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DWC069 Texas Department of Insurance Complete if known: Division of Workers Compensation 7551 Metro Center Drive, Suite 100 MS-94 Austin, TX 78744-1645 (800) 252-7031 phone (512) 490-1047 fax DWC

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What is dwc069 form?

The dwc069 form is a document used in workers' compensation cases to report the progress and status of workers' recovery and return-to-work plans.

Who is required to file dwc069 form?

Employers or their designated representatives are required to file the dwc069 form for injured workers who have ongoing workers' compensation cases.

How to fill out dwc069 form?

The dwc069 form must be filled out by providing accurate and up-to-date information about the injured worker's progress, treatment, work status, and any changes in their recovery plan. It is important to follow the instructions provided by the relevant workers' compensation agency.

What is the purpose of dwc069 form?

The purpose of the dwc069 form is to ensure that the workers' compensation system is properly tracking the injured worker's progress, treatment, and return-to-work plan. It allows the relevant authorities to monitor the case and ensure that appropriate actions are taken to support the worker's recovery.

What information must be reported on dwc069 form?

The dwc069 form typically requires information such as the injured worker's demographics, details of the injury, medical treatment received, functional limitations, current work status, return-to-work plan, and any significant changes or developments in the case.

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