Quick Calculator

Complete the information below, and with just a few simple steps, obtain an instant and
accurate calculation of the value of your WC benefits!

Please provide us with your basic information. Your data is treated confidentially and enables us to calculate benefits accurately.



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.
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These benefits are designed to assist individuals who have sustained a significant and permanent impairment that prevents them from returning to any gainful employment.
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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.
Workers’ Compensation Case Valued At:

$0.00

IW Name

Date of Accident

Average Weekly Wage

$0.00

Comp. Rate

$0.00

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