Part-time Employee That is Not Part of Regular Scheduled Class

FULL TIME HRS: $10.00 X 40 = $400.00

GROSS: $9240.00 DIVIDED BY 42 = $220.00

PART-TIME 20 TO 30 HRS IS NOT A REGULAR SCHEDULE.
THIS IS MORE THAN A 5 HOUR VARIANCE SO MUST EXPAND TO 40 HOURS

WAGE: $400.00

Section 1) HOURLY WAGE

a) Hourly rate at time of injury: Need to know if the employee is paid by the following:

Standard (include shift differential if the employee was earning it when injured) or Piece rate or Tips

b) Hours per week
Multiply by expanded to Normal full-time

Section 2) GROSS WAGE

a) The gross taxable wages earned in the 52 week period prior to the week of the injury (exclude tips)

b) Divide by the number of weeks worked in the 52 week period prior to the week of injury.

Section 4) PART-TIME EMPLOYMENT:

Need to find out the normal weekly scheduled hours for the injured employee. For example the injured employee worked 20-30 hours week.

This schedule is not a regular schedule as the employee can work anywhere from 20 to 30 hours per week. (DWD 80.51(4))

Section 5) WEEKLY WAGE and TTD RATE COMPUTATION

a) Weekly Wage (Greater of #1 or #2 above)

b) Multiply by .66667 Equals Weekly TTD Rate

Enter Insurance Claim Rep. Name and Phone Number

For help with temporary total or partial disability, contact Bureau of Claims Management