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TEXAS DEPARTMENT OF INSURANCE, DIVISION OF …

dwc form-83 rev. 04/18 division of workers’ compensation . texas department of insurance, division of workers' compensation (tdi-dwc)
www.tdi.texas.gov/forms/dwc/dwc83.pdf

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TEXAS WORKERS’ COMPENSATION WORK STATUS

Filing requirements for DWC Form-073 vary depending on the type of doctor filing the Work Status Report. The specific requirements are shown in the chart below.
www.tdi.texas.gov/forms/dwc/dwc073wkstat.pdf

TEXAS WORKERS’ COMPENSATION WORK

DIVISION OF WORKERS’ COMPENSATION TEXAS WORKERS’ COMPENSATION WORK STATUS REPORT PART I: GENERAL INFORMATION 5. Doctor's Name and Degree (for transmission purposes only) Date Being Sent
www.utsa.edu/safety/files/workplace/Work_Status_dw...

STATE OF CALIFORNIA - DEPARTMENT OF

DWC 7 (1/1/2016) STATE OF CALIFORNIA - DEPARTMENT OF INDUSTRIAL RELATIONS Division of Workers' Compensation Notice to Employees- …
www.dir.ca.gov/dwc/NoticePoster.pdf

DWC6 - Supplemental Report of Injuryhttps://www.sorm.state.tx.us/RMIS/ClaimEntry/Twcc6_entry.aspxEnter data as indicated; Acceptance of this data results in the assignment of a preliminary case number on the confirmation page; If you do not receive this number, the data has not been accepted;

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www.sorm.state.tx.us/RMIS/ClaimEntry/Twcc6_entry.a...

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Notice to Employees--Injuries Caused By Work

STATE OF CALIFORNIA - DEPARTMENT OF INDUSTRIAL RELATIONS Division of Workers' Compensation . Notice to Employees--Injuries Caused By Work. You may be entitled to workers' compensation benefits if you are injured or …
www.dir.ca.gov/dwc/forms/DWCForm7_2010.pdf