This is one of the official workers' compensation forms for the state of Texas.
This is one of the official workers' compensation forms for the state of Texas.
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A state employee is entitled to be reimbursed for mileage incurred to conduct state business. Texas Government Code Section 660.041 The reimbursement may not exceed the product of the actual number of miles traveled for business and the mileage reimbursement rate, which OCA is currently reimbursing at a rate .
Use it for the business portion of the first 14,000 kilometres travelled by the vehicle in a year....The table of rates for the 2021-2022 income year. Vehicle typeTier 1 rate per kmTier 2 rate per kmPetrol or diesel83 cents31 centsPetrol hybrid83 cents18 centsElectric83 cents10 cents
The Texas Comptroller of Public Accounts has published the travel and mileage reimbursement rates, as summarized below: Effective July 1 ? December 31, 2022, the automobile mileage reimbursement rate is 62.5 cents per mile.
To be eligible for COP, you must submit a CA-1 within 30 days of the injury. If disabled and claiming COP, you must submit medical evidence supporting your disability to your employing agency within 10 workdays.
File Form OWCP-957: Medical Travel Refund Request. Attach your physician's ACS Web Bill Processing Portal approval. Fax Transportation and Travel Authorization Request. Attach your physician's ACS Web Bill Processing Portal approval.
Send us an email or letter. Gather any documents you think will support your complaint. Submit your complaint and your supporting documents to us one of the following ways: Email: DWCCOMPLAINTS@tdi.texas.gov. Fax: 512-490-1030. In person: At a DWC field office. Mail:
Effective July 1 through December 31, 2022, the automobile mileage reimbursement rate increases from 58.5 cents to 62.5 cents per mile.
CA-7a Time Analysis Form, used for claiming compensation, including repurchase of paid leave.
CA-20 Form, Attending Physician's Report - This medical report is required by OWCP BEFORE payment of compensation for loss of wages can be made to the employee. Recommend this form used in lieu of a narrative medical report issued by the physician.
Mileage Reimbursement: The injured employee is entitled to reimbursement for travel expenses in order to obtain reasonable and necessary medical care if the treatment is not reasonably available within 30 miles of the injured employee's residence.