Cover Sheet and Welcome Letter
Table of Contents
Instructions for Posters
Notice 6 – Notice to Employees Concerning Workers’ Compensation in Texas (Versión en Español)
Employer’s Notice of Ombudsman Program (Versión en Español)
Notice 8 – Required Workers’ Compensation Coverage Poster (Versión en Español)
Notice 9 – Notice Regarding Work-Related Communicable Diseases & Eligibility for Benefits (Versión en Español)
Employer’s Notice Regarding First Responder Liaison to Assist in Work Comp Disputes (Versión en Español)
Texas Workers’ Compensation Fraud Poster
Fraud Prevention Poster (Versión en Español)
Instructions for Injury Report Forms
Form DWC001 – Employer’s First Report of Injury or Illness
Form DWC006 – Supplemental Report of Injury
Form DWC007 – Employer’s Report of Noncovered EE’s Work-related Injury or Illness (Versión en Español)
Form DWC003 – Employer’s Wage Statement (Versión en Español)
Incident Investigation Report (Versión en Español)
Supervisor’s Report of Employee Incident (Versión en Español)
Witness Statement of Injury or Incident (Versión en Español)
Instructions for Injured Worker Handouts
Notice of the Injured Employee Rights and Responsibilities in the Texas Workers’ Compensation System (Versión en Español)
Injured Workers First Fill Prescription Form (Versión en Español)
Consent and Authorization for Release of Information Form (Versión en Español)
Request for Medical History Form (Versión en Español)
Direct Deposit Authorization Form (Versión en Español)
Form DWC048 – Request to Get Reimbursed for Travel Costs (Versión en Español)
Instructions for Informational Documents
Omaha National Contact Information
Reduce Your Workers Compensation Costs
Employer Rights and Responsibilities (Versión en Español)
Instructions for General Forms
Request for Subrogation Waiver
Form ERM-14 – Confidential Request for Ownership Information
Company Contacts Verification
Instructions for State-Specific Forms & Documents
Notice to New Employees of Insurance Coverage (Versión en Español)
