| Form |
File Format |
Language |
|
Employer Required DWC Postings |
|
DWC Notice 6, Notice to Employees Concerning Workers' Compensation in Texas |
PDF |
English |
|
DWC Notice 8, Required Workers' Compensation Coverage (building or construction projects for governmental entities) |
PDF |
English |
|
DWC Notice 9, Notice Regarding Certain Work-Related Communicable Disease and Eligibility for Workers' Compensation Benefits |
PDF |
English |
|
Office of Injured Employee Counsel (OIEC) Ombudsman Program Notice |
PDF |
English/
Spanish |
|
Sample Documents and DWC Forms |
| Medical Release of Information |
DOC |
English |
| Forma Médica del Lanzamiento |
DOC |
Spanish |
| Network Acknowledgement Form |
DOC |
English |
| Notice of Injured Employee Rights and Responsibilities in the Texas WC System |
PDF |
English
Spanish
Chinese
Vietnamese
Korean |
| DWC 1, Employer's First Report of Injury |
PDF |
English |
| DWC 2, Employer's Report for Reimbursement of Voluntary Payment |
PDF |
English |
| DWC 3, Employer's Wage Statement |
PDF |
English |
| DWC 3S, Declaracíon de Salario del Empleador |
PDF |
Spanish |
| DWC 3ME, Employee's Multiple Employment Wage Statement |
PDF |
English |
| DWC 3MES, Declaracíon de Salario de Múltiples Trabajos de Empleado |
PDF |
Spanish |
| DWC 3SD, Employer's Wage Statement for School Districts |
PDF |
English |
| DWC 3SDS, Declaracíon de Salario Para Escuelas de Distrito |
PDF |
Spanish |
| DWC 4, Employer's Contest of Compensability |
PDF |
English |
| DWC 6, Supplemental Report of Injury |
PDF |
English |
| DWC 47, Employee's Request for Advance of Benefits |
PDF |
English |
| DWC 48, Request for Travel Reimbursement/Solicitud de Reembolso |
PDF |
English/
Spanish |
| DWC 53, Employee Request to Change Treating Doctor |
PDF |
English |
| DWC 73, Work Status Report |
PDF |
English |
| DWC 74, Description of Injured Employee's Employment |
PDF |
English |