Use this information and these tools to help you calculate worker benefits:
- Medical Bill Interest Calculator
- Loss of Earning Power (LEP) Calculator
- Loss of Earning Power (LEP) Calculation Worksheet
- Minimum Time-Loss Rates
- Maximum Time-Loss Rates
- Cost of Living Adjustment (COLA) Chart, 5-decimal increment and cumulative factors
- Cost of Living Adjustment (COLA) Chart, 10-decimal increments only
- Death and Burial Rates
PPD Award Schedules:
A permanent partial disability (PPD) is a permanent impairment that results from the workplace injury or occupational disease. When this occurs, a worker may be eligible to receive a PPD benefit.
In order to qualify for a PPD benefit, the impairment must be rated by a qualified doctor.
Reference PPD Down Payment Amounts.
Every year the PPD award schedules are updated. We have included the most recent schedules below to help you calculate the award.
- 2019 PPD schedule
- 2018 PPD schedule
- 2017 PPD schedule
- 2016 PPD schedule
- 2015 PPD schedule
- 2014 PPD schedule
- 2013 PPD schedule
- 2012 PPD schedule
- 2011 PPD schedule
- 2010 PPD schedule
- 2009 PPD schedule
- 2008 PPD schedule
- 2007 PPD schedule
- 2006 PPD schedule
- 2005 PPD schedule
- 2004 PPD schedule
NOTE: If you need a PPD award schedule from earlier years, please send an email to SItrainerQuestions@Lni.wa.gov
Effective July 1, 2019, Self-Insured Employers began using specific forms to request the following orders from the department: allowance, closure, denial, interlocutory, or overpayment.
- Claim Allowance Request (F207-215-000)
- Claim Closure (F207-216-000)
- Claim Denial (F207-217-000)
- Interlocutory Request (F207-218-000)
- Overpayment Request (F207-219-000)
Effective July 1, 2019 Self-Insured Employers will use letter templates to communicate key actions to workers during the course of a claim, including: wage calculation, starting, stopping or denying compensation benefits, accepting or denying newly-contended conditions, authorizing or denying treatment, and assessing overpayments or underpayments.
- Calculation of Monthly Wage as a Basis for Time-Loss Compensation (F207-227-000)
- Accept Newly Contended Condition (F207-220-000)
- Deny Newly Contended Condition (F207-221-000)
- Assessment of Overpayment (F207-222-000)
- Stop or Deny Compensation Benefits (F207-225-000)
- Treatment Authorized/Denied (F207-226-000)
NOTE: Unless disputed, L&I will no longer issue wage orders, overpayments, or acceptance/denial of newly contended conditions.
- Substantially Similar Forms
Make sure your forms or templates meet the definition of substantially similar.
Checklists & Coversheets:
To make it easier for claim managers to do business with L&I, we have created useful coversheets and checklists.
- Pension Review Coversheet
Use this coversheet when requesting L&I review a claim for pension.
- Suspension Request Coversheet
A checklist for self-insured employers requesting suspension of benefits for non-cooperation.
- No-Show Fee Request Checklist
Required information for self-insured employers requesting a no-show fee order.
- Willful Misrepresentation Checklist
Use this when requesting a willful misrepresentation order on a claim.
- Release of Medical Records and Patient Privacy In Workers' Compensation
Use this to help obtain worker medical records.
Medical Provider Network Status Report (MPNSR)
Self-insured employers can use the MPNSR to determine which providers can provide ongoing treatment to injured workers in Washington State.
The lookup tool will allow self-insured payers and providers to have access to the same timely accurate information.
If you have questions or concerns, please contact our Provider Account Credentialing team at provnet@Lni.wa.gov.