The Department will uses these Guidelines for all injuries occurring on or after December 24, 1991. These Guidelines supercede those distributed in Circular Letter No. 263 on February 7, 1992.
If you have any questions or comments, please contact the conciliation unit at (857) 321-7368.
Guidelines for calculating loss of function
Guidelines for calculating disfigurement (other than scarring)
Guidelines for calculating scarring (purely scar-based disfigurement)
State Average Weekly Wage (SAWW) Rates
File a claim for scarring, loss of function, and disfigurement by filing a Form 110 - Employee Claim form through the mail (injured workers that are not represented only) or through your online account.