Texas Request to Schedule, Reschedule, or Cancel a Benefit Review Conference (BRC), or to Proceed Directly to Contested Case Hearing (CCH)
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How to fill out Texas Request To Schedule, Reschedule, Or Cancel A Benefit Review Conference (BRC), Or To Proceed Directly To Contested Case Hearing (CCH)?
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FAQ
Call OIEC at 866-393-6432 or go to the OIEC website for more information.
What report is filed? A detailed narrative progress/supplemental report to document any significant change in the worker's medical or disability status.
Your employer should fill out the ?employer? section and forward the completed claim form to the insurance company. You should receive a copy of the completed claim form from your employer. If you don't, request a copy and keep it for your records.
The Form 43 is to be completed by the respondent (employer/workers' compensation insurance carrier) to notify the Administrative Law Judge, the claimant (employee/decedent), and all parties to the claim of its intention to deny the compensability of all or part of the claimant's claim to workers' compensation benefits.
How to ask for a BRC: Use DWC Form-045, Request to Schedule, Reschedule, or Cancel a Benefit Review Conference (BRC): Follow the directions on the form. Your request must include details (such as letters or emails between the parties) showing how the parties tried to resolve the dispute.
Every physician who treats an injured employee must file a complete Form 5021 Doctor's First Report of Occupational Illness or Injury (DFR) with the employer's claims administrator within five days of the initial examination.
DWC-1 Workers Compensation Claim Form. This is the form you will complete and send to EMPLOYERS to initiate the claim process for your employee.