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Get Tx Dwc Form-73 2005
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How to fill out the TX DWC Form-73 online
Filling out the TX DWC Form-73 online is an essential step for employees reporting workplace injuries. This guide provides clear instructions to help users complete the form accurately and efficiently.
Follow the steps to complete the form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In Part I, enter the injured employee's name, date of injury, and the last four digits of their Social Security number. Include the doctor’s name and facility, along with contact information. Write a clear description of the injury or accident.
- In Part II, indicate the employee's work status. Choose from the options provided: able to work without restrictions, able to work with restrictions, or prevented from returning to work. If restrictions apply, provide the estimated dates for these restrictions.
- If restrictions are indicated in Part III, check the relevant boxes to specify activity restrictions. Fill in details about posture, motion, lift/carry, and any other specific limitations as required.
- In Part IV, document the work injury diagnosis and include expected follow-up appointment details. Ensure essential dates and times for future appointments are clearly noted.
- After completing all sections, review the form for accuracy. You can then save the changes, download, print, or share the completed form as needed.
Take the next step and successfully fill out your TX DWC Form-73 online today!
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Yes, in Texas, employers can opt out of providing workers' compensation insurance. This is particularly relevant for certain businesses, such as sole proprietorships or those with few employees. By submitting the TX DWC Form-73, you can establish this opt-out status and better navigate the responsibilities and benefits related to workers' compensation.
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