Get 7551 Metro Center Drive, Suite 100

Filling out the 7551 Metro Center Drive, Suite 100 form is an important step for attorneys seeking web access to the Division of Workers' Compensation's systems. This guide provides clear, step-by-step instructions to help you complete the form efficiently and accurately.

Follow the steps to complete the form online

1. Click the ‘Get Form’ button to access the document and open it in your editor.
2. In section 1, enter your name as the attorney in the specified fields: first name, middle initial, and last name.
3. In section 3, provide your firm name. Make sure this is the official name of your practice.
4. In section 2, fill out your mailing address, including street, city, state, and ZIP code.
5. For section 4, enter your telephone number where you can be reached.
6. In section 5, input your bar card number. This is necessary for verification purposes.
7. In section 6, provide your individual email address. Ensure that this is an email you check regularly as the Access Code will be sent here.
8. Read the certification statement carefully. This confirms your understanding of responsibility and access protocols. You must sign at the bottom to certify the information provided.
9. After completing all fields, review the information for accuracy. Once confirmed, save your changes.
10. You may now download and print the form if needed, or share it as required. Ensure that it is submitted to the Texas Department of Insurance, Division of Workers' Compensation, at the specified address.

Complete your form online today to ensure efficient processing of your application.