Application For Lifetime Income Benefits (LIBs) {DWC-38}

DWC038 - APPLICATION FOR LIFETIME INCOME BENEFITS (LIBS). This form is used to apply for Lifetime Income Benefits (LIBs) under the Texas workers' compensation system. It is submitted by an injured employee who has suffered a qualifying catastrophic injury, such as total and permanent loss of sight in both eyes, loss of both hands or feet, spinal injuries causing paralysis, traumatic brain injuries, or severe third-degree burns. The form collects information about the employee, the insurance carrier, and the nature of the injury. It must be sent to the insurance carrier, which has 60 days to approve or deny the application. If denied, the employee can request a Benefit Review Conference (BRC) to dispute the decision. www.FormsWorkflow.com