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Fillable EMPLOYER'S WAGE STATEMENT ( DWC Form -003) - tdi texas

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Send to workers' compensation carrier: CLAIM # (Name and fax number of carrier) CARRIER'S CLAIM # Initial Amended EMPLOYER'S WAGE STATEMENT (DWC Form-003) The employer shall timely file a complete wage statement in the form and manner prescribed by the Division. (1) The wage statement shall be filed ("filed" means received) with the carrier, the claimant, and the claimant's representative (if any) within 30...
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