Texas Forms


 247 State Forms found

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Notice of First Temporary Income Benefit Payment (Spanish) - EDI

PLN-2A-Spanish 07/21

AGREEMENT FOR MOTOR CARRIERS AND OWNER OPERATOR TO PROVIDE WORKERS' COMPENSATION INSURANCE (Spanish)

DWC082S Rev. 02/22

Suspected Insurance Fraud Report (Spanish)

FR029 0421

Application for lifetime income benefits (LIBs)

DWC038 Rev. 11/24

Application for lifetime income benefits (LIBs) (Spanish)

DWC038S Rev. 11/24

First responder's annual certification for lifetime income benefits (LIBs)

DWC039 Rev. 11/24

First responder's annual certification for lifetime income benefits (LIBs) (Spanish)

DWC039S Rev. 11/24
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