Get the free twc form csc 015

TWC USE O ONLY Application for Renewal of Certificate of Approval Texas Workforce Commission Career Schools and Colleges Receipt # Fe e Paid Date Paid Initialed by Legal Name of School: Renewal date

How to fill out twc form csc 015

Point by Point Guide: How to Fill out TWCC Form CSC 015

Start by gathering the necessary information:

1. Employer's name and address
2. Employee's name, address, and contact information
3. Injured employee's name, date of birth, and social security number
4. Date of injury and details of the incident or accident

Begin filling out the top section of the form:

1. Enter the employer's name and address in the designated fields.
2. Provide the employee's name, address, and contact information in the allocated spaces.
3. Fill in the injured employee's name, date of birth, and social security number as required.
4. Specify the date and detailed description of the injury or accident.

Proceed to the "Employment History" section:

1. Indicate the injured employee's occupation, department, and date of hire.
2. Mention the rate of pay and whether it is hourly, weekly, or monthly.
3. Provide the number of hours the employee usually works per day and per week.
4. Mark the appropriate box to indicate whether the employee has returned to work or not.

Move on to the "Medical and Surgical History" section:

1. Specify any pre-existing conditions that contributed to the injury or accident.
2. Describe any prior medical treatments or surgeries related to the injury.
3. Identify the healthcare provider who treated the employee initially.

Complete the "Claim Information" section:

1. Indicate whether the injury occurred on the employer's premises or during work-related activities.
2. Provide details about any witnesses to the incident.
3. Attach any supporting documents, such as accident reports or witness statements.

Finalize the form:

1. Sign and date the form as the employer.
2. Ensure all required fields are completed accurately.
3. Keep a copy of the form for your records.

Who needs TWCC Form CSC 015?

1. Employers who need to report an employee's work-related injury or accident to the Texas Workers' Compensation Commission (TWCC) are required to complete TWCC Form CSC 015.
2. Injured employees who want to file a workers' compensation claim in the state of Texas may also need to complete this form or provide the necessary information to their employer for completion.

For pdfFiller’s FAQs

What is twc form csc 015?

twc form csc 015 is a form used to report specific information to the Texas Workforce Commission (TWC).

Who is required to file twc form csc 015?

Employers in Texas are required to file twc form csc 015.

How to fill out twc form csc 015?

twc form csc 015 can be filled out online on the TWC website or manually by following the instructions provided on the form.

What is the purpose of twc form csc 015?

The purpose of twc form csc 015 is to report employee wage information to the TWC.

What information must be reported on twc form csc 015?

Employers must report detailed wage information for each employee, including wages earned, hours worked, and any deductions.

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