| DWC-2, Employer's Report for Reimbursement of Voluntary Payment |
|
PDF |
| DWC-3, Employer's Wage Statement |
Online |
PDF |
| DWC-3S, Employer's Wage Statement (Spanish) |
|
PDF |
| DWC-3ME, Employee's Multiple Employment Wage Statement |
English |
Spanish |
| DWC-3SD, Employer's Wage Statement for School Districts |
English |
Spanish |
| DWC-4, Employer's Contest of Compensability |
|
PDF |
| DWC-5, Employer Notice of No Coverage or Termination of Coverage |
|
PDF |
| DWC-6, Supplemental Report of Injury |
|
PDF |
| DWC-7, Employer’s Report of Noncovered Employee’s Work-Related Injury or Illness |
|
PDF |
| DWC-48, Request for Travel Reimbursement |
|
PDF |
| DWC-53, Employee's Request to Change Treating Doctor - Non Network |
English |
Spanish |
| DWC-73, Work Status Report |
|
PDF |
| DWC-74, Description of Injured Employee's Employment |
|
PDF |
| DWC-81, Agreement Between General Contractor and Subcontractor to Provide Workers' Compensation Insurance |
|
PDF |
| DWC-82, Agreement Between Motor Carrier and Owner Operator to Provide Workers' Compensation Insurance Coverage / Agreement to Require Owner Operator to Act as Employer |
|
PDF |
| DWC-83, Joint Agreement to Affirm Independent Relationship for Certain Building and Construction Workers / Agreement to Establish Employer-Employee Relationship for Certain Building and Construction Workers |
English |
Spanish |
| DWC-84, Exception to Application of Joint Agreement to Affirm Independent Relationship for Certain Building and Construction Workers |
|
PDF |
| DWC-85, Agreement Between General Contractor and Subcontractor to Establish Independent Relationship |
|
PDF |