WebJan 13, 2024 · Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon Trusted by 1,000s of Attorneys and Legal Professionals Description DWC073 DWC073 Rev. 10/18 Page 1 of 2 Texas Workers222 Compensation Work Status Report I. GENERAL INFORMATION Date Sent (for transmission purposes only) : 1. … Webyour employer has workers’ compensation insurance. You have the right to free assistance from the Texas Department of Insurance, Division of Workers’ Compensation and may …
TDI-DWC Revises Work Status Report Form to Allow Advanced …
WebFiling requirements for DWC Form-073 vary depending on the type of doctor filing the Work Status Report. The specific requirements are shown in the chart below. Type of Doctor … Webyour employer has workers’ compensation insurance. You have the right to free assistance from the Texas Department of Insurance, Division of Workers’ Compensation and may be entitled to certain medical and income benefits. For further information call . your local Division field office or 1 (800)-252-7031. DWC FORM-73 (Rev. 02/11) Page 1 cube supreme rt hybrid pro 625 easy entry
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WebDWC FORM-6 (Rev. 10/05) Page 1 DIVISION OF WORKE RS’ COMPENSATION ... you are responsible to provide information to the workers’ compensation insurance carrier about: • The existence of earnings, and • The amount of any earnings, or • Any offers of employment. Include CLAIM and insurance carrier numbers in right upper hand corner. WebJul 21, 2015 · What is the purpose of the DWC Form 73? The Work Status Report is a communication tool used to inform the insurance carrier, employer, and injured employee … WebJul 21, 2015 · What is the purpose of the DWC Form 73? The Work Status Report is a communication tool used to inform the insurance carrier, employer, and injured employee of the injured employee’s ability to work. When is the DWC Form 73 required? Submitted by the treating doctor and referral doctor •At the request of the insurance carrier: cube supreme sport hybrid pro 625 test