Form DWC150 Notice of Representation - Texas

What Is Form DWC150?

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 Form DWC150?A: The Form DWC150 is a Notice of Representation used in Texas.

Q: What is the purpose of the Form DWC150?A: The purpose of the Form DWC150 is to notify the Texas Department of Workers' Compensation (DWC) and other parties involved that a particular individual or organization is representing an injured worker in a workers' compensation claim.

Q: Who uses the Form DWC150?A: The Form DWC150 is typically used by attorneys, authorized agents, or carriers who are representing injured workers in Texas workers' compensation claims.

Q: How do I fill out the Form DWC150?A: The Form DWC150 requires you to provide information about the injured worker, the representative, and the workers' compensation claim. You may also need to attach additional documentation as required by the DWC.

Q: Is there a deadline for submitting the Form DWC150?A: Yes, there is a deadline for submitting the Form DWC150. It should be filed within 15 days of the representative being retained or within 15 days of the representative's address or phone number changing.