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Maximum Wage and Rate Chart Form. This is a Wisconsin form and can be use in Workers Comp.
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Tags: Maximum Wage and Rate Chart, WKC-9572-P, Wisconsin Workers Comp,
WORKER’S COMPENSATION -- MAXIMUM WAGE AND RATE CHART
EFFECTIVE DATE
MAXIMUM WEEKLY WAGE FOR
TEMPORARY, PERMANENT
TOTAL & DEATH BENEFITS
WEEKLY RATE
DAILY RATE
MAXIMUM WAGE FOR PERMANENT
PARTIAL ONLY
MONTHLY RATE
WEEKLY RATE
01/01/2011
$1,230.00
05/01/2010
$1,222.50
01/01/2010
$1,222.50
01/01/2009
$1,212.00
04/01/2008
$1,207.50
01/01/2008
$1,207.50
01/01/2007
$1,165.50
4/01/2006
$1,116.00
01/01/2006
$1,014.00
01/01/2005
$1,066.50
$820.00
$136.67
$453.00
$815.00
$135.83
$438.00
$815.00
$135.83
$423.00
$808.00
$134.67
$423.00
$805.00
$134.17
$408.00
$805.00
$134.17
$393.00
$777.00
$129.50
$393.00
$744.00
$124.00
$378.00
$676.00
$112.67
$363.00
$711.00
$118.50
$363.00
$1,308.67
$302.00
$1,265.33
$292.00
$1,222.00
$282.00
$1,222.00
$282.00
$1,178.67
$272.00
$1,135.33
$262.00
$1,135.33
$262.00
$1,092.00
$252.00
$1,048.67
$242.00
$1,048.67
$242.00
$61,500.00
$61,125.00
$61,125.00
$60,600.00
$60,375.00
$60,375.00
$58,275.00
$55,800.00
$50,700.00
$53,325.00
$246,000.00
$244,500.00
$244,500.00
$242,400.00
$241,500.00
$241,500.00
$233,100.00
$223,200.00
$202,800.00
$213,300.00
$3,553.33
$820.00
$3,531.66
$815.00
$3,531.66
$815.00
$3,501.33
$808.00
$3,488.33
$805.00
$3,488.33
$805.00
$3,367.00
$777.00
$3,224.00
$744.00
$2,929.33
$676.00
$3,081.00
$711.00
$355.33
$82.00
$353.17
$81.50
$353.17
$81.50
$350.13
$80.80
$348.83
$80.50
$348.83
$80.50
$336.70
$77.70
$322.40
$74.40
$292.93
$67.60
$308.10
$71.10
DEATH BENEFITS TO
UNESTRANGED PARENTS
$6,500.00
$6,500.00
$6,500.00
$6,500.00
$6,500.00
$6,500.00
$6,500.00
$6,500.00
$6,500.00
$6,500.00
MAXIMUM BURIAL EXPENSE
$10,000.00
$10,000.00
$6,000.00
$6,000.00
$6,000.00
$6,000.00
$6,000.00
$6,000.00
$6,000.00
$6,000.00
PAYMENT INTO STATE FUND
s. 102.59
$20,000.00
$20,000.00
$20,000.00
$20,000.00
$20,000.00
$20,000.00
$20,000.00
$20,000.00
$10,000.00
$10,000.00
PAYMENT INTO STATE FUND
TOTAL DEPENDENCY-- s. 102.49
$20,000.00
$20,000.00
$20,000.00
$20,000.00
$20,000.00
$20,000.00
$20,000.00
$20,000.00
$10,000.00
$10,000.00
01/01/2011
$49,200
$47,900
$48,900
$47,600
$48,480
$47,180
01/01/2008
$48,300
$47,000
$46,620
$45,320
$44,640
$43,340
MAXIMUM ANNUAL WAGE
(WEEKLY WAGE X 50)
MAXIMUM DEATH BENEFIT
(ANNUAL WAGE X 4)
MAXIMUM PAYMENT TO SPOUSE
MONTHLY RATE
WEEKLY RATE
MAXIMUM PAYMENT FROM
CHILDREN’S FUND
MONTHLY RATE
WEEKLY RATE
PAYMENT INTO STATE FUND
NO DEPENDENCY--s. 102.49
01/01/2010
01/01/2009
per installment if max
if parents receive $6,500
per installment if max
if parents receive $6,500
per installment if max
if parents receive $6,500
01/01/2007
04/01/2006
per installment if max
if parents receive $6,500
per installment if max
if parents receive $6,500
per installment if max
if parents receive $6,500
Effective For Injuries On Or After April 1, 2006
$20,000 plus 100% of Death Benefit in 5 installments
DWD is an equal opportunity employer and service provider. If you have a disability and need information in an alternate format,
or need it translated to another language, please contact (608) 266-1340 voice or (866) 265-3142, TTY.
WKC-9572-P (R. 01/2011)
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