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Texas Forms

247 State Forms found

name	number	revision	print or send online
CORRECTION/REVISION/ENDORSEMENT TO EXISTING POLICY	DWC Form-20A	(Rev. 10/05)
DESCRIPTION OF INJURED EMPLOYEE'S EMPLOYMENT	DWC074	Rev.09/09
Designation of insurance carrier’s Austin representative	DWC027	Rev. 03/22
Election to Engage in Arbitration	DWC044	Rev. 06/12
Election to Engage in Arbitration (Spanish)	DWC044S	Rev. 05/12
Employee's Claim for Compensation for a Work-Related Injury or Occupational Disease (Spanish)	DWC041s	Rev. 03/07
Request for a lump sum payment of impairment income benefits (IIBs)	DWC051	Rev. 06/23
Employee’s multiple employment wage statement	DWC003ME	Rev. 05/23
Employee’s multiple employment wage statement (Spanish)	DWC003MES	Rev. 05/23
Request to accelerate impairment income benefits	DWC046	Rev. 08/22
Request to accelerate impairment income benefits (Spanish)	DWC046S	Rev. 08/22
Request to advance benefits	DWC047	Rev. 08/22
Request to advance benefits (Spanish)	DWC047S	Rev. 08/22
Employee Request To Change Treating Doctor	DWC053	Rev. 03/12
Employee Request To Change Treating Doctor (Spanish)	DWC053S	Rev. 03/12

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Disclaimer: These forms may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.

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