CHILD SUPPORT CALCULATION WORKSHEET

State of Utah

Court: [________________________________] District Court
County: [________________________________]
Case No.: [________________________________]
Judge/Commissioner: [________________________________]

TABLE OF CONTENTS

1. Party and Children Identification
2. Calculation Model
3. Gross Income Determination
4. Adjustments to Income
5. Child Support Obligation Formula
6. Healthcare Expenses
7. Childcare Expenses
8. Extraordinary Expenses
9. Deviation Factors
10. Duration and Termination
11. 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:

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

4. ADJUSTMENTS TO 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

☐ 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

8. EXTRAORDINARY EXPENSES

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

Paid by [________________] to [________________]: $[________] per month

Prepared By: [________________________________]
Date: [__/__/____]
Utah Bar No.: [________]

Sources and References:
- Utah ORS Child Support Calculator
- Utah Code Title 81, Chapter 6
- Utah Courts — Child Support