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To:Texas Workers Compensation System ParticipantsFrom:Tammy Champion, Deputy Commissioner of Business Processable:June 5, 2024Subject: Revised DWC Form001, Employers First Report of Injury or Illness;
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How to fill out texas workers compensation claim

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How to fill out texas workers compensation claim

01
Obtain the necessary forms from your employer or the Texas Department of Insurance Workers' Compensation Division.
02
Fill out the Employee's Notice of Injury and Claim for Compensation form, providing all required information about the injury and how it occurred.
03
Make sure to include details about medical treatment received and any time missed from work due to the injury.
04
Review the completed form for accuracy and completeness before submitting it to your employer or the insurance carrier.
05
Keep copies of all paperwork for your records and follow up with your employer or insurance carrier to ensure your claim is being processed.

Who needs texas workers compensation claim?

01
Employees who have suffered a work-related injury or illness in the state of Texas.
02
Employers who are required to provide workers' compensation insurance coverage for their employees in Texas.
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A Texas workers compensation claim is a formal request made by an employee who has been injured at work to receive compensation for medical expenses, lost wages, and other related costs that arise due to the injury.
Any employee who suffers a work-related injury or illness in Texas can file a workers compensation claim. Employers who have 1 or more employees are generally required to carry workers compensation insurance.
To fill out a Texas workers compensation claim, an injured employee must complete the Employee's Claim for Compensation form (DWC Form-041) and submit it to the Texas Department of Insurance, Division of Workers' Compensation, along with any required documentation.
The purpose of a Texas workers compensation claim is to provide benefits to employees who are injured on the job, ensuring they receive medical care and financial support during their recovery.
The claim must include personal information of the injured worker, details about the injury or illness, the date and location of the incident, any medical treatment received, and information regarding the employer.
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