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Texas Department of Insurance
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Requests for workers' compensation claim file information

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

Division of Workers Compensation main forms page

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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

PDF English
DWC153s

Solicitud para Obtener Verificación de Expedientes o Copias de Información Confidencial de la Reclamación

Rev. 02/21

PDF Spanish
DWC156

Prospective employment authorization and certification

Rev. 08/21

PDF English
DWC156S

Certificación y autorización de un posible empleo

Rev. 08/21

PDF Spanish

For more information, contact: WebStaff@tdi.texas.gov