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Where do I file the DWC Form-047 Submit the DWC Form-047 to the TDI-DWC by fax to 512 804-4378 or mail to the Texas Department of Insurance Division of Workers Compensation 7551 Metro Center Drive Suite 100 MS-94 Austin Texas 78744-1645.

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What is texas dwc 047 form?

The Texas DWC 047 form, also known as the Employer's First Report of Injury or Illness, is a form used by employers in Texas to report workplace injuries or illnesses to the Texas Department of Workers' Compensation (DWC).

Who is required to file texas dwc 047 form?

All employers in Texas are required to file the Texas DWC 047 form if an employee sustains a work-related injury or illness that resulted in lost time beyond the day of the injury or illness or if the injury or illness requires medical treatment beyond first aid.

How to fill out texas dwc 047 form?

To fill out the Texas DWC 047 form, you need to provide detailed information about the injured employee, including their personal information, details of the injury or illness, treatment received, and any lost wages or time off work. The form can be filled out online or submitted in paper format.

What is the purpose of texas dwc 047 form?

The purpose of the Texas DWC 047 form is to track and monitor workplace injuries or illnesses in Texas. It helps the Texas Department of Workers' Compensation gather data, investigate claims, and ensure that injured employees receive proper benefits and medical treatment.

What information must be reported on texas dwc 047 form?

The Texas DWC 047 form requires reporting of information such as the injured employee's name, address, social security number, date of birth, and nature of the injury or illness. It also requires details of the employer, date of injury, medical treatment received, and any lost wages or time off work.

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