Disclaimer -  The Coshocton County Department of Job and Family Services cannot provide you assistance in completing this worksheet.  It is being provided to you as a courtesy.  The following instructions are also being provided as a courtesy.  If you have questions or need assistance completing a worksheet, we recommend you consult a private attorney.  The accuracy of the results are dependent upon the accuracy of the information entered into the required fields.  The Coshocton County Department of Job and Family Services is not responsible for any errors that may result from misinterpretations of the wording provided in ORC §3119.022.

The purpose of a Child Support Worksheet is to determine the amount of financial support to be paid by a
Non-Residential parent to a Residential Parent (or Caretaker) for the care of their child(ren).

Instructions:

1. Print these Instructions to use with the Child Support Worksheet.
2. Download the Worksheet at the bottom of the page, by clicking on the dollar symbol.

Tips: 
Case No. is the number assigned by the Court.  You may not have a number assigned yet.  If not, leave blank.
SETS No. is the number assigned by the Child Support Enforcement Agency.  You may not have a number assigned yet.  If not, leave blank.
The following parent was designated as the residential parent and legal custodian:  Enter 1 if the Mother will be the custodial parent.  Enter 2 if the Father will be the custodial parent. 

Instructions for completing the remainder of the worksheet:  (note:  be sure to notice that there is a column for the Father and the Mother.)  Make sure information is entered into the appropriate columns to assure accuracy.

Line 1
Line 1A -  Enter Annual Gross Income for each parent.  (does not include overtime or bonuses or commissions)

Line 1B – Enter Annual overtime, bonuses or commissions for the last 3 calendar years for each of the parents.  The system will calculate an average for you.

Line 2  (this section for self-employed individuals only)
Line 2A – Enter Annual Gross receipts from business for each parent for the last twelve months.  Leave blank if no self employment income available.

Line 2B – Enter Annual ordinary business expenses.  Reference Ohio Revised Code Section 3119.01 (9) (a); and (b)

Line 2C – Multiple 5.6% of the adjusted gross income for the self employed parent and enter on this line.

Line 2D – This line will be determined for you and provides you with the Adjusted Gross Income from self employment.

Line 3 – If either parent has income from interest and dividends from the last twelve months, enter here.

Line 4 – If either parent has income from Unemployment Compensation from the last twelve months, enter here.

Line 5 – If either parent has income from Workers Compensation, Disability Insurance or Social Security Disability/Retirement benefits from the last 12 months – enter here.

Line 6 – Enter any other income for the past twelve months that either parent may have received. (You must enter the source of this income.  Note: this should not include public assistance, SSI or any other non-means tested income).  An example of other income may include but is not limited to; rental income, tips, etc.  Reference Ohio Revised Code Section 3119.01 (7).  This does not include non-recurring or unsustainable income or cash flow, which means a one-time payment.  Reference Ohio Revised Code Section 3119-01 (8).

Line 7
Line 7A – This line will be calculated for you and provides each parents total annual gross income for the purpose of calculating child support.

Line 7B – This line will be calculated for your and provides the maximum amount that each parent can be required to pay for private health insurance.  This information will be used later.

Line 8 – You cannot enter data directly into this section.  Use the tab at the bottom of the worksheet titled: Other Children.   Information entered into the required sections from this tab will automatically transfer back to the worksheet.

Other Children Tab – Enter the number of biological or adopted children that each of the parents have in their home (by a different parent).  Does not include step-children.  Then, on the appropriate line, enter the amount of child support received in the last twelve months for these “other” children.  Click the tab at the bottom of the worksheet titled “JFS 07768 Sole or Shared” and this will return you to your form and the information will be automatically populated for you.

Line 9 – If either parent pays child support for “other” children, enter the amount actually PAID during the last twelve months.  No credit shall be given if no support has been paid in the last twelve months.  (Note: should not include Tax Refunds intercepted for back support).

Line 10 – Enter the amount of spousal support paid to a former spouse for the last twelve months.

Line 11 – Using the Total Annual Gross Income from line 7A, multiply your local tax percentage by the amount.  (Example:  Coshocton is 1.5% which means you will multiply your annual gross income by .015 to get this figure).  For a complete listing of local taxes for each Ohio County, visit www.tax.ohio.gov

Line 12 – Enter the amount of work related deductions for each parent. (Example; union dues, uniforms etc).  Does not include taxes, social security or retirement deductions from your pay).

