Employer's Wage Statement (DWC-3)

Login to Texas Mutual Online to fill out an Employer’s Wage Statement.

After logging in, hover over Claims in the top menu, then select Loss Runs & Claims. Choose the claim, then click Complete Online DWC-3 Form at the top of the page.

If you don’t yet have a Texas Mutual Online account, you can set one up.

You can also complete the form and submit to claimdocs@texasmutual.com or by fax at (512) 224-3889.