TX Workers' Compensation Commission

Showing 1–16 of 38 results

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  Aplicación Para Beneficios de Ingresos Suplementales

  TWCC-52S $179.00
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  Application for Attorney’s Fees

  TWCC-152 $375.00
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  Application for Supplemental Income Benefits

  TWCC-52 $179.00
• 

  Benefit Dispute Agreement

  TWCC-24 $69.00
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  Benefit Dispute Settlement

  TWCC-25 $69.00
• 

  CARRIER FORMS Package

  TWCCCARRIER $325.00
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  Carrier’s Request for Reduction of Income Benefits Due to Contribution

  TWCC-33 $89.00
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  Deposition Forms

  TWCCDEP $89.00
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  Employee’s Election for Commuted (Lump Sum) Impairment Income Benefits

  TWCC-51 $89.00
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  Employee’s Notice of Injury or Occupational Disease & Claim for Compensation

  TWCC-41E/S $89.00
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  Employee’s Request for Acceleration of Impairment Income Benefits

  TWCC-46 $129.00
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  Employee’s Request for Payment of Advance Compensation

  TWCC-47 $89.00
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  Employee’s Request to Change Treating Doctors

  TWCC-53 $89.00
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  Employees Wage Statement for Multiple Employments

  TWCC-3ME $89.00
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  Employer Notice of No Coverage or Termination of Coverage

  TWCC-5 $89.00
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  Employer’s First Report of Injury or Illness (Espanol)

  TWCC-1s $89.00