INSTRUCTIONS FOR COMPLETING THE ADA J515 DENTAL CLAIM FORM FOR TEXAS WORKERS' COMPENSATION CLAIMS Forms
| Form Name | INSTRUCTIONS FOR COMPLETING THE ADA J515 DENTAL CLAIM FORM FOR TEXAS WORKERS' COMPENSATION CLAIMS |
| Form # | DWC FORM-70 |
| Form Revision | (Rev 10/05) |
| Category | Jurisdiction Guides/Notices » Jurisdiction Guides/Notices |
| Downloads | |
| Form State | Texas |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |