New DWC Form – Workers’ Compensation Complaint Form

The Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) is accepting public comment on new DWC Form-XXX, Workers’ Compensation Complaint Form.

28 TAC §180.2(a) states that any person may submit a complaint to the TDI-DWC for alleged administrative violations. Labor Code §402.023(c) states, in part, that the division shall develop and post on the website a simple standardized form for filing complaints. New DWC Form-XXX provides a simple standardized form for the filing of workers’ compensation complaints, and may be submitted via email, fax, or mail. A person may also submit a complaint through TDI-DWC’s website, through email, fax, written correspondence, or in person, without using the form.

The draft form is currently available on the Texas Department of Insurance website at http://www.tdi.texas.gov/wc/rules/drafts.html

You may read more about this here.