Case Valuation Report
Get an instant and accurate calculation for your Workers’ Compensation case.
With just a few simple steps, obtain an instant and accurate valuation
of
your Workers’ Compensation benefits!
Workers’ Compensation Case Valued At:
$0.00
IW Name
Date of Accident
Average Weekly Wage
$0.00
Comp Rate
$0.00
This benefit is paid to injured workers when they are completely unable to work due to a work-related injury or illness.
This benefit refers to a temporary condition where an individual can work but at a reduced capacity or with certain work restrictions due to a work-related injury or illness. Include the Period of time the IW was partially off work and the amount earned each week.
Under Utah law, permanent partial disability compensation encompasses financial benefits granted to individuals who have experienced lasting impairment or functional loss due to a work-related injury or illness.
These benefits are designed to assist individuals who have sustained a significant and permanent impairment that prevents them from returning to any gainful employment.
These benefits are financial provisions aimed at providing support to the dependents and beneficiaries of workers who have lost their lives due to work-related injuries or illnesses.
Date of Death Same as Date of Injury/Exposure?
Children's information
For the decedent’s surviving spouse and minor children, dependency is presumed under the law.
| Name | Gender | Date of Birth | Physically or mentally disabled? |
|---|---|---|---|
|
|
|
||
|
|
|||
Dependent's Information
Please be aware that the issue of dependency, for dependents other than the decedent's surviving spouse and children, will be determined in accordance with the facts in each particular case at the time of the injury or death of the decedent.
| Name | Gender | Date of Birth | Physically or mentally disabled? | Relationship |
|---|---|---|---|---|
|
|
|
|||
|
|
||||
Medical expenses are covered so long as they are reasonable, necessary, and related to the IW’s accident. Travel to-and-from the medical provider’s office is also payable under WC law.
Value your Workers’ Compensation case in minutes.
CVR tools deliver unparalleled value to our members by optimizing workflows, improving case handling efficiency, and maximizing productivity.
Simple
The CVR is a sophisticated tool aimed at calculating the value of a Workers’ Compensation benefit with mathematical precision.
Accurate
Identifying the approximate value of a specific case minimizes expenses, legal fees, and protracted litigation.
Reliable
As an online system, CVR can be used anywhere, from any device.
