Medical Expenses:

Enter the dollar amount of all medical expenses. This figure should include all medical bills, medications, therapies and other medically related costs associated to your injuries, even if you did not pay them out of pocket.

$

Property Damage:

Property damages are usually included if your vehicle was involved in an accident. If your vehicle was involved and damaged, include the total costs of repair or replacement of your vehicle. If your are calculating for a personal injury case where you vehicle was not involved, leave this field blank.

$

Lost Earnings:

Enter the total amount of pay that you did not receive as a result of this personal injury, every day you missed work, include personal days, and sick days allowed by your employer.

$

Future Lost Income:

If you expect to miss work for future medical treatments or therapy, or have to stop working or change employment to a job that will result in a lower future income because of your injuries, calculate the expected future lost wages and enter the total lost wages here.

$

Estimated Future Medial Expenses:

Some injuries require ongoing treatment and therapy. If you expect to require any ongoing treatment or therapy, enter the estimated cost here.

$

Pain and Suffering Multiplier:

Enter a figure between 1.5 and 5, 1.5 being the lowest and 5 being the highest multiplier. Choose the number that most accourately reflects your pain and sufferig based on the total amount of medical expenses, how long you have and will be unable to work, how your life has been adversely affected, and the level of negligence demonstrated by those who were responsible for causing your injuries.

Your "Estimated" Target Claim or Settlement Is:

$ 0.00