CSWS - Child Support WorkSheet
 
M.R. Civ. P. 108(B)
1.
a. Primary care provider (Parent chidren lived with most of the time):
If parents provide substantially equal care, higher income parent should be shown as the non-primary care provider.
b. Parent providing health insurance for the children :
c. Parent providing weekly child care expenses for the children :
d. Parent providing extraordinary medical expenses for the children :
2.
Child's Name Date of Birth
Child's Name Date of Birth
Primary Care Provider Non-Primary Care Provider
Income Source Amount ($) Amount ($)
TOTAL:
TOTAL:
Yearly Amounts Primary Care Provider
Non-Primary Care Provider
Combined Income
3. Gross Income
4. Minus Other Obligations

a. Support paid to former spouse

 		a. a.
b. Support paid for other children b. b.
5. Obligor Gross income

(Subtract Lines 4a and 4b from line 3)

6. Other children living with non-primary care provider. (See instructions on the other side.)
7. Adjusted Gross Income

a. (Subtract lines 4b and 4b from line 3.)

b. (Subtract line 6 from line 5.)

c. (Add lines 7a and 7b.)

8. Share of Gross Income

(Divide each parent's income by combined income)

 a. b. c.
9.
Basic weekly support for all children up to 18 years (or upto 19 years if still in high school). (See instruction on reverse.)
Total number of children (a) multiplied by amount from (b) $ = 9c. $
10.
Weekly health insurance cost for children
Name & amount per child per week
Total: 10
11.
Weekly child care expenses
Name of child and amount per week
Total: 11
12.
Extraordinary medical expenses
Name of child and amount per week
Total: 12
* If parents provide substantially equal care, continue calculations on supplemental worksheet.
13.
TOTAL (Add lines 8,9,10 and biweekly, multiply *2)
Total: 13
14.
a. Primary Care b. Non-Primary Care
Provider spends directly $

Multiply line 8a by line 13

 Provider's support obligation

Multiply line 8b by line 13
Non-Primary Care Provider Adjustments

(Amounts paid directly by Non-Primary care Provider)
Weekly Health insurance (line 10)
Weekly Child Care (line 11)
Extraordinary Medical Expenses (line 12)
Non-Prim. Care Provider pays as support
Date of Last Update:
Prepared by:
 

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