Form DWC002 Employer's Report for Reimbursement of Voluntary Payment - Texas

Form DWC002 Employer's Report for Reimbursement of Voluntary Payment - Texas

What Is Form DWC002?

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 DWC002?A: Form DWC002 is the Employer's Report for Reimbursement of Voluntary Payment in Texas.

Q: What is the purpose of Form DWC002?A: The purpose of Form DWC002 is to request reimbursement for voluntary payments made by an employer in Texas.

Q: Who should fill out Form DWC002?A: Employers in Texas who have made voluntary payments can fill out Form DWC002.

Q: What information is required on Form DWC002?A: Form DWC002 requires information about the employer, the employee, the voluntary payment, and supporting documentation.

Q: Is there a deadline to submit Form DWC002?A: Yes, Form DWC002 must be submitted within one year from the date the voluntary payment was made.

Q: Is there a fee to submit Form DWC002?A: No, there is no fee to submit Form DWC002.

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Form Details:

  • Released on February 1, 2017;
  • 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 DWC002 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance - Division of Workers' Compensation.

Download Form DWC002 Employer's Report for Reimbursement of Voluntary Payment - Texas

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  • Form DWC002 Employers Report for Reimbursement of Voluntary Payment - Texas, Page 1
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