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Get Dwc Form 074

Ste. 100 Austin TX 78744-1609 512 804-4000 512 804-4378 fax www. tdi. texas. gov DESCRIPTION OF INJURED EMPLOYEE S EMPLOYMENT DWC Form-074 Send the completed DWC Form-074 to the requestor. The employer should retain a copy of the completed form for their records. Do not send a copy of the completed DWC-Form 074 to the Texas Department of Insurance Division of Workers Compensation TDI-DWC. Who should complete the DWC-074 The form should be complet.

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