DWC-2, Employer's Report for Reimbursement of Voluntary Payment |
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PDF |
DWC-3, Employer's Wage Statement |
Online |
PDF |
DWC-3S, Employer's Wage Statement (Spanish) |
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PDF |
DWC-3ME, Employee's Multiple Employment Wage Statement |
English |
Spanish |
DWC-3SD, Employer's Wage Statement for School Districts |
English |
Spanish |
DWC-4, Employer's Contest of Compensability |
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PDF |
DWC-5, Employer Notice of No Coverage or Termination of Coverage |
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PDF |
DWC-6, Supplemental Report of Injury |
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PDF |
DWC-7, Employer’s Report of Noncovered Employee’s Work-Related Injury or Illness |
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PDF |
DWC-48, Request for Travel Reimbursement |
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PDF |
DWC-53, Employee's Request to Change Treating Doctor - Non Network |
English |
Spanish |
DWC-73, Work Status Report |
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PDF |
DWC-74, Description of Injured Employee's Employment |
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PDF |
DWC-81, Agreement Between General Contractor and Subcontractor to Provide Workers' Compensation Insurance |
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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 |
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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 |
English |
Spanish |
DWC-84, Exception to Application of Joint Agreement to Affirm Independent Relationship for Certain Building and Construction Workers |
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PDF |
DWC-85, Agreement Between General Contractor and Subcontractor to Establish Independent Relationship |
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PDF |