Workers' Compensation Benefits Calculator

Welcome to the Workers' Compensation Benefits Calculator, please select from the options below

*The information and interactive calculators are made available to you as self-help tools for your independent use.
We can not and do not guarantee their applicability or accuracy in regards to your individual circumstances.
Mileage Calculator
This calculator is meant to provide assistance in determining the amount of repayment you can receive for traveling to get treatment.
Date of Travel
Provider / Pharmacy Name
Starting Address
Ending Address
Round Trip ?
Reimbursement Rate
Mileage Reimbursement Requested

If you have to travel to get treatment for your work injury, you are entitled to repayment of your travel costs. Mileage includes trips to the doctor’s office, pharmacy, and other related treatment. You may print this calculator, attach any receipts and send the original to the insurance company.

If you believe this calculated distance is more or less than what you traveled, please submit the correct route to the insurance company instead of using this calculator. All mileage reimbursement must be requested within 120 days. If your travel costs are not paid within 30 days, contact the Division of Workers’ Compensation at 303-318-8700