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SUBMIT A SEPARATE DWC FORM-153 FOR EACH DWC OR IAB TEXAS DEPARTMENT OF INSURANCE DIVISION OF WORKERS COMPENSATION 7551 Metro Center Drive Suite 100 Austin TX 78744 REQUEST FOR COPIES OF CONFIDENTIAL CLAIMANT INFORMATION Please carefully read the information on both sides of this form and the accompanying Instructions. GOVERNMENTAL AGENCIES/POLITICAL SUBDIVISIONS OR REGULATORY BODIES requesting copies of confidential claimant information in a capa...
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What is copies of confidential claimant?
Copies of confidential claimant refer to the duplicate documents or records that contain information about individuals who have made confidential claims.
Who is required to file copies of confidential claimant?
The individuals or entities responsible for handling confidential claims are required to file copies of confidential claimant.
How to fill out copies of confidential claimant?
To fill out copies of confidential claimant, you need to accurately record and include the necessary information about the individuals who have made confidential claims.
What is the purpose of copies of confidential claimant?
The purpose of copies of confidential claimant is to maintain a record of individuals who have made confidential claims and provide necessary documentation for legal and administrative purposes.
What information must be reported on copies of confidential claimant?
The copies of confidential claimant must include information such as the claimant's name, contact details, claim reference number, and any other relevant information associated with the confidential claim.
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