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.
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.
Form Details:
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.