Name
HPE date/Date of Death
Date of Injury
Compensation Rate
Paid thru date
Actual Benefits Pd-to-Date
Calculated Pd to Date	$0.00		Underpayment Due Now
Provider's Balance of Liab	$0.00		$0.00
Provider's Balance /wks	0
PRESENT VALUES
Provider's Remaining Liab
		PV t weeks	PV $ $0.00
Balance in Weeks	0	-441.5501