Massachusetts · Financial Documentation

Child-Related Expense Tracker

Track every dollar you spend on your child. This record supports your financial statement (CJD 301S/L), child support calculations, and reimbursement claims. Save all receipts.

⚠️ This is a template, not legal advice. Dad Court Help is not a law firm. Keep all receipts and backup documentation. Your financial statement must be accurate — signed under pains and penalties of perjury.

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Instant download · Fillable PDF · MA-specific

Your Information

Your Name

Child(ren) Name(s)

Tracking Period

Custody Arrangement

Child Support Payments

Date	Amount	Payment Method	Paid To	Receipt/Confirmation #	Notes






TOTAL

💡 Tip: If paying through DOR, print your payment history from childsupport.mass.gov. If paying directly, use check or bank transfer — never cash. Always have a paper trail.

Medical, Dental & Mental Health Expenses

Date	Child	Provider	Service	Amount Paid	Insurance Covered?	Out-of-Pocket	Receipt #





TOTAL OUT-OF-POCKET

Childcare & Education Expenses

Date	Child	Expense Type	Provider / School	Amount	Receipt #	Reimbursable?





TOTAL

Extracurricular, Clothing & Daily Expenses

Date	Child	Category	Description	Amount	Receipt #	Shared cost?






TOTAL

Monthly Summary

Month	Child Support Paid	Medical OOP	Childcare/Education	Extracurricular/Clothing	Other	Total
January
February
March
April
May
June
July
August
September
October
November
December
YEAR TOTAL

💡 For Court: This tracker supports your Financial Statement (CJD 301S/L). Unreimbursed medical expenses are often split between parents — check your court order for the percentage. Keep all receipts in a labeled folder organized by month.

Dad Court Help · Document Pack for Massachusetts · Not legal advice · dadcourthelp.com