| Step 1 | Make an appointment 
                            to see the treating physician who must complete the 
                            disability section of Form TRAN 2. The diagram immediately 
                            below outlines the distinction between the pre-claim 
                            period and the post-claim period. | 
                        
                          |  |  | 
                         
                          | Step 2 | Determine 
                            date of disability as selected by the Treating Physician 
                            on Form TRAN 2/HEMO 2. | 
                         
                          | Step 3 | Select 
                              three consecutive years of highest Pre-Claim 
                              Gross Income by doing the following: 
                              Identify 
                                and review your annual "Earned 
                                Income" for each and every year predating 
                                your date of disability. 
 
Among 
                                these years, select three consecutive years. 
                                In order to maximize your compensation, you must 
                                choose the three consecutive years that represent 
                                your highest Pre-Claim Gross Income.
 
 
                                   
                                    | Special 
                                      Note: If you can demonstrate that on 
                                      a balance of probabilities, your pre-claim 
                                      gross income could have been higher than 
                                      your actual average pre-claim income had 
                                      you never been infected with HCV, you may 
                                      submit proof to this effect to the Administrator 
                                      for consideration. |  | 
                         
                          | Step 4 | Calculate 
                              your Average Pre-Claim Gross Income by doing 
                              the following: 
                              Calculate 
                                the average of these three (3) highest 
                                consecutive years of Pre-Claim Gross Income. This 
                                number is fundamental to proceeding with next 
                                steps.
 
   
 
The 
                                amount equal to the average of the three highest 
                                consecutive years must next be multiplied by the 
                                ratio of the Pension Index for the current year.
 
   
 
 
                                The middle year of the selected three consecutive 
                                years determines the Pension Index rate that will 
                                be used to upwardly adjust the amount equal to 
                                the average into current year dollars. Lastly, 
                                the amount equal to the average will be multiplied 
                                by the ratio of the Pension Index for the post-claim 
                                year (post-claim year=2001, Pension Index rate 
                                for 2001=112.9) being claimed by the pension 
                                index rate for the middle year. These two rates 
                                are used to determine the Pension 
                                Index Ratio.
 
   
 The 
                                amount in par. 3 (above)  = 
                                your pre-claim (calculation in par. 2 (above)) 
                                gross income which the Administrator will use 
                                to calculate your Annual Loss of Net Income.
 
 
 
 
 | 
                         
                          | Step 5 | Calculate Indexed Pre-Claim Gross Income by 
                              doing the following: 
                              Multiply the average by the ratio of the Pension 
                                Index for each Post-claim year.
 
   
 The ratio of the Pension Index for that post-claim 
                                year divided by the pension index for the middle 
                                year of the three (3) highest consecutive year. 
                                Please click here 
                                to view the Pension Index Table
 | 
                         
                          | Step 6 | Calculate 
                              your post-claim gross income by doing the following: 
                              Identify 
                                and review your annual income for each and every 
                                year postdating your date of disability.
 
   
 
Complete 
                                and submit to the Administrator a post-claim submission 
                                (Form GEN 10 - Section E) for every post-disability 
                                calendar year during which your infection 
                                with HCV caused a loss of income.*
 
 
                                   
                                    | *Special 
                                      Note: If the Administrator can demonstrate 
                                      that on a balance of probabilities, your 
                                      post-claim income for any year would have 
                                      been higher than your actual post-claim 
                                      income had you never been infected with 
                                      HCV, your post-claim income will be accordingly 
                                      adjusted. |  | 
                         
                          | Step 7 | Submit 
                              supporting financial/income tax documentation: Provide the Administrator with the necessary 
            financial /income 
            tax  documentation 
            in order to confirm both your pre-claim and post-claim gross incomes. | 
                         
                          | Step 8 | Upon 
                            receipt of all necessary documentation, the Administrator 
                            will evaluate your claim for loss of income and determine 
                            the amount payable. Your claim will 
                            be processed most quickly if you can attach a complete 
                            copy of all required income tax returns and Notices 
                            of Assessment. |