- Application For Division Approval Of Change In Payment Period {DWC-31}
- Application For Division Approval Of Purchase Of Annuity For Lifetime Income Benefits {DWC-35}
- Benefit Dispute Agreement {DWC-24}
- Benefit Dispute Settlement {DWC-25}
- Carriers Request For Reduction Of Income Benefits Due To Contribution {DWC-33}
- Claim Administration Contact Information {DWC-121}
- Correction-Revision-Endorsement To Existing Policy {DWC-20A}
- Designation Of Insurance Carriers Austin Representative {DWC-27}
- EDI Trading Partner Profile {EDI-01}
- Insurance Carrier Or Trading Partner Medical Electronic Data Interchange (EDI) Profile {EDI-02}
- Medical EDI Compliance Coordinator And Trading Partner Notification {EDI-03}
- Request For Designated Doctor Examination {DWC-32}
- Request For Reimbursement Of Payment Made By Health Care Insurer {DWC-26}
- Request For Standard Detailed Data Reports {DWC-29}
- Required Medical Examination Notice Or Request For Order {DWC-22}
- Self Insured Governmental Entity Coverage Information {DWC-20SI}
- SIF Reimbursement Request Multiple Employment {DWC-97}
- SIF Reimbursement Request Overturned Order Or Designated Doctor Order {DWC-95}
- SIF Reimbursement Request Pharmaceutical {DWC-98}
- SIF Reimbursement Request Refund Of Death Benefits {DWC-96}
- Workers Compensation Complaint Form {DWC-154}