Get Tx Dwc048 2021-2025

The TX DWC048 form is essential for requesting reimbursement for travel costs related to work-related injuries in Texas. This guide provides a clear and organized approach to navigating the form online, ensuring users can complete it accurately and efficiently.

Follow the steps to successfully fill out your TX DWC048 form.

1. Click ‘Get Form’ button to obtain the form and open it in your online editor.
2. In Part 1, begin by entering the injured employee's name in the first field. Include their first, middle, and last names as required.
3. Move to Part 2 and begin documenting travel information. For trips for medical treatment and exams exceeding 30 miles one way, provide the date of each trip.
4. Continue in Part 2 by documenting any overnight stays and meals by entering the date, location, and costs associated with meals and lodging.
5. In Part 3, read the statement regarding the accuracy of the information and certify by signing in the designated signature area.
6. Proceed to Part 4 where the insurance carrier will provide their response. This section must be filled out by the insurance carrier and includes fields for stating whether the request is approved, denied, or partially denied.
7. After completing all sections, ensure all provided information is accurate. Save your changes, and you can download, print, or share the completed form as needed.

Start filling out your TX DWC048 form online today to request reimbursement for your travel costs.