Agency Forms

Managing your agency with Texas Mutual

Form Format
New Agency Application (View instructions) Online
Communication Preferences and Agency Administrator PDF
Agency Book of Business Transfer – Full PDF
Agency Book of Business Transfer – Partial PDF

Policy Forms

Common forms to manage your policy

Form Format
Agent's Request for Policy Change DOC PDF
Coverage Options for Corporate Executive Officers DOC PDF
Contractor Questionnaire   PDF
Ownership Changes - ERM-14 ONLINE
Temp Employee Data Worksheet & Client List DOC PDF
Supplemental Applications
Aircraft Operations Information DOC PDF
Employee Data Worksheet DOC PDF
Farm or Ranch DOC PDF
Jones Act PDF
Longshore and Harbor Workers' Compensation Act DOC PDF
Outer Continental Shelf DOC PDF
Start Program DOC PDF
Transportation Industry DOC PDF
Volunteer Emergency Service Organization   PDF
TDI Division of Workers' Compensation Forms
DWC-81, Agreement Between General Contractor and Subcontractor to Provide Workers' Compensation Insurance PDF
DWC-82, Agreement Between Motor Carrier and Owner Operator to Provide Workers' Compensation Insurance Coverage / Agreement to Require Owner Operator to Act as Employer PDF
DWC-83, Joint Agreement to Affirm Independent Relationship for Certain Building and Construction Workers / Agreement to Establish Employer-Employee Relationship for Certain Building and Construction Workers PDF
DWC-84, Exception to Application of Joint Agreement to Affirm Independent Relationship for Certain Building and Construction Workers PDF
DWC-85, Agreement Between General Contractor and Subcontractor to Establish Independent Relationship PDF
Professional Employer Organization (PEO) Documents
Client Authorization DOC PDF
Client-Executive Data EXCEL
Client-Maintained Coverage DOC PDF
New Client Form PDF
Pre-Approval and Exclusion PDF
Questionnaire DOC
Requirements DOC PDF