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INDINGS AND DECISION PART I: GENERAL INFORMATION Requestor Name and Address: MFDR Tracking #: M4-11-2346-01 DWC Claim #: ORTHOPAEDIC ASSOCIATES OF CENTRAL TEXAS 16020 PARK VALLEY DRIVE ROUND ROCK, TX 78681-3573 Injured Employee: Date of Injury: Respondent Name and Carrier s Austin Representative Box #: TEXAS MUTUAL INSURANCE CO Box #: 54 Employer Name: Insurance Carrier #: PART II: REQUESTOR S POSITION SUMMARY Requestor s Position Summary: I am submitting this claim that had be.

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Do sole proprietors need workers' compensation? Though it's not required by law, sole proprietors, independent contractors, and other self-employed individuals may elect to buy workers' comp insurance for themselves. Their clients might also require them to carry this coverage.

However, there are exclusions to this rule for some employers listed below: Any public employer including cities, counties, state agencies and state universities. Building and construction contractors for public employers. Motor bus companies and motor carriers.

The main downside to such a claim is that you typically get paid less than you would if you were able to take the case to trial. However, under Texas law, an employee has the right to opt out of workers' compensation coverage.

Do I have to have workers' compensation insurance? Texas doesn't require most private employers to have workers' compensation. But private employers who contract with government entities must provide workers' compensation coverage for the employees working on the project.

DWC-7 Notice to Employees-Injuries Caused by Work (English and Spanish). This form provides your employees with information regarding workers' compensation benefits and the Medical Provider Network (MPN) in California.

A DWC-3 is an Employer's Wage Statement form outlined by the Texas Department of Insurance, Division of Workers' Compensation (DWC). Texas Mutual uses this form to determine the injured employee's average weekly wage and calculate financial assistance for them or their beneficiary.

You must send a completed DWC Form-041, Employee's Claim for Compensation for a Work-Related Injury or Occupational Disease, to DWC within one (1) year of the date you were hurt to protect your rights.

Self-insurance for workers' compensation is available to private employers that qualify and that have operations in Texas. Public entities such as cities, counties, school districts, any state of Texas agency, state college or university, or other public entity may self-insure under Labor Code Chapters 501-504.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232