Private Texas income worksheet
Texas Lost-Wage Documentation Worksheet
Organize a preliminary gross-income figure and the records needed to support it. Values remain only in this browser page and are never transmitted or saved.
Prepared by the Texas Settlement Calculator Editorial Team · Published September 7, 2026 · Content updated September 7, 2026 · Editorial standards
Employment type
Preliminary documentation figure
$0.00
Arithmetic: ($0.00 × 0 regular hours) + ($0.00 × 0 overtime hours) + $0.00
“Other compensation” may include documented commissions, bonuses, shift differentials, or benefits only when supported. This worksheet does not decide whether any amount is legally recoverable.
Employee documentation
- Provider work-status notes and restrictions
- Pay stubs and wage statements
- Time, attendance, leave, and overtime records
- Employer verification of missed work and compensation
- Tax forms and benefit records when relevant
Self-employment documentation
- Tax returns and Schedule C records
- Profit-and-loss statements and bank records
- Invoices, contracts, appointments, and calendars
- Comparable pre-incident periods and seasonal trends
- Saved expenses and mitigation efforts
Important limitations
This worksheet is general information, not legal, accounting, tax, employment, or financial advice. It does not determine causation, mitigation, disability, net loss, admissibility, offsets, taxes, benefits, or recoverable damages. The salaried example uses the workdays-per-year value you enter; 260 is only a common editable starting assumption.
Recordkeeping sources
Include documented income effects in a preliminary claim estimate
Start the Texas injury calculatorThis tool produces a preliminary, non-binding estimate based on the information you provide and general personal-injury valuation methods. It is not legal advice, not a guarantee of any outcome, and not a substitute for review by a licensed attorney. Actual settlements and verdicts vary widely based on evidence, jurisdiction, insurance coverage, and many other factors. Texas Settlement Calculator is not a law firm and does not practice law; use of this tool does not create an attorney-client relationship.