Texas Forms
50 State Forms found
| name | number | revision | print or send online | |
|---|---|---|---|---|
Designation of administrative services company administrator |
DWC120 | Rev. 03/22 | ||
Notice of First Payment of Income Benefits on an Acquired Claim - EDI |
PLN-2B | Rev. 07/23 | ||
Notice of First Payment of Income Benefits on an Acquired Claim (Spanish) - EDI |
PLN-2B-Spanish | Rev. 07/23 | ||
Notice of Lump Sum Payment of Income or Death Benefits - EDI |
PLN-10B | Rev. 07/23 | ||
Notice of Lump Sum Payment of Income or Death Benefits (Spanish) - EDI |
PLN-10B-Spanish | Rev. 07/23 | ||
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