DWC Form 001 Employers First Report of Injury or Illness - Texas

DWC Form 001 Employers First Report of Injury or Illness - Texas

What Is DWC Form 001?

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 DWC Form 001?
A: DWC Form 001 is the Employers First Report of Injury or Illness in Texas.

Q: Who needs to fill out DWC Form 001?
A: Employers in Texas need to fill out DWC Form 001 when an employee is injured or falls ill on the job.

Q: What information is required on DWC Form 001?
A: DWC Form 001 requires information about the employer, the injured/ill employee, and the details of the injury or illness.

Q: When should DWC Form 001 be filled out?
A: DWC Form 001 should be filled out as soon as possible after the injury or illness occurs, but no later than the eighth day after the employer is notified of the incident.

Q: What happens after DWC Form 001 is submitted?
A: After DWC Form 001 is submitted, it is used to evaluate the claim for workers' compensation benefits and to determine if the employer is liable for the injury or illness.

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Form Details:

  • Released on October 1, 2005;
  • The latest edition provided by the Texas Department of Insurance - Division of Workers' Compensation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DWC Form 001 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance - Division of Workers' Compensation.

Download DWC Form 001 Employers First Report of Injury or Illness - Texas

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