SECTION 40 CALCULATOR
 
WC / Awards Paid
  Awarded   Paid
Temp. Disability: $
  $
Permanency: $
  $
Medical Expense: $
  $
  Prior Reimbursement: $
3rd Party Settlement
 
Gross Settlement Amount: $
Fee Percent %:   
     

Petitioner owes to Respondent  $ Respondent owes to Petitioner  $