Get Tx Dwc048 2006-2025

Filling out the TX DWC048 form online is essential for employees seeking travel reimbursement for medical treatment-related travel expenses. This guide provides step-by-step instructions to ensure accurate and complete submissions.

Follow the steps to successfully complete the TX DWC048 form.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred digital tool.
2. Provide the employee's name in the designated field to identify the person requesting reimbursement.
3. Enter the mailing address, including the street address or P.O. Box, city, state, and zip code to ensure that correspondence can be sent to the correct location.
4. Fill in the employee's Social Security number in the specified format (last four digits) to confirm the identity of the individual.
5. Input the employee's telephone number so that the insurance carrier can reach the individual if needed.
6. Indicate the date of the injury, ensuring accuracy for proper processing of the claim.
7. Provide the employer's name to link the claim with the correct employer.
8. Enter the insurance carrier's name and address so that the form can be sent to the correct entity handling the claim.
9. Document travel details, including travel from and travel to addresses, total miles traveled, and reimbursement requested.
10. List lodging and meals costs, if applicable, and provide the total expenses for mileage, meals, and lodging combined.
11. Complete the employee certification section, where the employee certifies that the information provided is true and correct, and include their signature and date.
12. Review all entries for accuracy before proceeding. Once everything is confirmed, you may save changes, download, print, or share the completed form as necessary.

Start completing your TX DWC048 form online today to ensure timely reimbursement for your travel expenses.