
TX DWC Form-73 2018 free printable template
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Employee You are required to report your injury to your employer within 30 days if your employer has workers compensation insurance. You have the right to free assistance from the Texas Department
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How to fill out dwc form 73

How to fill out TX DWC Form-73
01
Obtain a copy of the TX DWC Form-73 from the Texas Department of Workers' Compensation website or office.
02
Fill in the employee's information, including full name, address, and date of birth in the designated fields.
03
Provide details about the injury, including the date and circumstances of the incident.
04
Include information about the employer, such as the business name and address.
05
Indicate whether the employee has sought medical treatment and, if so, provide the details of the healthcare provider.
06
Review the completed form for accuracy and completeness before submission.
07
Submit the form to the appropriate authority as indicated in the instructions.
Who needs TX DWC Form-73?
01
Employees who have sustained a work-related injury and are seeking benefits.
02
Employers who need to document an employee's claim for workers' compensation.
03
Insurance carriers that require documentation to process the claim.
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People Also Ask about
What is a DWC 3 wage statement in Texas?
Initial Amended EMPLOYER'S WAGE STATEMENT (DWC Form-003) The Texas Workers' Compensation Act and Workers' Compensation rules require an employer to provide an Employer's Wage Statement to its workers' compensation insurance carrier (carrier) and the claimant or the claimant's representative, if any.
What is a DWC court?
At the Division of Workers' Compensation's (DWC) 22 district offices plus satellites located around the state, sometimes called WCABs, employers, injured workers and others receive judicial services to assist in the prompt and fair resolution of disputes that sometimes arise from workers' compensation claims.
Who is exempt from workers compensation insurance in Texas?
However, there are exclusions to this rule for some employers listed below: Any public employer including cities, counties, state agencies and state universities. Building and construction contractors for public employers. Motor bus companies and motor carriers.
What is a DWC 7 form?
DWC-7 Notice to Employees-Injuries Caused by Work (English and Spanish). This form provides your employees with information regarding workers' compensation benefits and the Medical Provider Network (MPN) in California.
What is a DWC notice?
Division of Workers' Compensation Notice to Employees--Injuries Caused By Work. You may be entitled to workers' compensation benefits if you are injured or become ill because of your job. Workers' compensation covers most work-related physical or mental injuries and illnesses.
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What is TX DWC Form-73?
TX DWC Form-73 is a form used in the Texas workers' compensation system for reporting injuries that occur in the workplace and filing necessary information for claims.
Who is required to file TX DWC Form-73?
Employers are required to file TX DWC Form-73 when a work-related injury occurs that may lead to a workers' compensation claim.
How to fill out TX DWC Form-73?
To fill out TX DWC Form-73, employers must provide details about the injured employee, the nature of the injury, circumstances surrounding the event, and any previously reported claims related to that employee.
What is the purpose of TX DWC Form-73?
The purpose of TX DWC Form-73 is to provide a standardized method for employers to report workplace injuries to the Texas Department of Insurance and facilitate worker's compensation claims.
What information must be reported on TX DWC Form-73?
The information that must be reported on TX DWC Form-73 includes the employee's details, injury specifics, date and time of the incident, nature of the injury, and any necessary witness information.
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