Get Dwc 152 Form

Filling out the DWC 152 form can be a straightforward process when you have the right guidance. This form is essential for attorneys seeking approval for fees related to services provided in workers’ compensation cases in Texas.

Follow the steps to accurately complete the DWC 152 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out the claim number in the designated field of the form at the top. This is necessary for identifying the specific case associated with the application.
3. Indicate if the benefit percentage requested is less than 25% by selecting the appropriate option. This is part of ensuring compliance with regulations.
4. Complete the section for the name and bar card number of each attorney submitting the application. Ensure clarity and accuracy in providing these details.
5. Provide the mailing address of the firm, including the street address and city/state/ZIP code, to ensure proper communications.
6. Enter the name, social security number (last four digits), and date of injury for the injured employee. These details authenticate the request for attorney’s fees.
7. Outline the total requested fees and expenses for each attorney and legal assistant in the recap section. Be sure that this total matches any detailed calculations.
8. Complete the detailed page regarding attorney's fees, specifying the category of service, date of service, person providing the service, action performed, recipient, and hours requested.
9. Attach any necessary justification text if requesting fees that exceed the established guidelines or any additional information as required.
10. Review the entire form for completeness and accuracy, ensuring that all necessary signatures are included for the attorneys involved.
11. Save the completed form, then download, print, or share it as needed for submission to the relevant Division office.

Start completing your DWC 152 form online today to ensure timely processing of your attorney fee application.