Welcome to the State of New Hampshire Child Support Calculator. The print/save button will be available once the initial calculations have been completed. Please be sure to review the completed form before saving or printing it. It is recommended that you start by reviewing and completing all income and expense related links before moving on to the textboxes and the court selection field then finishing by selecting wether you wish to make your payments on a weekly, bi-weekly, or monthly basis by selecting the appropriate radio button on the main form. Once all of these steps have been completed it is recommended that you review the worksheet to familiarize yourself with the calculated value fields. Once you are satisfied that the worksheet is ready you can click the print/save button and a PDF form will be generated that you can print or save to submit to the court.

STATE OF NEW HAMPSHIRE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
DIVISION OF CHILD SUPPORT SERVICES

Child Support Guidelines Worksheet

DCSS 650
03/22

Child Support Guidelines Worksheet

using amounts effective April 1, 2024

Child Support Calculator Error List

Select the court name here.

Enter the case number here.

Enter the petitioner name here.

Enter the respondent name here.

Enter the name of your first child here.

Enter the Date of Birth of your first child here.

Enter the name of your third child here.

Enter the Date of Birth of your third child here.

Enter the name of your second child here.

Enter the Date of Birth of your second child here.

Enter the name of your fourth child here.

Enter the Date of Birth of your fourth child here.

Enter the total number of children you are responsible for here.

2. Obligor’s Reasonable Medical Support Obligation
(4% of Obligor’s Monthly Gross Income, rounded to nearest dollar)

0.00

3. Obligee’s Reasonable Medical Support Obligation
(4% of Obligee’s Monthly Gross Income, rounded to nearest dollar)

0.00

PAYMENT CALCULATIONS
NOTE: All income and expenses must be converted to monthly amounts
(multiply weekly amounts by 4.33; bi-weekly amounts by 2.17).

OBLIGOR
(Column 1)

OBLIGEE
(Column 2)

COMBINED
(Column 3)

0.00

Obligor total deductions. 0.00

Obligee total deductions. 0.00

Obligor adjusted monthly gross income. 0.00

Obligee adjusted monthly gross income. 0.00

Combined adjusted monthly gross income. 0.00

Combined child support guideline amount. 0.00

Combined Guideline Percentage 0.00

0.00

Obligee total allowable expense field. 0.00

Obligor total ajdusted monthly gross income. 0.00

Obligee total adjusted monthly gross income. 0.00

Combined total adjusted monthly gross income. 0.00

Obligor proportional share of income. 0.00

Obligee proportional share of income. 0.00

Obligor parental support obligation. 0.00

Obligee parental support obligation. 0.00

ABILITY TO PAY CALCULATION

Obligor self support reserve. 0.00

Obligor income available for support. 0.00

Obligor unrounded monthly support payable. 0.00

Obligor's rounded presumptive child support obligation based on the frequency selected. 0.00

Frequency (Choose One) WeeklyBi-WeeklyMonthly

Enter the name of the person who completed this form here.

Enter the title of the person who prepared this form here.

Enter the date this form was completed here.

Adobe Acrobat Reader format. You can download a free reader from Adobe.

RA12
DCSS PR 14-02