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.
|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.