Get the free TWCC Authorization Form 153 - Discovery Resource
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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
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How to fill out twcc authorization form 153
How to fill out twcc authorization form 153:
01
Start by obtaining the twcc authorization form 153 from the appropriate source, such as the Texas Workers' Compensation Commission.
02
Begin filling out the form by entering the required personal information, such as your name, address, and contact details.
03
Provide the necessary information regarding your employer, including their name, address, and contact information.
04
Indicate the date of your injury or illness and provide a detailed description of the incident or condition.
05
If applicable, provide the names and contact details of any witnesses who can corroborate your injury or illness.
06
Next, describe the types of medical treatment you have received or will require as a result of your injury or illness.
07
Specify whether you have any pre-existing conditions that may have contributed to your injury or illness.
08
If you have any legal representation or if someone is assisting you with your claim, include their information in the designated section.
09
Review the completed form for accuracy and make any necessary revisions before submitting it.
10
Sign and date the form to certify that the information provided is true and accurate.
11
Keep a copy of the completed form for your records.
Who needs twcc authorization form 153?
01
Individuals who have suffered a work-related injury or illness and intend to file a workers' compensation claim in the state of Texas may need to fill out the twcc authorization form 153.
02
This form is required by the Texas Workers' Compensation Commission to gather essential information about the injured worker, their employer, and the circumstances surrounding the incident or condition.
03
It serves as a vital component in the claims process and ensures that necessary medical treatment and benefits can be provided to the injured worker.
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