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TWCC3ME (Rev. 07/04) Page 1 *F3MEP10704* TEXAS WORKERS COMPENSATION COMMISSION

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Employers in Texas who are seeking workers' compensation insurance coverage through Texas Mutual need to fill out the form f3mep1-0704

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f3mep1-0704 - texasmutualcom is a specific form or report required by Texas Mutual Insurance Company for certain purposes.

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Employers or individuals who have workers' compensation insurance through Texas Mutual may be required to file f3mep1-0704 as part of their reporting obligations.

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The specific instructions for filling out f3mep1-0704 - texasmutualcom can be found on the Texas Mutual website or in the form itself.

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The purpose of f3mep1-0704 - texasmutualcom is to gather important information related to workers' compensation insurance coverage and claims.

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