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TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' 7551 Metro Center Drive, Suite 100 Austin, Texas 78744 If you are not certain whether all parties meet the requirements for entering into this agreement,.

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Get the free dwc 73 2019-2020 form Get Form. Show details. Hide details. Employee You are required to report your injury to your employer within 30 days if your employer has workers compensation insurance. You have the right to free assistance from the Texas Department.

Workers' compensation coverage is not required for members of a LLC or LLP that does not have employees. ... The members of a LLC or LLP may elect to have themselves excluded in that coverage by filing a proper form with the insurance carrier. That coverage election form may be obtained from the insurance carrier.

Check only one of the two boxes at the top of the page: ... Enter in the applicable spaces the hiring contractor's federal tax ID number and address. ... Enter in the applicable spaces the independent contractor's federal tax ID number, address.

Form DWC-85 is used to verify the independent relationship and the intent of the parties to exclude the independent contractor from the general contractor's workers' compensation insurance.

The LES Form DWC-1, or First Report of Injury or Illness, is the form used to report workers' compensation accidents or work-related illnesses to your insurance carrier or designated claims office. Delays and errors may increase costs related to processing the claim.

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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