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Today is Friday, January 17, 2025 -
COMMUTATION OF PERMANENT DISABILITY

Date of injury:
PD commencement date:
Date of commutation (DOC):
Permanent Disability (PD) Rating: %   
PD Rating values of 100% requires use
of Commutation PTD - Life Pension
PD Weekly rate:
$ Weekly Wage: $
If PD Was Paid in Broken Periods Enter Total Amount of Payments Prior to DOC: $ Required for "far end."
Amount to be commuted: $ For "far end" and "uniform reduction."
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Commutation of all remaining PD:
Number of days from commencement through DOC:
 
Number of weeks from commencement through DOC:
 
Total number of weeks of indemnity at % PD:
 
Weeks of PD remaining after DOC:
 
Present value (PV) of weeks of PD remaining after DOC:
 
Commuted Value of PD Remaining:
$
Commutation of PD “off the far end” to produce a specific lump sum:
Present value (PV) of amount to be commuted:
 
PV of weeks remaining after commutation off far end:
 
Weeks of PD remaining after commutation off far end:
 
PD still owed for period after DOC:
$
Number of weeks of PD eliminated from the far end:
 
Amount of future benefits commuted:
$
Interest owed carrier (or savings to carrier):
$
Amount to pay claimant to bring commutation to even weeks:
$
Weeks of PD remaining after payment to bring weeks even:
 
Compute secondary / supplemental commutation:


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Commutation of PD by uniform reduction of payments:
Amount of reduction required to produce lump sum:
$
New PD rate after reduction:
$
Amount of PD still owed for period after DOC:
$
Compute secondary / supplemental commutation:


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