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Form DWC095 Subsequent Injury Fund Reimbursement Request Form - Overturned Order or Designated Doctor Opinion - Texas
What Is Form DWC095?
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 DWC095 form?A: The DWC095 form is the Subsequent Injury Fund Reimbursement Request Form.
Q: What does the DWC095 form cover?A: The DWC095 form covers reimbursement requests related to overturned orders or designated doctor opinions in Texas.
Q: Who can use the DWC095 form?A: Anyone who is seeking reimbursement from the Subsequent Injury Fund for overturned orders or designated doctor opinions in Texas can use the DWC095 form.
Form Details:
- Released on January 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 DWC095 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance - Division of Workers' Compensation.
Download Form DWC095 Subsequent Injury Fund Reimbursement Request Form - Overturned Order or Designated Doctor Opinion - Texas
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