Get Compensation Dwc Form-153 - Tdi Texas

Filling out the Compensation DWC Form-153 online is an essential step for requesting copies of confidential claimant information in Texas. This guide will provide you with user-friendly, step-by-step instructions to navigate the form accurately.

Follow the steps to complete the Compensation DWC Form-153 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section I, fill in your claim file identification information including the DWC or IAB number, the employee's last four digits of their Social Security Number, name, and date of injury. Ensure that all information is accurate.
3. Move to Section II and enter the requestor information. Fill in your name, address, email address, city, state, zip code, telephone number, and fax number, if applicable. The email address is important for processing and verification.
4. In Section III, specify the type of information requested. Check the appropriate boxes based on your needs, such as a claim file, certified copies, or specific documents in the file. Be thorough in indicating what you require.
5. In Section IV, check the box corresponding to your legal eligibility to receive the requested information. It is crucial to provide all necessary documentation to verify your eligibility.
6. Sign the form in the designated area, and ensure that the signature is notarized. It is critical that this notarization is completed to avoid rejection of the form.
7. Once all sections are complete, review the form for accuracy and completeness. Save your changes.
8. Finally, you can download, print, or share the completed form as required, and send it to the Texas Department of Insurance Division of Workers' Compensation.

Act now to complete your Compensation DWC Form-153 online and ensure your request is processed efficiently.