DWC welcomes your input on the following draft forms. We'd like to know what works for you and what doesn't, so we can make the forms better.

3 мар. 2023 г. · Full listing of forms and notices by number · Draft forms · Agreement forms · Carrier forms · Employee forms · Employer forms and notices ...

Return-to-Work Forms. Download these return-to-work forms on the TDI website: DWC-73 Work Status Report; DWC-74 Description of Injured Employee's Employment ...

Forms for Employers: Report an Injury, Find a Doctor or Pharmacy, Make a Payment, Report Your Payroll, Download Forms, Read FAQs.

This form will be printed as a 4-part form with the original for the Division's claim record, the second copy for the employee/claimant, the third copy for the ...

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Texas DWC Form045a is a form used by medical providers in Texas to report all occupational injuries and illnesses to the Texas Department of Insurance, ...

Call (800) 252-7031 or go to www.tdi.texas.gov/forms/dwc/dwc045brc.pdf to complete DWC Form-045. Things to Know. If you have a work-related injury, you can ...

How do I submit the DWC Form-153? The original signed form can be attached to an open records request at tdi.texas.gov/open-records.html, faxed to DWC.

You must also file the DWC Form-053 to immediately notify the TDI-DWC if you change treating doctors because: • you moved or changed residence; or. • your ...