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

Wisconsin requires the use of the official DCF 150 Percentage Standard Worksheets (Appendix B to Wis. Admin. Code DCF 150) 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 worksheets are available at https://dcf.wisconsin.gov/cs/resources/court.
Do not file this document directly with the court.

CHILD SUPPORT CALCULATION WORKSHEET

State of Wisconsin

Court: [________________________________] Circuit Court
County: [________________________________]
Case No.: [________________________________]
Judge/Court 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

Petitioner (Parent 1):
- Full Name: [________________________________]
- Date of Birth: [__/__/____]
- Employer: [________________________________]
- Annual Placement Overnights: [____]

Respondent (Parent 2):
- Full Name: [________________________________]
- Date of Birth: [__/__/____]
- Employer: [________________________________]
- Annual Placement Overnights: [____]

Children Subject to This Order:

Placement Type:
☐ Sole Placement (one parent has primary placement)
☐ Shared Placement (each parent has 25%+ overnights — 92+ per year)
☐ Split Placement (different children placed primarily with different parents)

2. CALCULATION MODEL

Model:
☐ Percentage of Income (Sole Placement) per DCF 150.03
☐ Shared Placement Formula per DCF 150.04
☐ Split Placement per DCF 150.05

Number of Children: [____]

Standard Percentages (Sole Placement):
- 1 child: 17% of gross income
- 2 children: 25% of gross income
- 3 children: 29% of gross income
- 4 children: 31% of gross income
- 5+ children: 34% of gross income

3. GROSS INCOME DETERMINATION

4. ADJUSTMENTS TO INCOME

5. CHILD SUPPORT OBLIGATION FORMULA

A. Sole Placement Calculation:

Obligor's Adjusted Gross Income: $[________]
Applicable Percentage: [____]% (for [__] children)
Monthly Child Support: $[________] x [____]% = $[________]

B. Shared Placement Calculation (DCF 150.04):

Net Transfer: $[________] - $[________] = $[________]
Paid by: ☐ Parent 1 ☐ Parent 2

C. Split Placement (if applicable):

Separate calculation for each parent as non-custodial parent for children in other parent's placement.

6. HEALTHCARE EXPENSES

☐ Variable medical costs shared: Parent 1 [____]% / Parent 2 [____]%

7. CHILDCARE EXPENSES

8. EXTRAORDINARY EXPENSES

9. DEVIATION FACTORS

☐ No deviation requested
☐ Deviation requested based on:

☐ Financial resources of the child
☐ Standard of living the child would have enjoyed
☐ Physical, mental, and emotional health needs
☐ Educational needs
☐ Tax consequences
☐ Earning capacity of each parent
☐ Need to support other children
☐ Travel costs for placement schedule
☐ Best interest of the child
☐ High-income payer (income >$84,000/year — see DCF 150.03(2))
☐ Low-income payer (serial family adjustments)
☐ Other: [________________________________]

Deviation Amount: $[________] per month
Written Justification: [________________________________]

10. DURATION AND TERMINATION

Child support continues until the earliest of:
- Child reaches age 18
- Child reaches age 19 if still pursuing a high school diploma or GED
- Child marries or is emancipated
- Child dies
- Further order of the court

11. STATE-SPECIFIC NOTES

• Percentage of Income Model: Wisconsin is one of the few states using a flat percentage model for sole placement.
• Shared Placement Threshold: 25% of overnights (92+ per year) qualifies for the shared placement formula.
• High Income: For gross income above $84,000/year, the court may adjust per DCF 150.03(2).
• Low Income: The court considers the obligor's ability to maintain a minimum standard of living.
• Income Imputation: DCF 150.03(3) allows imputing income to voluntarily unemployed or underemployed parents.
• Variable Expenses: Medical, dental, child care, tuition, and other expenses are often addressed separately from the base support order.

SUMMARY OF CHILD SUPPORT OBLIGATION

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

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

Sources and References:
- Wisconsin DCF Child Support Guidelines
- Wis. Admin. Code DCF 150
- Wis. Stat. § 767.511