Form DWC074 Description of Injured Employee's Employment - Texas

Form DWC074 Description of Injured Employee's Employment - Texas

What Is Form DWC074?

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 DWC074?
A: Form DWC074 is a description of the injured employee's employment in Texas.

Q: What is the purpose of Form DWC074?
A: The purpose of Form DWC074 is to provide information about an injured employee's work history and employment details.

Q: Who needs to fill out Form DWC074?
A: Form DWC074 needs to be filled out by the employer or their representative.

Q: When should Form DWC074 be filled out?
A: Form DWC074 should be filled out as soon as possible after the injury has occurred or the employer becomes aware of the injury.

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Form Details:

  • Released on September 1, 2009;
  • 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 DWC074 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance - Division of Workers' Compensation.

Download Form DWC074 Description of Injured Employee's Employment - Texas

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