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Name File Type Programs Most Viewed
Alliance Employee Acknowledgement of Requirements PDF Workers' Compensation
Alliance Employee Acknowledgement of Requirements in Spanish PDF Workers' Compensation
Alliance Instructions for Members PDF Workers' Compensation
Alliance Notice for Posting in English PDF Workers' Compensation
Alliance Notice for Posting in Spanish PDF Workers' Compensation
Alliance Notice of Alliance Requirements PDF Workers' Compensation
Alliance Notice of Alliance Requirements in Spanish PDF Workers' Compensation
Alliance Treating Doctor Change Request PDF Workers' Compensation
Alliance Treatments Requiring Preauthorization PDF Workers' Compensation
Application for Fund Coverage PDF General
Blood Pathogen Control Plan―Compliance Checklist PDF Workers' Compensation
Blood Pathogen Control Plan PDF Workers' Compensation
Bona Fide Offer of Employment DOC Workers' Compensation
Bona Fide Offer of Employment (Spanish) DOC Workers' Compensation
Coverage agreement: Auto (liability and physical damage) PDF Auto
Coverage Agreement: Information and Privacy Security PDF Liability, Property
Coverage Agreement: Liability PDF Liability
Coverage Agreement: Property PDF Property
Digital Safety Handbooks HTML Loss Prevention
DWC 1, Employer's First Report of Injury (FROI) (tdi.texas.gov) PDF Workers' Compensation
DWC 156, Prospective Employment Authorization and Certification Form (tdi.texas.gov) PDF Workers' Compensation
DWC 2, Employer's Report for Reimbursement of Voluntary Payment (tdi.texas.gov) PDF Workers' Compensation
DWC 3, Employer's Wage Statement (tdi.texas.gov) PDF Workers' Compensation
DWC 3, Employer's Wage Statement (App) HTML Workers' Compensation
DWC 32, Request for Designated Doctor Examination (tdi.texas.gov) PDF Workers' Compensation
DWC 3ME, Employee's Multiple Employment Wage Statement (tdi.texas.gov) PDF Workers' Compensation
DWC 3MES, Declaracíon de Salario de Múltiples Trabajos de Empleado (tdi.texas.gov) (Spanish) PDF Workers' Compensation
DWC 3SD, Employer's Wage Statement for School Districts (App) HTML Workers' Compensation
DWC 3SD, Employer's Wage Statement for School Districts (tdi.texas.gov) PDF Workers' Compensation
DWC 3SDS, Declaracíon de Salario Para Escuelas de Distrito (tdi.texas.gov)(Spanish) PDF Workers' Compensation
DWC 4, Employer's Contest of Compensability (tdi.texas.gov) PDF Workers' Compensation
DWC 41, Employee's Claim for Compensation for a Work-Related Injury or Occupational Disease (tdi.texas.gov) PDF Workers' Compensation
DWC 45, Request to Schedule, Reschedule, or Cancel a Benefit Review Conference (BRC) (tdi.texas.gov) PDF Workers' Compensation
DWC 47, Employee's Request for Advance of Benefits (tdi.texas.gov) PDF Workers' Compensation
DWC 48, Request for Travel Reimbursement (tdi.texas.gov)(English and Spanish) PDF Workers' Compensation
DWC 52, Application for Supplemental Income Benefits (tdi.texas.gov) PDF Workers' Compensation
DWC 6, Supplemental Report of Injury (App) HTML Workers' Compensation
DWC 6, Supplemental Report of Injury (tdi.texas.gov) PDF Workers' Compensation
DWC 68, Designated Doctor Examination Data Report (tdi.texas.gov) PDF Workers' Compensation
DWC 69, Report of Medical Evaluation PDF Workers' Compensation
DWC 73, Work Status Report (tdi.texas.gov) PDF Workers' Compensation
DWC 74, Description of Injured Employee's Employment (tdi.texas.gov) PDF Workers' Compensation
DWC Notice 6, Notice to Employees Concerning Workers' Compensation in Texas (tdi.texas.gov)(Spanish) PDF Workers' Compensation
DWC Notice 6, Notice to Employees Concerning Workers' Compensation in Texas (tdi.tx.gov) PDF Workers' Compensation
DWC Notice 8, Required Workers' Compensation Coverage (building or construction projects for governmental entities) (tdi.texas.gov) PDF Workers' Compensation
DWC Notice 9, Notice Regarding Certain Work-Related Communicable Diseases and Eligibility for Workers' Compensation Benefits (tdi.texas.gov) PDF Workers' Compensation
Electronic Fund Transfer Form PDF General
Electronic Fund Transfer Form Unemployment Compensation PDF Unemployment
FAQs: Injured employees HTML Workers' Compensation
First Fill Prescription Card PDF Workers' Compensation
First Report of Injury (FROI) HTML Workers' Compensation
GASB Statement 10 HTML General
Hartford Boiler Inspection Form PDF Property
Individual Wage Adjustment Form, C-7 (twc.state.tx.us) PDF Unemployment
Leave Election Non-Offset Form DOC Workers' Compensation
Leave Election Non-Offset Form in Spanish DOC Workers' Compensation
Leave Election Offset Form DOC Workers' Compensation
Leave Election Offset Form in Spanish DOC Workers' Compensation
Notice to Political Subdivision Employees of Coverage in English PDF Workers' Compensation
Notice to Political Subdivision Employees of Coverage in Spanish PDF Workers' Compensation
Notice: Office of Injured Employee Counsel First Responder(Spanish) PDF Workers' Compensation
Notice: Office of Injured Employee Counsel First Responder (English) PDF Workers' Compensation
Posting: Office of Injured Employee Counsel Ombudsman Program(Spanish) PDF Workers' Compensation
Posting: Office of Injured Employee Counsel Ombudsman Program (English) PDF Workers' Compensation
Preauthorization Request for Healthcare Services PDF Workers' Compensation
Preauthorization Request for Prescription Drugs PDF Workers' Compensation
Program Coordinator Change Form PDF General
Return-to-Work Manual HTML Workers' Compensation
Total Wages Adjustment Form, C-5 (twc.state.tx.us) PDF Unemployment
Unemployment Compensation Manual HTML Unemployment
Verification of Employment for a Reported Injury or Illness DOC Workers' Compensation
WC002 Employers Report for Reimbursement of Voluntary Payment PDF Workers' Compensation