BASIC VISITATION
INSTRUCTIONS FOR WORKSHEET A

Line I. Gross Monthly Income:
Includes all income, except AFDC, food stamps and supplemental security income. Use current income if steady. If income varies a lot from month to month, use an average of the last twelve months, if available, or last year's income tax return. Add both parents' gross incomes and put total under the combined column.

Line 2. Percentage of Combined Income:
Divide each parent's income by combined income to get that parent's percentage of combined income.

Line 3. Number of Children:
Enter number of children on Line 3 of worksheet.

Line 4. Basic Support:
Round combined income to nearest fifty dollars ($50). Look at the basic child support schedule.  In the far left-hand column of the basic child support schedule find the rounded combined income figure. Read across to the column with the correct number of children. Enter that amount in the combined column on Line 4.

Line 5. Children's Health and Dental Insurance Premium:
Parents who may obtain medical and/or dental insurance at a reasonable cost through their employment are required to obtain such insurance. Both parents shall disclose to NNCSEP the cost of any medical and/or dental insurance available through their employment. Enter the cost paid by a parent for covering these children with medical and dental insurance under that parent's
column on Line 5. Add costs paid by each parent and enter under the combined column on Line 5.

Line 6. Work-Related Child Care:
If child care is currently being provided, enter the cost paid by each parent for work-related child care. If no child care is currently provided, but is necessary to allow the custodial parent to seek or maintain employment, then insert the documented cost of available child care. If the cost varies (for example, between school year and summer), take the total yearly cost and divide by twelve. Enter each parent's actual child care payment in that parent's column on Line 6. Add the cost for both parents and enter in the combined column on Line 6.

Line 7. Additional Extraordinary Costs:
Enter the amounts paid by each parent for any extraordinary medical, dental, counseling, educational expenses children incurred on behalf of the children, and transportation and communication expenses necessary for long distance visitation or time sharing. Add the cost for both parents and enter in the combined column on Line 7. For initial establishment of child support, there is no recoupment of past extraordinary costs. For modifications of child support, extraordinary costs may be recouped.

Line 8. Total Additional Support Costs:
Enter the amounts from Lines 5, 6 and 7 in the column for each parent in order to determine the amounts actually to be paid for medical/dental insurance, work-related child care, and additional expenses.

Line 9. Total Basic and Additional Support Costs:
Add the basic support amount from Line 4 and the total additional support costs from the combined column on Line 8.

Line 10. Multiply the total basic and additional support costs amount from Line 9 by the percentage for each parent from Line 2 to calculate each parent's child support obligation. The sum of these amounts in the combined column must equal the amount from Line 9.

Line 11. Enter each parent's amount of total additional support costs from Line 8.

Line 12. Subtract the amount of each parent's total additional support costs from Line 11 from each parent's total basic and additional support costs entered on Line 10 to arrive at each parent's net monthly child support obligation. The Custodial Parent is deemed to be providing that amount of child support costs. The Absent Parent's net monthly child support obligation shall be entered into the space provided, and shall be the amount paid to the state Title IV-D child support enforcement payment clearinghouse on a monthly basis.