Form DWC095 Subsequent Injury Fund Reimbursement Request Form - Overturned Order or Designated Doctor Opinion - Texas

What Is Form DWC095?

This is a legal form that was released by the Texas Department of Insurance - Division of Workers' Compensation - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DWC095 form?A: The DWC095 form is the Subsequent Injury Fund Reimbursement Request Form.

Q: What does the DWC095 form cover?A: The DWC095 form covers reimbursement requests related to overturned orders or designated doctor opinions in Texas.

Q: Who can use the DWC095 form?A: Anyone who is seeking reimbursement from the Subsequent Injury Fund for overturned orders or designated doctor opinions in Texas can use the DWC095 form.