Get Fcc Screening Worksheet - Garretson Resolution Group

Filling out the FCC Screening Worksheet is an essential step in the process of assessing future medical expenses related to claims. This guide offers a step-by-step approach to ensure that users can effectively complete the form online.

Follow the steps to complete the FCC Screening Worksheet with ease.

1. Press the ‘Get Form’ button to access the FCC Screening Worksheet and open it in your editing interface.
2. Begin by entering the date at the top of the form. This should reflect the date you are filling out the worksheet.
3. Fill in the claimant's name in the designated field, followed by the attorney's name, if applicable.
4. If the case is related to a mass tort project, include that information in the provided section.
5. Enter the date of birth for the claimant, ensuring accuracy.
6. Provide the date of loss or injury, as well as the date of resolution, if known.
7. Select the severity of the injury from the options available: acute, chronic, or catastrophic by checking the appropriate box.
8. Indicate the jurisdiction of the case in the relevant section.
9. For workers' compensation claims, assess the value and indicate whether claims were accepted or if you do not know. Include any relevant claims payment history if claims were denied.
10. Fill out the future medical expenses by listing projected costs in the provided fields, ensuring you calculate the total value accurately.
11. Continue detailing past indemnity, past medical expenses, and other economic categories as required by the worksheet.
12. Complete the non-workers’ compensation claim section, detailing any additional values, and calculating the total economic value.
13. Summarize your claim's resolution, indicating any gross awards and attorney fees, and check the current status of the claim.
14. Once all sections are filled out, review the entries for accuracy before proceeding.
15. Save your changes, and use the options to download, print, or share the completed worksheet as needed.

Complete your forms online for a seamless documentation experience.