Form DWC047 Employee's Request for Advance of Benefits - Texas

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form DWC047 for the current year.

Form DWC047 Employee's Request for Advance of Benefits - Texas

What Is Form DWC047?

This is a legal form that was released by the Texas Department of Insurance - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DWC047 form?
A: The DWC047 form is an Employee's Request for Advance of Benefits form.

Q: Who can use the DWC047 form?
A: The DWC047 form can be used by employees in Texas who are seeking an advance of workers' compensation benefits.

Q: What is the purpose of the DWC047 form?
A: The DWC047 form is used to request an advance of workers' compensation benefits to help cover expenses while awaiting a final decision on the claim.

Q: What information is required on the DWC047 form?
A: The DWC047 form requires information such as the employee's name, contact information, employer's information, and details of the workers' compensation claim.

Q: How long does it take to process the DWC047 form?
A: The processing time for the DWC047 form may vary, but it typically takes a few weeks for a decision to be made on the request for an advance of benefits.

ADVERTISEMENT

Form Details:

  • Released on February 1, 2017;
  • The latest edition provided by the Texas Department of Insurance;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DWC047 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance.

Download Form DWC047 Employee's Request for Advance of Benefits - Texas

4.7 of 5 (25 votes)
  • Form DWC047 Employee's Request for Advance of Benefits - Texas

    1

  • Form DWC047 Employee's Request for Advance of Benefits - Texas, Page 2

    2

  • Form DWC047 Employees Request for Advance of Benefits - Texas, Page 1
  • Form DWC047 Employees Request for Advance of Benefits - Texas, Page 2
Prev 1 2 Next
ADVERTISEMENT

Related Documents