Skip to Top Main Navigation Skip to Left Navigation Skip to Content Area Skip to Footer
Texas Department of Insurance
Topics:   A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Topics A to Z
Español

Workers' compensation health and safety forms

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

TDI Form Number Description File Format Language
DWC101 Program review report for rejected risk employers
Rev. 11/21 		PDF English
DWC101 Program review report for rejected risk employers
Rev. 11/21 		WORD English
DWC102 Accident prevention plan cover sheet for rejected risk employer
Rev. 11/21 		PDF English
DWC102 Accident prevention plan cover sheet for rejected risk employer
Rev. 11/21 		WORD English
DWC104 Employer request for DWC safety consultation
Rev. 11/21 		PDF English
DWC104 Employer request for DWC safety consultation
Rev. 11/21 		WORD English
DWC105 Accident prevention services worksheet
Rev. 11/21 		PDF English
DWC105 Accident prevention services worksheet
Rev. 11/21 		WORD English
DWC109 Accident prevention services annual report
Rev. 11/21 		PDF English
DWC109 Accident prevention services annual report
Rev. 11/21 		WORD English

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