Request for Travel Reimbursement (DWC-48)
Notice:
Please be advised that all travel on or after May 2, 2006 must be greater than 30 miles. Please see the Texas Department of Insurance, Division of Workers' Compensation form DWC-48.
* NOTE: This form is in Adobe Acrobat format. You must have the free
Adobe Acrobat
Reader to access the form.
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