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Name File Type Programs Most Viewed
Alliance Change of Treating Doctor PDF Workers' Compensation
Application for Coverage PDF General
Bid Specifications Sample: Workers' Compensation ASO DOC Workers' Compensation
Bid Specifications Sample: Workers' Compensation ASO PDF Workers' Compensation
Bid Specifications Sample: Workers' Compensation Pool PDF Workers' Compensation
Blood Pathogen Control Plan―Compliance Checklist PDF Workers' Compensation
Blood Pathogen Control Plan PDF Workers' Compensation
Bona Fide Offer of Employment DOC Workers' Compensation
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 33, Carrier's Request for Reduction of Income Benefits Due to Contribution (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 53, Employee Request to Change Treating Doctor (tdi.texas.gov) PDF Workers' Compensation
DWC 6, Supplemental Report of Injury HTML 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
DWC Safety Violations Hotline (tdi.texas.gov)(Spanish) HTML Workers' Compensation
Electronic Fund Transfer Form PDF General
Employee Acknowledgement of Alliance Requirements DOC Workers' Compensation
Employee Acknowledgement of Alliance Requirements(Spanish) DOC Workers' Compensation
Employee Notice of Alliance Requirements DOC Workers' Compensation
Employee Safety Handbook (Community Colleges): Administrative/Instructional HTML Workers' Compensation, Loss Prevention
Employee Safety Handbook (Community Colleges): Operations Support HTML Workers' Compensation
Employee Safety Handbook (Community Colleges): Operations Support(Spanish) HTML Workers' Compensation
Employee Safety Handbook: Administrative/Instructional HTML Workers' Compensation
Employee Safety Handbook: Custodial(Spanish) HTML Workers' Compensation
Employee Safety Handbook: Custodial HTML Workers' Compensation
Employee Safety Handbook: Food Service(Spanish) HTML Workers' Compensation
Employee Safety Handbook: Food Service HTML Workers' Compensation
Employee Safety Handbook: Maintenance (Spanish) HTML Workers' Compensation
Employee Safety Handbook: Maintenance HTML Workers' Compensation
Employee Safety Handbook: Transportation(Spanish) HTML Auto, Workers' Compensation
Employee Safety Handbook: Transportation HTML Auto, Workers' Compensation
FAQs: Injured employees HTML Workers' Compensation
First Report of Injury (FROI) (App) HTML Workers' Compensation
Forma Médica del Lanzamiento(Spanish) DOC Workers' Compensation
GASB Statement 10 HTML General
How to Save the First Report of Injury FROI(English) PDF Workers' Compensation
Instructions for Alliance Members PDF Workers' Compensation
Leave Election Form (No Offset) DOC Workers' Compensation
Leave Election Form (No Offset)(Spanish) DOC Workers' Compensation
Leave Election Form (Offset)(Spanish) DOC Workers' Compensation
Leave Election Form (Offset) DOC Workers' Compensation
Loss Prevention Online Resources HTML Workers' Compensation
Loss Prevention Safety Kits HTML Workers' Compensation
Medical Release of Information DOC Workers' Compensation
New Employee Notice of Coverage for Political Subdivisions(English and Spanish) PDF Workers' Compensation
Notice of Injured Employee Rights and Responsibilities in the Texas Workers' Compensation System HTML 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: Alliance Requirements for Work-Related Injuries(Spanish) PDF Workers' Compensation
Posting: Alliance Requirements for Work-Related Injuries (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
Post-Injury Earnings Report Instructions HTML Workers' Compensation
Preauthorization Request Form: Healthcare Services PDF Workers' Compensation
Preauthorization Request: Prescription Drugs PDF Workers' Compensation
Program Coordinator Change Form PDF General
Return-to-Work Manual HTML Workers' Compensation
Step-by-Step through a Workers' Compensation Claim PDF Workers' Compensation
Treatments Requiring Preauthorization (Alliance Providers) PDF Workers' Compensation
Treatments Requiring Preauthorization (Non-Alliance Providers) PDF Workers' Compensation
Verification of Employment for a Reported Injury or Illness PDF Workers' Compensation
WC Coverage Verification Form DOC Workers' Compensation
WC002 Employers Report for Reimbursement of Voluntary Payment PDF Workers' Compensation
Workers' Compensation Manual (downloads) HTML Workers' Compensation
Workers’ Compensation Manual HTML Workers' Compensation