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TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS COMPENSATION (DID) 7551 Metro Center Drive, Suite 100 Austin, Texas 78744 DO NOT SEND THIS AGREEMENT TO DID If you are not certain whether all parties

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How to fill out draft dwc form-085 draft

01

To fill out the draft DWC form-085 draft, follow these steps: 1. Start by collecting all the required information, including the employee's details, injury details, and any other relevant information.

02

Begin filling out the form by entering the employee's personal information, such as their name, address, contact number, and social security number.

03

Provide a detailed description of the injury or illness that occurred, including the date, time, and location of the incident.

04

If there were any witnesses to the incident, make sure to include their names and contact information in the designated section.

05

Indicate whether the employee was treated by a doctor and provide the relevant medical information, including the date and name of the healthcare provider.

06

If compensation is being requested, provide detailed information about the employee's wages, including their average weekly wage and the period of time they were unable to work due to the injury.

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Finally, review the filled-out form for accuracy and completeness before submitting it to the appropriate authority or department.

Who needs draft dwc form-085 draft?

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The draft DWC form-085 draft is needed by individuals or entities involved in workers' compensation claims. This includes injured employees, their employers, insurance carriers, legal representatives, and medical providers. The form serves as a preliminary record of the incident and helps initiate the claims process, ensuring proper documentation and communication between all parties involved.

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