Request To Accelerate Impairment Income Benefits {DWC-046}

DWC046 - REQUEST TO ACCELERATE IMPAIRMENT INCOME BENEFITS. Who can file the DWC Form-046? The injured employee can file this form if they have a hardship. What important information do I need to know? An acceleration of impairment income benefits will increase the weekly amount of benefits and reduce the number of weeks you get them. If this request is approved and your impairment rating is 15% or more, the date you are entitled to receive supplemental income benefits (SIBs) will not change. There may be a period between when your impairment income benefit payments end, and your SIBs payments begin. What is average weekly wage? The average amount of money your employer said you get each week from your job. Where do I send this form? Send this form to the Texas Department of Insurance, Division of Workers' Compensation (DWC) and the insurance carrier. What will DWC do? DWC will approve or deny your request. We will send our decision to you and the insurance carrier. If your request is approved: • the insurance carrier will increase the amount of your benefit payments within seven days after they receive DWC’s approval; but • you will get fewer weeks of impairment income benefits. Note: With few exceptions, on your request, you are entitled to: • be informed about the information DWC collects about you; • receive and review the information (Government Code Sections 552.021 and 552.023); and • have DWC correct information that is incorrect (Government Code Section 559.004). www.FormsWorkflow.com