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NS 1. Check ONLY one box to indicate the purpose of your request: 2. Check applicable box(es) for services you are requesting: Special Accommodations (Please specify) Schedule a BRC Reschedule a BRC Cancel a BRC Expedited BRC (Provide reason) II. INJURED EMPLOYEE CLAIM INFORMATION 3. Employee's Name (Last, First, Middle) 4. Employee's Physical Address 5. Insurance Carrier's Name 6. Date of Injury (m.

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BRC - Texas Department of Insurance - Texas.gov
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Texas does not require most private employers to have workers' compensation insurance coverage. Employers not providing workers' compensation insurance coverage are referred to as non-subscribers. Non-subscribers lose important legal protections, including immunity from most lawsuits by injured employees.

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.

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.

Texas Law. Requires all employers, with or without workers' compensation insurance coverage, to comply with reporting and notification requirements under the Texas Workers' Compensation Act. Provides for reimbursement of medical expenses and a portion of lost wages due to a work-related injury, disease, or illness.

Texas workers' compensation law allows employers to opt out of carrying workers' compensation insurance, which covers medical expenses, physical therapy expenses and lost wages for employees who get sick or injured at work.

Texas is the only state which does not require 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.

Call 888-489-2667 or email TXCompHelp@tdi.texas.gov for help.

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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