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Fill in the blank fields;. Web result in a car accident case, lost wages refers to the money you would have earned from your. Web result get the lost wages form you want. Web result get the proof of lost wages you need for your personal injury claim. Use this free and easy downloadable. If temporary, when do you expect the employee. Department of labor today announced the release of guidance to help states. Open it with online editor and begin adjusting. Is the loss of income.