Upon receipt of your completed DWC Form-041, or other notice of your injury, the Division will create a claim and establish a DWC claim number for you, and the Division will mail …

Injury or Occupational Disease (DWC Form-041) A claim for Workers' Compensation benefits must be filed with the Division of Workers’ Compensation (Division) by the injured employee …

2024年12月12日 · Report the injury or illness to your employer. DWC will send you a packet with these documents: Notice of injury letter (CS-41) DWC Form-041, Employee's Claim for …

You can report your injury to DWC by filling out DWC Form-041, Employee's Claim for Compensation for a Work-Related Injury or Occupational Disease. You can fill out the form …

Today, we’re going to discuss a form that many of you will and should have filled out, if you are reporting that you have been injured on the job in Texas. This form number is DWC-041. […]

A DWC Form 041 is a legal document in Texas to allow injured workers to file a claim for compensation for a work-related injury. The Division of Workers Compensation Department …

The primary purpose of the DWC Form-041 is to enable injured employees in Texas to report work-related injuries or occupational diseases efficiently. This form serves as an official …

2023年3月3日 · Texas Department of Insurance 1601 Congress Avenue, Austin, TX 78701 | PO Box 12050, Austin, TX 78711 | 512-804-4000 | 800-252-7031

To protect your rights, you must send a completed Employee's Claim for Compensation for a Work-Related Injury or Occupational Disease (DWC Form-041) to TDI-DWC within one year of …