Interest
Date
SS Offset
Commutation
Sec 40
Partial Total
Cycles
Calculator
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 $