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Workers' compensation other business forms

If the form is a fillable PDF, learn how to enable all fillable form features.

TDI form number Description Format Language
DWC120 Designation of administrative services company administrator
Rev. 03/22 		PDF English
DWC150 Notice of Representation
Rev. 12/16 		PDF English
DWC150A Notice of Withdrawal of Representation
Rev. 11/17 		PDF English
DWC150AS Aviso de Anulación de Representación Legal
Rev. 11/17 		PDF Spanish
DWC150S Aviso de Representación Legal
Rev. 12/16 		PDF Spanish
DWC151 Attorney Application for Web Access
Rev. 12/16 		PDF English
DWC152 Application for Attorney Fees
Rev. 11/17 		PDF English
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
DWC205 Locations of Employer’s Business(es)
Addendum to DWC Form-005 or DWC Form-020 - Rev. 11/10 		PDF English
DWC205S Locaciones del Negocio(s) del Empleador
Suplemento para el Formulario DWC005 o Formulario DWC020 - Rev. 11/10 		PDF Spanish

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