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Termination of Benefits (DWC-21) The Termination of Benefits is a legal document required when weekly indemnity benefits paid without liability under a Non-prejudicial Agreement are stopped. RIG 28-35-8

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What is termination of benefits dwc-21?

Termination of benefits dwc-21 is a form used to notify the Division of Workers' Compensation (DWC) that an injured worker's benefits will be terminated.

Who is required to file termination of benefits dwc-21?

Employers or their insurance carriers are required to file termination of benefits dwc-21 when an injured worker's benefits are being terminated.

How to fill out termination of benefits dwc-21?

Termination of benefits dwc-21 should be filled out accurately and completely, providing all the required information about the injured worker and the reason for terminating the benefits.

What is the purpose of termination of benefits dwc-21?

The purpose of termination of benefits dwc-21 is to officially inform the DWC that an injured worker's benefits are being terminated.

What information must be reported on termination of benefits dwc-21?

Information such as the injured worker's name, claim number, date of injury, reason for terminating benefits, and the effective date of the termination must be reported on termination of benefits dwc-21.

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