WebFeb 26, 2016 · Form DWC 48 Mileage Reimbursement Kim Wyatt, ESQ. Workers' Compensation Yes, that is correct. You can be reimbursed for mileage to see your … WebDWC Medical mileage expense form Medical mileage expense form If you need a medical mileage expense form for a year not listed here, please contact the Information and …
Justia :: Request For Travel Reimbursement - Free Legal Forms
WebOffice of Workers' Compensation Programs. Medical Travel Refund Request. NOTE: This report is authorized by the Federal Employees' Compensation Act (5 USC 8103(a)), the Black Lung Benefits Act (30 USC 901; OMB No. 1240-0037. 20 CFR 725.406 and 725.701) and the Energy Employees Occupational Illness Compensation Program Act of 2000, (42 … WebDec 21, 2024 · The Division of Workers’ Compensation (DWC) is announcing the increase of the mileage rate for medical and medical-legal travel expenses by 2.5 cents to 58.5 cents per mile effective January 1, 2024. This rate must be paid for travel on or after January 1, 2024 regardless of the date of injury. dallas county motor vehicle
Employer Forms - Workers
WebOct 10, 2024 · Workers Comp General Forms. Employer's Report of Occupational Injury or Illness (5020) (PDF) This is the employer's report of industrial injury. The employing department prepares it and sends it to Workers' Compensation Services as soon as possible after the employing department is notified of the injury. Supervisor's … WebDownload Free Print-Only PDF OR Purchase Interactive PDF Version of this Form Request For Travel Reimbursement Form. This is a Texas form and can be use in Employee Workers Compensation. Loading PDF... Tags: Request For Travel Reimbursement, DWC-48, Texas Workers Compensation, Employee Find a Lawyer WebHow to file this form: Complete and sign the form. Send it to the insurance carrier within 1 year of when you incurred (charged) these costs. Keep a copy of the completed form … dallas county missouri school district