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Washington Child Support Form

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Child Support Order

Superior Court of Washington, County of

In re:

Petitioner/s (person/s who started this case):

And Respondent/s (other party/parties):

No.

Child Support Order

Temporary (TMORS)

Final (ORS)

Clerk’s action required: WSSR

Child Support Order

1. Money Judgment Summary

No money judgment is ordered.

Summarize any money judgments from section 22 in the table below.

Judgment for Debtor’s name Creditor’s name Amount Interest
Past due child support from $ $
Past due medical support from $ $
Past due children’s exp. from $ $
Other amounts (describe): $ $

Yearly Interest Rate for child support, medical support, and children’s expenses: 12%.

For other judgments: (12% unless otherwise listed)

Lawyer (name): Represents (name):

Lawyer (name): Represents (name):

 Findings and Orders

2. The court orders child support as part of this family law case. This is a: temporary order. final order.

3. The Child Support Schedule Worksheets attached or filed separately are approved by the court and made part of this Order.

4. Parents’ contact and employment information

Each parent must fill out and file with the court a Confidential Information form (FL All Family 001) including personal identifying information, mailing address, home address, and employer contact information.

5. Parents’ Income

Parent (name):

Net monthly income $

This income is (check one):

imputed to this parent. (Skip to 6.)

this parent’s actual income (after any exclusions approved below).

Does this parent have income from overtime or a 2nd job?

No. (Skip to 6.)

Yes. (Fill out below.)

Should this income be excluded? (check one):

No. The court has included this income in this parent’s gross monthly income on line 1 of the Worksheets.

Yes. This income should be excluded because:

The court has excluded $ from this parent’s gross monthly income on line 1 of the Worksheets.

Other Findings:

Parent (name):

Net monthly income $

This income is (check one):

imputed to this parent. (Skip to 6.)

this parent’s actual income (after any exclusions approved below).

Does this parent have income from overtime or a 2nd job?

No. (Skip to 6.)

Yes. (Fill out below.)

Should this income be excluded? (check one):

No. The court has included this income in this parent’s gross monthly income on line 1 of the Worksheets.

Yes. This income should be excluded because:

The court has excluded $ from this parent’s gross monthly income on line 1 of the Worksheets.

Other Findings:

6. Imputed Income

Parent (name):

Does not apply. This parent’s actual income is used. (Skip to 7.)

This parent’s monthly net income is imputed because:

Imputed amount is based on:

Other (specify):

Parent (name):

Does not apply. This parent’s actual income is used. (Skip to 7.)

This parent’s monthly net income is imputed because:

Imputed amount is based on:

Other (specify):

7. Limits affecting the monthly child support amount

Does not apply.

low-income limits.

the 45% net income limit.

Combined Monthly Net Income over $12,000.

8. Standard Calculation

Parent Name Standard calculation Worksheets line 17
$
$

Check here if there is a Residential Split.

These children (names and ages):

These children (names and ages):

9. Deviation from standard calculation

No – The monthly child support amount ordered in section 10 is the same as the standard calculation.

Yes – The monthly child support amount ordered in section 10 is different from the standard calculation.

The facts that support the reasons checked above are:

10. Monthly child support amount (transfer payment)

() must pay child support to () each month.

Child’s Name Age Amount
$
$
$
$
$

Total monthly child support amount: $

Child turning twelve years old

Child’s name: month, year:

11. Starting date and payment schedule

The monthly child support amount must be paid starting (month, year):

in one payment each month by the day of the month:

in two payments each month: ½ by the and ½ by the

12. Step Increase

Does not apply.

Approved.

For six months... total of $

On (date):

Denied.

13. Periodic Adjustment

The Court is not ordering a specific periodic adjustment schedule below.

Every months.

On (date/s):

14. Payment Method

Registry

Direct Pay

Mail to:

Other method:

15. Enforcement through income withholding (garnishment)

Does not apply.

Income withholding will be delayed until a payment becomes past due because:

List the good reasons here:

16. End date for support

the court signs a different order, if this is a temporary order.

the child turns 18 or is no longer enrolled in high school, whichever happens last.

the child turns 18 or is otherwise emancipated.

17. Post-secondary educational support

Reserved.

Granted.

Denied.

Other (specify):

18. Claiming children as dependents on tax forms

Does not apply.

Every year.

Alternating: has the right to claim the children for even odd years.

Other (specify):

19. Health Insurance

The court is not ordering how health insurance must be provided for the children.

