Form DWC057 Request for Extension of Maximum Medical Improvement Date for Spinal Surgery - Texas

What Is Form DWC057?

This is a legal form that was released by the Texas Department of Insurance - Division of Workers' Compensation - 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 Form DWC057?
A: The Form DWC057 is a request for extension of the maximum medical improvement date for spinal surgery in Texas.

Q: What does the Form DWC057 do?
A: The Form DWC057 is used to request an extension of the maximum medical improvement date for spinal surgery.

Q: Who can use the Form DWC057?
A: Any individual undergoing spinal surgery in Texas can use the Form DWC057 to request an extension of the maximum medical improvement date.

Q: Is there a fee for submitting the Form DWC057?
A: No, there is no fee for submitting the Form DWC057.

Q: What information is required on the Form DWC057?
A: The Form DWC057 requires information about the patient, the treating doctor, the type of spinal surgery, and the reason for requesting an extension of the maximum medical improvement date.

Q: How long does it take to process the Form DWC057?
A: The processing time for the Form DWC057 varies, but it is generally reviewed within a few weeks.

Q: Can I appeal if my request for an extension is denied?
A: Yes, if your request for an extension of the maximum medical improvement date is denied, you have the right to appeal the decision.

Q: Who do I contact for more information about the Form DWC057?
A: For more information about the Form DWC057, you can contact the Texas Department of Insurance or the Texas Workers' Compensation Commission.