Form DWC006 Supplemental Report of Injury - Texas

Form DWC006 Supplemental Report of Injury - Texas

What Is Form DWC006?

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 Form DWC006?
A: Form DWC006 is the Supplemental Report of Injury for the state of Texas.

Q: When should I use Form DWC006?
A: You should use Form DWC006 to report additional information about an injury that was already reported on Form DWC1.

Q: What information is required on Form DWC006?
A: Form DWC006 requires detailed information about the employee, the injury, and any medical treatment received.

Q: Do I need to submit Form DWC006 if there are no changes to the original injury report?
A: No, you only need to submit Form DWC006 if there are additional details or updates to report.

Q: Who should I send Form DWC006 to?
A: Form DWC006 should be sent to your employer or insurance carrier, as instructed by your employer.

Q: Is there a deadline for submitting Form DWC006?
A: Yes, Form DWC006 should be submitted within 10 days of the occurrence of the additional information or updates.

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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 Form DWC006 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance - Division of Workers' Compensation.

Download Form DWC006 Supplemental Report of Injury - Texas

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