FUTURE LOSS INCOME CALCULATOR

IMPORTANT INFORMATION (Please Fill out all in yellow)

MONTHLY INCOME in Peso by working as an OFW			No. of Years working overseas		Income after contract expires	Number of years after contract	KIDS BENEFIT will START on YEAR	Income in Canada (Canadian Dollar)
APPLICANT			0 1 2 3 4 5 6 7 8 9 10 11 12			0 1 2 3 4 5 6 7 8 9 10 11 12		Province		Yukon Northwest Territories Nunavut Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan	OVERTIME
SPOUSE			0 1 2 3 4 5 6 7 8 9 10 11 12			- 0 1 2 3 4 5 6 7 8 9 10 11 12		Salary per Hour
No. of KIDS	0 1 2 3 4 5 6		under 17 yr old				0 1 2 3 4 5 6 7 8 9 10 11 12	No. of Hours per during study (per month)				no. of hours work per month during school year
Exchange Rate CAD$								No. of Hours per after study (per month)				no. of hours work for student after study and for spouse while in Canada

	INCOME if did not TAKE ACTION					INCOME if you made a DECISION and TAKE ACTION
	APPLICANT		SPOUSE			STUDENT		SPOUSE IN CANADA		CHILDREN IN CANADA
	INCOME IN PESO					INCOME IN PESO
YEAR	MONTHLY	ANNUAL	MONTHLY	ANNUAL		MONTHLY	ANNUAL	MONTHLY	ANNUAL	MONTHLY	ANNUAL

FUTURE TOTAL COMBINE INCOME
	If did not make a decision	If in CANADA
Applicant
Spouse
Children
Total Income
FUTURE Income Loss

FUTURE TOTAL COMBINE INCOME

If did not make a decision

If in CANADA

Applicant

Spouse

Children

Total Income

FUTURE Income Loss