SearchOSCN-ChildSupportCalc

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Case Info

Financial Info

Family Info

Visitation / Parenting Time

Expenses

New Calculation

Case Information:

Petitioner / Plaintiff Full Name

Petitioner / Plaintiff is

Male

Female

Respondent / Defendant Full Name

Respondent / Defendant is

Male

Female

Other Custodian Full Name (If no other custodian, leave blank.)

County Name

Case Number

O.A.H. Case Number

FGN (Family Group Number)

Name of Attorney for Petitioner / Plaintiff:

Name of Attorney for Respondent / Defendant:

Name of Attorney for DHS Child Support Services:

Name of Attorney for Other Custodian:

Are the Child Support Guidelines being followed?

Yes

How much is the deviation amount? (Leave blank if Guidelines were followed.)

What is the reason for the deviation? (Leave blank if Guidelines were followed.)

Who is the obligor?

Petitioner / Plaintiff

Respondent / Defendant

What date should payments begin?

Financial Information:

Total Income

Petitioner / Plaintiff

Respondent / Defendant

Self-Employment Income (Not to exceed Total)

Petitioner / Plaintiff

Respondent / Defendant

SSA Title II or VA Benefits Received for the benefit of the minor children

Amount Received by Petitioner / Plaintiff

Amount Received by Respondent / Defendant

Amount of alimony actually paid in a prior case:

Petitioner / Plaintiff Name

Respondent / Defendant

Amount court ordered to be adjusted for marital debt:

Petitioner / Plaintiff Name

Respondent / Defendant

Amount of support actually paid for qualified out-of-home children

Petitioner / Plaintiff Name

Respondent / Defendant

Family Information

Number of children in this calculation

Petitioner / Plaintiff: Number of kids in home, not in this calculation

Respondent / Defendant: Number of kids in home, not in this calculation

What type of insurance coverage does the Petitioner / Plaintiff have for the children?

Private Insurance

Soonercare

Tribal Healthcare

No Insurance

What type of insurance coverage does the Respondent / Defendant have for the children?

Private Insurance

Soonercare

Tribal Healthcare

No Insurance

Number of children in this calculation not covered by insurance:

Visitation / Parenting Time

Number of annual overnights with Petitioner / Plaintiff:

Number of annual overnights with Respondent / Defendant:

Expenses

Childcare / Daycare

Petitioner / Plaintiff - Monthly Amount

Respondent / Defendant - Monthly Amount

Other Custodian - Monthly Amount

Health Insurance

Petitioner / Plaintiff - Monthly Amount

Respondent / Defendant - Monthly Amount

Other Custodian - Monthly Amount

Visitation-Related Transportation Costs

Petitioner / Plaintiff - Monthly Amount

Respondent / Defendant - Monthly Amount

Other Custodian - Monthly Amount

Ongoing Medical Costs

Petitioner / Plaintiff - Monthly Amount

Respondent / Defendant - Monthly Amount

Other Custodian - Monthly Amount