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Texas Department of Insurance
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Online filing

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. 

file online DWC005, Employer Notice of No Coverage or Termination of Coverage

file online DWC020SI, Self-Insured Governmental Entity Coverage Information

XML forms 

DWC forms available for XML file submission
Form # Title Schema Sample
DWC005file online Employer's Notice of No Coverage or Termination of Coverage Employer forms schema Sample DWC005
DWC020SIfile online 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.

Last updated: 8/30/2024