WebTDI is the state agency that administers and regulates the workers’ compensation system through the Division of Workers’ Compensation (DWC). Many services provided by OIEC and DWC can be completed over the telephone. You can contact OIEC by calling the toll-free telephone number 866-393-6432. WebSend the completed DWC-41 form even if you already are receiving benefits. You may lose your right to benefits if you do not send the completed claim form to the Division of Workers’ Compensation. Call 1-800-252-7031 or 1-866-393-6432 for a copy of the DWC-41 form. 6. You have the responsibility to provide your current address, telephone ...
Texas Department of Insurance
WebComplete TX DWC041 in just a couple of moments following the instructions listed below: Pick the template you will need from the library of legal forms. Click the Get form button … WebDIVISION OF WORKERS’ COMPENSATION . TEXAS WORKERS’ COMPENSATION WORK STATUS REPORT . PART I: GENERAL INFORMATION. 5. Doctor's Name and Degree (for transmission purposes only) Date Being Sent: 1. Injured Employee's Name. 6. Clinic/Facility Name ... DWC FORM-73 (Rev. 10/05) Page 1. Employee - You are … green chip recycling fredericksburg va
TEXAS WORKERS’ COMPENSATION WORK STATUS REPORT …
WebTexas Department of Insurance Division of Workers’ Compensation 7551 Metro Center Drive, Suite 100 • MS-94 Austin, TX 78744-1645 (800) 252-7031 phone • (512) 804-4378 fax Complete if known: DWC Claim # Employee Request to Change Treating Doctor WebMar 3, 2024 · Full listing of forms and notices by number Draft forms; Agreement forms; Carrier forms; Employee forms; Employer forms and notices; Health & safety forms; … WebFile a Workers' Compensation Claim To start your official claim, you must file an Employee's Claim for Compensation for a Work-Related Injury or Occupational Disease ( DWC Form-041) with the DWC. You can file the form in person, by mail, or through the DWC's online filing system. greenchip nuclear