Get the up-to-date DWC Form-022, Request for a required medical examination (RME) 2024 now

Get Form
DWC Form-022, Request for a required medical examination (RME) Preview on Page 1

Here's how it works

01. Edit your form online
01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to modify DWC Form-022, Request for a required medical examination (RME) online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

With DocHub, making changes to your paperwork requires only a few simple clicks. Make these fast steps to modify the PDF DWC Form-022, Request for a required medical examination (RME) online free of charge:

  1. Register and log in to your account. Log in to the editor with your credentials or click Create free account to evaluate the tool’s functionality.
  2. Add the DWC Form-022, Request for a required medical examination (RME) for editing. Click the New Document option above, then drag and drop the file to the upload area, import it from the cloud, or using a link.
  3. Adjust your template. Make any changes needed: add text and photos to your DWC Form-022, Request for a required medical examination (RME), underline information that matters, erase sections of content and replace them with new ones, and insert icons, checkmarks, and areas for filling out.
  4. Complete redacting the template. Save the modified document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is very user-friendly and efficient. Try it now!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Impairment Income Benefits are paid either in a lump sum or are paid out in weekly checks to workers who were determined by their doctor to have a Maximum Medical Improvement that is not very good.
Amount of impairment income benefits IIBs are 70% of your average weekly wage (AWW). This AWW is the average amount of money your employer said you get each week from your job. IIBs are paid based on the state AWW maximum and minimum amounts on a specific date. Find the state AWW amount for your date of injury.
Workers Compensation Claim Form (DWC-1) Form DWC-1 is used to file a workers compensation claim with your employer.
REQUIRED MEDICAL EXAMINATION: Prior to a Designated Doctor Evaluation an RME can be ordered to address and resolve any issues about the appropriateness of health care and/or medical treatment.
Amount of impairment income benefits IIBs are 70% of your average weekly wage (AWW). This AWW is the average amount of money your employer said you get each week from your job. IIBs are paid based on the state AWW maximum and minimum amounts on a specific date.
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

A state-certified doctor is the only person who can determine whether you have docHubed maximum medical improvement or not. Using the evaluation report, the industrial commission or the Division of Workers Compensation will be able to calculate your workers compensation MMI rating and decide your settlement.
For example, a 30 percent bodily impairment rating means the victim has suffered impairment affecting at least 30 percent of their body. The bodily impairment rating is also known as the whole person impairment rating in some states.

Related links