Forms & Sample Documents
Click on the links below to open a copy of the form or sample document. If you have any problem printing the forms, check our tips for downloading and printing forms.
| Form | Format | |
| Electronic Funds Transfer Form | ||
| Employee Notice of Ombudsman Services | ||
| Notice of Injured Employee Rights and Responsibilities in the Texas Workers' Compensation System (English, Spanish, Chinese, Korean, Vietnamese) | ||
| DWC-48, Request for Travel Reimbursement | ||
| DWC-53, Employee's Request to Change Treating Doctor - Non Network | ||
| DWC-53, Employee's Request to Change Treating Doctor - Non Network (Spanish) | ||
More forms on the Web
For more forms related to workers’ compensation insurance or general workplace issues, visit the appropriate agency’s website, listed below.