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How to fill out the TX WC-RFI online
Filling out the Texas Workers' Compensation Request for Information (TX WC-RFI) form is crucial for accurately establishing premiums under the Experience Rating Plan. This guide will provide you with clear, step-by-step instructions to ensure you complete the form accurately and effectively.
Follow the steps to successfully complete the TX WC-RFI online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Identify the purpose of your request by checking the appropriate box. Specify if it is for a name change, combination of entities, sale of ownership interest, merger, formation of a new entity, or conveyance of physical assets.
- Provide the name and street address of the entity, ensuring that P.O. Box numbers are not included. Indicate the legal status of the entity, such as corporation or partnership.
- List the owners of 100% voting stock if applicable, or detail the general partners and their share in profits for partnerships. If there are no voting stocks, list the governing body members.
- Fill in the date of ownership change or acquisition, along with the insuring company, policy number, and effective date.
- Answer the questions concerning previous names, common ownership relations, and any previous ownership changes in the last four years. If applicable, provide the names, principal locations, carriers, and policy numbers for those entities.
- Confirm whether any assets or ownership interests were acquired from a previous business. If so, provide detailed ownership information on both sides of the form.
- Certify that the information is complete and correct by signing the form. Include the name of the insured, the person completing the form, their title, and the date.
- Once all fields are completed, you can save the changes, download, print, or share the form as needed.
Start completing your TX WC-RFI online today to ensure your workers' compensation coverage is properly established.
Filing a workers' comp complaint in Texas involves several straightforward steps. You must report your injury to your employer and then submit a claim with the Texas Division of Workers' Compensation. Utilizing the TX WC-RFI platform can simplify this process, as it provides guidance and tools to help you file your complaint accurately and efficiently.
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