(Name): must pay the premium to provide health insurance coverage for the children.

are included on the Worksheets (line 14).

are not included on the Worksheets.

The other parent is not ordered to pay because:

20. Health insurance if circumstances change or court has not ordered

If the parties’ circumstances change, or if the court is not ordering how health insurance must be provided for the children in section 19:

If a parent does not provide proof of accessible private insurance, that parent must:

21. Children’s expenses not included in the monthly child support amount

Children’s Expenses for Parent (name) pays monthly Parent (name) pays monthly Person who pays the expense Service Provider
Uninsured medical expenses
Day care
Education
Long-distance transportation
Other (specify)

Other (give more detail about covered expenses here, if needed):

22. Past due child support, medical support and other expenses

This order does not address any past due amounts or interest owed.

As of (date): , neither parent owes:

past due child support

past due medical support

past due other expenses

The court orders the following money judgments:

23. Overpayment caused by change

Does not apply.

The Order signed by the court today or on date: caused an overpayment of $

() shall repay this amount to () by

The overpayment shall be credited at the rate of $ each month until paid off.

24. Other Orders

Other (specify):

Date

Judge or Commissioner

Petitioner and Respondent or their lawyers fill out below:

This document (check any that apply):

is an agreement of the parties

is presented by me

may be signed by the court without notice to me

Petitioner signs here or lawyer signs here + WSBA #

Print Name

Date

This document (check any that apply):

is an agreement of the parties

is presented by me

may be signed by the court without notice to me

Respondent signs here or lawyer signs here + WSBA #

Print Name

Date

If any parent or child received public assistance:

child support

medical support

past due child support

other (specify):

Parent or Non-Parent Custodian applies for DCS enforcement services:

Parent or Non-Parent Custodian signs here Date

Warnings!

If you don’t follow this child support order…

If you receive child support…

Health Insurance Warnings!

Both parents must keep the Support Registry informed whether or not they have access to health insurance for the children at a reasonable cost, and provide the policy information for any such insurance.

If you are ordered to provide children’s health insurance…

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What the Washington Child Support Form Is

The Washington Child Support Form is the standard state document used to establish, modify, or enforce child support obligations in Washington State. It collects identifying information about parents and children, financial details such as income and expenses, custody arrangements, and proposed support calculations. Courts and the Division of Child Support use the submitted form to generate orders, calculate support amounts under the Washington State Child Support Schedule, and track enforcement. This guide explains the form's purpose, required fields, common filing paths, electronic signing options, and practical tips for accurate completion.

Why Accurate Completion Matters

Using the Washington Child Support Form ensures consistent, court-acceptable documentation of parental information, income, and custody factors needed to compute support. Accurate completion reduces delays, supports enforceable orders, and helps agencies apply the Washington State Child Support Schedule correctly.

Why Accurate Completion Matters

Who Completes or Reviews This Form

Parents, guardians, attorneys, and Division of Child Support staff commonly complete or review the Washington Child Support Form during support proceedings.

  • Noncustodial parent: provides income and employment details used to calculate support.
  • Custodial parent: files custody information, expenses, and child care cost details.
  • Attorneys and mediators: review entries for accuracy and present evidence to court.

Court clerks and child support enforcement officers use the completed form to issue orders, establish case files, and enforce payments.

Core Sections Found on the Form

A complete Washington Child Support Form includes parties, income, custody, expenses, calculations, and certification sections used by courts and enforcement agencies.

Parties

List full legal names, addresses, dates of birth, employer details, and relationship to the child. Include state or county case number to connect the submission to existing proceedings and avoid duplicate cases.

Income Details

Report gross wages, self-employment net income, spousal support received, unemployment, and other taxable income. Attach two recent pay stubs or equivalent documentation to substantiate monthly figures used in calculations.

Custody & Parenting Time

Describe primary residence, legal custody, and parenting time schedule. Attach a parenting plan or court order when available; parenting time directly affects deviation calculations and shared expense apportionment.

Allowable Deductions

List mandatory deductions such as health insurance premiums, mandatory retirement contributions, and union dues. Provide documentation for extraordinary medical or childcare expenses that may modify base support obligations.

Support Calculation

Use the Washington State Child Support Schedule inputs for net income, parenting time, and childcare. Show arithmetic for each step and include attachments for alternate calculation methods or income imputation rationale.

Certification & Signatures

Each party must sign and date, affirming truthfulness under penalty of perjury where required. Include notarization if state or county rules mandate, and retain a copy for records and enforcement actions.

