Legal Forms >> Texas >> Workers' Compensation
Form #:TX-WC-PLN4 This form is used by the employer to report that the first lifetime income benefit has been payed to the injured employee. The form is to be sent to the employee, not the Texas Department of Insurance, and is only to be used for the first indemnity benefit payment.
Name:Notification of First Lifetime Income Benefit Payment Form Number: TX-WC-PLN4 State:Texas Statute: Form Category:Workers' Compensation
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