Get What Is Addendum Form

The What Is Addendum Form is an essential document used by employers to update their coverage information with the Texas Department of Insurance. This guide will walk you through the steps to complete the form accurately, ensuring that your coverage details are up to date.

Follow the steps to fill out the What Is Addendum Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by checking the appropriate box to indicate whether this is an addendum to the DWC Form-005 or DWC Form-020 based on your needs.
3. In the 'Primary Employer Information' section, fill in the primary employer's business name and provide the Federal Employer ID Number to identify the employer.
4. Move to the 'Additional Business Locations' section. For each additional location, fill in the required information including the name of the business, effective date, and its Federal Employer ID Number.
5. For each address listed, indicate whether you are adding or deleting coverage by checking the appropriate box.
6. Once you have completed all necessary fields and reviewed your entries, save changes to ensure your data is not lost.
7. Finally, you may download, print, or share the completed form as needed for your records.

Take action and complete your documents online to keep your coverage information current.