Step-by-Step Filing Workflow

Follow these sequential steps to complete and submit the Washington Child Support Form accurately to the agency or court.

  • 01
    Gather documents: Collect IDs, paystubs, custody orders, and prior support documents.
  • 02
    Complete form: Enter all required fields clearly and use MM/DD/YYYY.
  • 03
    Review & sign: Verify numbers, attach supporting documents, then sign.
  • 04
    File or submit: Send to clerk or Division of Child Support per instructions.

Setting Up an Online Submission Workflow

Configure an online workflow to place fields, set signer order, and enable required attachments for the Washington Child Support Form.

Field Configuration
Signer Order Parent1 then Parent2 or attorney depending on case.
Required Attachments Pay stubs, custody orders, proof of income, and IDs.
Authentication Email link with optional SMS code or ID verification.
Auto Reminders Set three follow-up reminders for unsigned requests.
File Format Save signed PDF/A and downloadable DOCX copy.

Where to Send the Completed Form

Understand routing options: eFile to the county court, submit to the Division of Child Support, or deliver to the county clerk depending on case type.

  • County Court: File for formal modification or enforcement proceedings.
  • Division Submission: Use agency portal for administrative support actions.
  • Clerk's Office: Deliver physical copies where eFiling is not available.
  • Email/Portal: Follow agency guidance for accepted electronic submissions.

Digital Signing and File Compatibility

Digital signing supports secure eSubmission, identity verification, and audit trails for the Washington Child Support Form.

  • Formats: PDF, PDF/A, DOCX supported
  • Integrations: Works with Google Workspace and Microsoft 365
  • Authentication: Email, SMS, or identity verification methods

Essential Information and Fields Checklist

Child Details: Name, DOB, and SSN where used
Parent Information: Full names, addresses, employer contact
Income Evidence: Latest paystubs, tax returns, statements
Custody Records: Parenting plan or court order attached
Case Identifiers: State case number, county, docket
Signatures: Signed and dated by all parties

Common Preparation Errors to Avoid

  • Failing to attach recent pay stubs or tax returns forces agencies to request documents, lengthening processing and risking provisional calculations based on incomplete data.
  • Entering inconsistent names or addresses between the form and supporting IDs causes identity verification issues and may require court-ordered corrections.
  • Omitting parenting time details leads to incorrect shared expense apportionment and potential retroactive adjustments when accurate schedules are later provided.
  • Using nonstandard date formats or failing to sign in MM/DD/YYYY delays processing and can invalidate date-sensitive provisions.

Consequences of Inaccurate or Incomplete Submissions

Incorrect Income: May trigger recalculation and penalties
Missing Signature: Delays acceptance or rejection
Wrong Case Number: Creates duplicate or misfiled case
False Statements: Criminal penalties or contempt
Late Filing: Enforcement lags and arrears grow
Notarization Gap: May invalidate sworn sections

eSignature Vendor Pricing Snapshot

Comparing eSignature vendors helps determine the most cost-effective and compliant option for eSigning and submitting the Washington Child Support Form.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial Yes, 7-day trial Varies by vendor Varies by vendor Varies by vendor Varies by vendor
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No envelope cap 100 envelopes/user/year Varies Varies Varies

Practical Tips for Accurate, Efficient Submissions

Follow these best practices to minimize delays and create enforceable and review-ready child support submissions.

Double-check identities and case references
Confirm that names, dates of birth, Social Security numbers (if used), and case numbers exactly match supporting documents. Discrepancies commonly cause verification delays and may require notarized affidavits to correct after filing.
Attach clear income documentation and verification
Include the two most recent pay stubs, year-to-date earnings statements, or certified profit and loss for self-employment. When wages vary, provide explanatory notes and employer contact information for verification to avoid imputed income.
Use MM/DD/YYYY date formats consistently
Enter all dates using MM/DD/YYYY format to match court system expectations. Avoid international formats or text dates; inconsistent formats can be misinterpreted and may require clerk corrections or form re-submission, delaying proceedings.
Retain copies and audit trails for enforcement
Keep certified copies of the signed form, attachments, and any electronic audit trail that records timestamps, IP addresses, and signer authentication. These records are critical for enforcement, contempt petitions, and responding to challenges in appeals or reviews.

Frequently Asked Questions

Answers to common questions about completing, signing, and submitting the Washington Child Support Form accurately.


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