Form 20 is a common form used in workers' comp claims, but it can often be a little confusing for employers to fill it out properly. It is a statement of days worked and earnings of an injured employee which must be completed within thirty days after receipt of the claimant's hearing request or when weekly benefits are paid, as well as when a hearing or settlement conference is requested by the employer. The form is used to determine the compensation rate. Collins & Lacy attorney, Lauren Trask, takes you through the form and explains how to calculate each required line item. 

Link to calculator:  https://www.collinsandlacy.com/calculators/