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Child Support : Calculator
Child Support Calculator
1. Number of children in this case
One
Two
Three
Four
Five
Six or more
2. Number of nights child(ren) stay(s) with parent per year
father *
mother *
3.
Gross Monthly Income
father *
mother *
4. Amount of self-employment income included in line 3
father *
mother *
Total gross monthly income
5. SSA Title II benefits paid for child(ren)
(enter in column for disabled or retired parent)
father *
mother *
6. Court ordered support alimony paid from prior case
father *
mother *
7. Court ordered monthly adjustment for marital debt
father *
mother *
8. Court ordered Child Support actually paid to other families
father *
mother *
9. Number of in-home children excluding children in case
father *
mother *
Child Care Expense
10. Monthly amount paid by each parent, or other custodian for child care for the children (
Must be able to provide receipts
)
father *
mother *
other *
OKDHS Child Care Subsidy Worksheet
If no children are receiving child care assistance skip line 11, 12
11. Total number of children in each household receiving subsidy
(Including children on this case)
father *
mother *
12. Number of children included from Line 11 in this case
father *
mother *
Health Insurance Expense
13. Monthly amount paid by each parent for health and insurance premium for the child(ren) only
father *
mother *
other *
Other Contributions
14. Cash paid for fixed ongoing medical costs
father *
mother *
other *
"
15. Visitation transportation costs
father *
mother *
other *
Cash Medical Support
16. Number of children in case not covered by health insurance
17. Soonercare or other Government assistance applicant for child(ren) in this case
None
Father
Mother
Custodian