- WC Network Sample Employee Acknowledgment Form [PDF] Sample Employee Acknowledgment Form - English Version
- WC Network Sample Employee Acknowledgment Form [PDF] Sample Employee Acknowledgment Form - Spanish Version
- WC Network Sample Employee Acknowledgment Form [PDF] Sample Employee Acknowledgment Form - Chinese Version
- WC Network Sample Employee Acknowledgment Form [PDF] Sample Employee Acknowledgment Form - Vietnamese Version
Additional Workers' Compensation Health Care Network Information
For more information, contact: WCNET@tdi.texas.gov
Last updated:
9/6/2014