Line 13 – This line will be calculated for you.

Line 14
Line 14A – This line will be calculated for you.

Line 14B – This line will be calculated for you and determines the maximum amount of Cash Medical Support the Non-Custodial Parent would be ordered to pay.

Line 15 – This line will be calculated for.

Line 16
Line 16A & B – This line will be calculated for you and provides the percentage of the parents income to the total combined income of both parents.  This percentage determines your percentage of the annual support obligation as well as the percentage of uninsured medical costs each parent would be ordered to pay.

Line 17 – This line will be calculated for you and provides the annual combined obligation for both parents.

Line 18
Line 18A & B – This line will be calculated for you and provides the annual support obligation for each parent.

Line 19 – You cannot enter data directly into this section. Use the tab at the bottom of the worksheet titled; Child Care.  Information entered into the required sections from this tab will automatically transfer back to the worksheet

Child Care tab:  Enter the number of children for whom childcare is provided for each parent.  Then enter the amount of child care paid for the last twelve months for each parent.  Using the information in the IRS Table Amounts shown on this tab, the system will calculate for you the amount to be entered on Line 19.   Click the tab at the bottom of the worksheet titled “JFS 07768 Sole or Shared” and this will return you to your form and the information will be automatically populated for you.

Line 20
Line 20A – You will need to gather some data before entering information on this line.  If one or both parents are currently providing private health insurance for the child(ren) subject of this order, you must obtain the annual cost for Single Coverage and Family Coverage from the employer or insurance provider.  Subtract the cost of Single Coverage from the Cost of Family Coverage.  Then divide this number by the total number of dependents covered under the plan (this would include a current spouse, children of this order and other children under the plan).  Then multiple that number by the number of children subject to “this” order and enter that amount on the appropriate line.

Line 20B – This line will be calculated for you and provides the annual Cash Medical Support Obligation that the non-residential parent would pay if private Health Insurance lapses.

Line 21A, B, C and D – These lines will be calculated for you and may only contain figures if amounts have been entered on Lines 19 or 20.

Line 22A & B – These lines will be calculated for you and may only contain figures if amounts have been calculated on Line 21.

Line 23
Line 23A – This line will be calculated for you and provides the annual child support obligation to be paid by the non-residential parent when health insurance IS being provided.

Line 23B – If the child(ren) of this order are in receipt of any non means-tested income such as; social security or veterans benefits paid to and received by a child (or a person on behalf of a child) due to the death, disability or retirement of the parent, enter the annual amount received here.

Line 23C – This line will be calculated for you and provides the adjusted annual obligation if an amount was entered on line 23B.

Line 24 – These lines will be calculated for you and provides the amount of adjustments to the support order when health insurance is NOT provided.

Line 25A & B – This line is calculated for you and provides the annual support obligation when health insurance is NOT provided.

Line 26A, B and C  - These lines will be calculated for you and correspond to Lines 23A, B and C for when health insurance is NOT provided.

Line 27 – No data required to be entered on these lines to calculate child support.  If a deviation of the order is being considered, these must be approved by the court.

Line 28 – This amount will be calculated for you and will provide you the annual child support obligation to be paid.  The first column is the annual amount to be paid when health insurance IS being provided and the second column is the amount to be paid when health insurance IS NOT being provided. 

Line 29 – This amount will be calculated for you and will provide you the monthly child support obligation to be paid.  The first column is the monthly amount to be paid when health insurance IS being provided and the second column is the amount to be paid when health insurance IS NOT being provided.  Note: both amounts must be referenced in your court order.

Line 30 – This amount will be calculated for you and will provide you the annual Cash Medical Support obligation to be paid by the non-residential parent when neither parent is providing private health insurance for the child(ren) of this order.  This amount will be the same as the figure shown in Line 20B.

Line 31 – This amount will be calculated for you and will provide you the monthly Cash Medical Support obligation to be paid by the non-residential parent when neither parent is providing private health insurance for the child(ren) of this order.  Note:  this amount must be referenced in your court order.