Last updated: 1/3/2025
Accident Prevention Services Annual Report {DWC-109}
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Description
DWC-109 - ACCIDENT PREVENTION SERVICES ANNUAL REPORT. An insurance company writing workers’ compensation insurance in Texas must file the DWC Form-109 with DWC as an annual report of its accident prevention services. Insurance companies must file the DWC Form-109 accurately and on time. A DWC Form-109 is considered filed with DWC only when it contains all required information. An insurance company must file the DWC Form-109 as its initial report by the effective date of its first workers’ compensation policy: • If it writes its first workers’ compensation insurance policy in Texas on or after September 1, 2013; or • When it resumes writing workers’ compensation insurance in Texas and has not written workers’ compensation insurance with exposures in Texas for 12 or more months. An insurance company must file each subsequent DWC Form-109 by April 1 of each year. www.FormsWorkflow.com
