Request To Advance Benefits {DWC-047}

REQUEST TO ADVANCE BENEFITS. This form is used by injured employees in Texas to request an advance payment from their future workers’ compensation income benefits due to financial hardship. The form requires the applicant to provide personal and insurance details, specify the amount requested, and indicate how much they agree to have deducted from their future payments. The Texas Division of Workers’ Compensation (DWC) reviews the request and makes a decision within 10 days. If approved, the insurance company must issue the payment within seven days, and the approved amount will be deducted from the employee’s future benefits. There are limitations on the number of requests an employee can make for the same injury, as well as a maximum advance amount based on the injury date. www.FormsWorkflow.com