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Form DWC004 Employer's Contest of Compensability - Texas
What Is Form DWC004?
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 DWC004 Employer's Contest of Compensability form?A: The DWC004 form is used by employers in Texas to contest the compensability of a worker's compensation claim.
Q: When should an employer use the DWC004 form?A: An employer should use the DWC004 form when they believe that a worker's compensation claim is not valid and wish to contest its compensability.
Q: What information is required on the DWC004 form?A: The DWC004 form requires the employer to provide information about the employee, the reason for contesting compensability, and any supporting documentation.
Q: What should an employer do after completing the DWC004 form?A: After completing the DWC004 form, the employer should submit it to the Texas Department of Insurance and provide a copy to the employee and their attorney, if applicable.
Form Details:
- Released on November 1, 2008;
- 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 DWC004 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance - Division of Workers' Compensation.
