Form DWC104 Employer Request for DWC Safety Consultation - Texas

Form DWC104 Employer Request for DWC Safety Consultation - Texas

What Is Form DWC104?

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 the DWC104 form?A: The DWC104 form is the Employer Request for DWC Safety Consultation form in Texas.

Q: What is the purpose of the DWC104 form?A: The purpose of the DWC104 form is for employers to request a safety consultation from the Texas Division of Workers' Compensation.

Q: Is there a fee for submitting the DWC104 form?A: No, there is no fee for submitting the DWC104 form.

Q: What happens after the DWC104 form is submitted?A: After the DWC104 form is submitted, the Texas Division of Workers' Compensation will review the request and schedule a safety consultation with the employer.

Q: Are employers required to request a safety consultation using the DWC104 form?A: No, employers are not required to request a safety consultation using the DWC104 form. It is optional.

Q: Who can employers contact for more information about the DWC104 form?A: Employers can contact their local Texas Division of Workers' Compensation office for more information about the DWC104 form.

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Form Details:

  • Released on November 1, 2021;
  • 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 DWC104 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance - Division of Workers' Compensation.

Download Form DWC104 Employer Request for DWC Safety Consultation - Texas

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