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Temporary Partial Disability Worksheet

Document Number:  WKC-7359-E

Description:  TPD earnings are to be submitted through the internet.  The WKC-13 and this worksheet will assist you in calculating temporary partial disability when you need to submit physical TPD information only.

Comments:  Form is protected from modification and enabled for form fill (includes tabbed fields for form completion).  Instructions for using this form are included on the same page as the form itself and appear between the upper area of claim information and the lower worksheet area.

Content Contact:  Don Martin

Document Attachment:  WKC-7359-E (Excel/84 KB)

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