: [________________________________]
Case No.: [________________________________]
Judge/Commissioner: [________________________________]
TABLE OF CONTENTS
- Party and Children Identification
- Calculation Model
- Gross Income Determination
- Adjustments to Income
- Child Support Obligation Formula
- Healthcare Expenses
- Childcare Expenses
- Extraordinary Expenses
- Deviation Factors
- Duration and Termination
- State-Specific Notes
1. PARTY AND CHILDREN IDENTIFICATION
Obligor (Non-Custodial Parent):
- Full Name: [________________________________]
- Date of Birth: [__/__/____]
- Employer: [________________________________]
Obligee (Custodial Parent):
- Full Name: [________________________________]
- Date of Birth: [__/__/____]
- Employer: [________________________________]
Children Subject to This Order:
| Child Name | Date of Birth | Age | Overnights w/ Obligor |
|---|---|---|---|
| [____________________] | [__/__/____] | [__] | [____] |
| [____________________] | [__/__/____] | [__] | [____] |
| [____________________] | [__/__/____] | [__] | [____] |
Custody Type:
☐ Sole Physical Custody (Utah Code § 81-6-205)
☐ Joint Physical Custody (each parent has 110+ overnights) (Utah Code § 81-6-206)
☐ Split Physical Custody (Utah Code § 81-6-207)
2. CALCULATION MODEL
Model: Income Shares (Gross Income) per Utah Code Title 81, Chapter 6
Number of Children: [____]
3. GROSS INCOME DETERMINATION
| Income Source | Obligor (Monthly) | Obligee (Monthly) |
|---|---|---|
| Wages/Salary | $[________] | $[________] |
| Self-Employment (net of necessary expenses) | $[________] | $[________] |
| Bonuses/Commissions | $[________] | $[________] |
| Social Security Benefits | $[________] | $[________] |
| Pensions/Retirement/Annuities | $[________] | $[________] |
| Workers' Comp/Unemployment/Disability | $[________] | $[________] |
| Rental/Investment Income | $[________] | $[________] |
| Alimony (from prior case) | $[________] | $[________] |
| Other Income | $[________] | $[________] |
| Average Monthly Gross Income | $[________] | $[________] |
4. ADJUSTMENTS TO INCOME
| Adjustment | Obligor (Monthly) | Obligee (Monthly) |
|---|---|---|
| Alimony Previously Ordered and Paid | -$[________] | -$[________] |
| Previously Ordered Child Support | -$[________] | -$[________] |
| Credit for Other Children (if applicable) | -$[________] | -$[________] |
| Adjusted Monthly Gross Income | $[________] | $[________] |
| Combined Adjusted Monthly Gross Income | $[________] |
5. CHILD SUPPORT OBLIGATION FORMULA
Step 1: Combined Adjusted Monthly Gross Income: $[________]
Step 2: Base Combined Child Support Obligation from Table (§ 81-6-304) for [__] children: $[________]
Step 3: Each Parent's Percentage:
- Obligor: $[________] / $[________] = [____]%
- Obligee: $[________] / $[________] = [____]%
Step 4: Each Parent's Share:
- Obligor: $[________] x [____]% = $[________]
- Obligee: $[________] x [____]% = $[________]
Step 5 (Joint Custody Only): Multiply each parent's share by other parent's percentage of overnights; offset to determine base child support award.
Step 6: Low Income Table Check (§ 81-6-305):
☐ Obligor's individual income is below low income threshold — use lesser of combined table or low income table amount
Base Child Support Award: $[________] per month
6. HEALTHCARE EXPENSES
| Item | Obligor | Obligee |
|---|---|---|
| Health Insurance Premium (child's per-capita share) | $[________] | $[________] |
| Uninsured Medical Expenses (estimated) | $[________] | $[________] |
☐ Obligor provides health insurance — credit against base award
☐ Obligee provides health insurance — credit against base award
☐ Out-of-pocket expenses: first $500/child/year split equally; excess split by income %
7. CHILDCARE EXPENSES
| Item | Monthly Amount |
|---|---|
| Work-Related Childcare | $[________] |
| Obligor's Share ([____]%): | $[________] |
| Obligee's Share ([____]%): | $[________] |
8. EXTRAORDINARY EXPENSES
| Expense Description | Monthly Amount | Obligor Share | Obligee Share |
|---|---|---|---|
| [____________________] | $[________] | $[________] | $[________] |
9. DEVIATION FACTORS
☐ No deviation requested
☐ Deviation requested based on:
☐ Standard of living and situation of the parties
☐ Relative wealth and income
☐ Ability of either parent to earn
☐ Needs of the child, obligee, or obligor
☐ Ages of the parties
☐ Responsibilities for support of others
☐ Other: [________________________________]
Deviation Amount: $[________] per month
Written Justification: [________________________________]
10. DURATION AND TERMINATION
Child support continues until the earliest of:
- Child reaches age 18 and has graduated from high school (whichever is later, up to age 18)
- Child marries or is emancipated
- Child dies
- Further order of the court
Extended Parent-Time Reduction:
☐ 50% reduction for 25+ of 30 consecutive days (§ 81-6-211)
☐ 25% reduction for 12+ of 30 consecutive days (§ 81-6-211)
11. STATE-SPECIFIC NOTES
- Renumbering: Utah Code was renumbered effective September 1, 2024. Former §§ 78B-12 are now in Title 81, Chapter 6.
- Online Calculator: ORS Child Support Calculator
- OCAP: The Online Court Assistance Program automatically calculates child support worksheets.
- Income Imputation: Requires a hearing and findings per § 81-6-203(6).
- No Maximum: There is no upper limit on the base child support award per § 81-6-204(8).
- Tax Exemptions: Awarded case-by-case; parent must be current on support to claim exemption (§ 81-6-210).
SUMMARY OF CHILD SUPPORT OBLIGATION
| Component | Monthly Amount |
|---|---|
| Base Child Support Award | $[________] |
| Health Insurance Adjustment | $[________] |
| Childcare Share | $[________] |
| Deviation (if applicable) | $[________] |
| Extended Parent-Time Reduction | ($[________]) |
| Total Monthly Obligation | $[________] |
Paid by [________________] to [________________]: $[________] per month
Prepared By: [________________________________]
Date: [__/__/____]
Utah Bar No.: [________]
Sources and References:
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: May 2026