The fields with the red border are required.

             
 
  Only edit fields that are marked yellow; these are for your input.  
           
  Comp Rate: DOI  
  Indemnity Weeks Remaining: Today  
  Total Weeks  
       
  Category Input  
  Age  
  Education
 
  SVP
 
  Training
 
    Sum Total  
  Pre-injury
  RPC  
  Post Injury
   
  x RPC    
    Sum Total  
  Impairment Rating %  
    TOTAL:  
 
  Benefits   Modifier Values  
  Total Weekly PPD Payment:   % of Mods Mod Value  
  Bi-Weekly Payment:    
  Future Indemnity Total:      
  Impairment Only:      
  Total Mod Value:      
     
       
  This tool is for estimation/informational purposes only, and may be incorrect or inapplicable. You should always verify against your own calculations and seek advice of counsel.      
       
       
     
     
  IMPORTANT FIELDS - DO NOT EDIT BELOW