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DWC Form 067 Designated Doctor Certification Application - Texas
What Is DWC Form 067?
This is a legal form that was released by the Texas Department of Insurance - 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 067?
A: DWC Form 067 is the Designated Doctor Certification Application in Texas.
Q: What is the purpose of DWC Form 067?
A: The purpose of DWC Form 067 is to apply for certification as a designated doctor in Texas.
Q: Who needs to use DWC Form 067?
A: Medical professionals who wish to become designated doctors in Texas need to use DWC Form 067.
Q: What information is required on DWC Form 067?
A: DWC Form 067 requires personal and professional information, including education, training, and experience related to workers' compensation.
Q: Is there a deadline for submitting DWC Form 067?
A: There is no specific deadline mentioned for submitting DWC Form 067. However, it is recommended to submit the application in a timely manner.
Form Details:
- Released on August 1, 2016;
- The latest edition provided by the Texas Department of Insurance;
- 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 067 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance.
Download DWC Form 067 Designated Doctor Certification Application - Texas
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