Online forms
To use DWC Online Forms, users need either the free Adobe Reader or Adobe Acrobat. The free Adobe Reader download is available at get.adobe.com/reader/.
Online Forms cannot be filed using mobile devices such as cell phones or tablets.
You will receive an acknowledgment after your form is accepted. Save the acknowledgment for your records.
DWC005, Employer Notice of No Coverage or Termination of Coverage
DWC020SI, Self-Insured Governmental Entity Coverage Information
XML forms
| Form # | Title | Schema | Sample |
|---|---|---|---|
| DWC005 |
Employer's Notice of No Coverage or Termination of Coverage | Employer forms schema | Sample DWC005 |
| DWC020SI |
Self-Insured Governmental Entity Coverage Information | Employer forms schema | Sample XML 20si Political Subdivision POOL Sample XML 20si Self Insured Entity |
Having trouble filing? Email coverage.verification@tdi.texas.gov or call 512-804-4345.