Vocational Expert Report

Document Number:  WKC-6743

Description:  This form is used to establish loss of earning capacity.

Comments:  This form is not fill-enabled. It can be printed and completed by hand.

Content Contact:  Kathy Froehlich

Document Attachment:  WKC-6743 (pdf/15 KB)

*** If you need to access this form in an alternate format, please send an email to the Content Contact listed above.

*** Should you require the necessary software to view the above attachment, please go to the DWD Viewers Download Page.  Links to each specific vendor's site have been provided for you.  Thank you.