Get a Form or Publication: calculation

Your search for "calculation" returned 5 documents.

Title Type Number
Panel Load Calculations

Listing of Connected Loads and the Demand Loads. Used for all appliances that are fastened in place, permanently connected on specific circuit. Single Phase Panel Schedule and Three Phase Panel Scheule inlcude. Sample diagram included.

Form F623-017-000
SIF-5A Cover Sheet: Wage Calculations

Used by only self-insured employers and their representatives to calculate and report injured workers’ wages and time loss compensation rates.

Form F207-156-000
Third Party Recovery Worksheet

Used by third party attorneys to calculate distribution of proposed settlements in third party claims.

Form F249-006-111
Hearing Impairment Calculation Worksheet

Used by the attending doctor to determine hearing loss.

Form F252-007-000
Social Security Offset Calculations Only Quarterly Statement of Supplemental Benefits Paid for Self-Insured Employers

Used by self-insured employers to request reimbursement from L&I for cost-of-living-adjustments paid to injured workers.

Form F207-011-222



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