Information in or derived from a claim file regarding a Workers' compensation claimant is confidential and may not be disclosed except as provided in the Texas Workers' Compensation Act. Because of the confidential nature of claimant information, REQUESTS FOR CLAIM FILE INFORMATION WILL NOT BE ACCEPTED VIA INTERNET E-MAIL OR FAX. The following forms for requesting confidential claimant information can be downloaded from this website. These request forms may be hand-delivered or submitted via mail to:
Division of Workers' Compensation
PO Box 12050
Austin, TX 78711
Requests for workers' compensation claim file information
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| TDI Form Number | Description | File Format | Language |
|---|---|---|---|
| DWC153 |
Request for Record Check or Copies of Confidential Claim Information Rev. 02/21 |
English | |
| DWC153s |
Solicitud para Obtener Verificación de Expedientes o Copias de Información Confidencial de la Reclamación Rev. 02/21 |
Spanish | |
| DWC156 |
Prospective employment authorization and certification Rev. 08/21 |
English | |
| DWC156S |
Certificación y autorización de un posible empleo Rev. 08/21 |
Spanish |
For more information, contact: WebStaff@tdi.texas.gov