Form DWC210 Surety Bond for Certified Self-insurance Liabilities - Texas

Form DWC210 Surety Bond for Certified Self-insurance Liabilities - Texas

What Is Form DWC210?

This is a legal form that was released by the Texas Department of Insurance - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DWC210?
A: Form DWC210 is a surety bond for certified self-insurance liabilities in Texas.

Q: Who needs to fill out Form DWC210?
A: Employers who have been approved as certified self-insurers in Texas need to fill out Form DWC210.

Q: What is the purpose of Form DWC210?
A: The purpose of Form DWC210 is to provide a surety bond to cover the liabilities of certified self-insured employers in Texas.

Q: How do I fill out Form DWC210?
A: Form DWC210 requires information about the employer, the surety company providing the bond, and the bond amount. It must be signed and notarized.

Q: Are there any fees associated with Form DWC210?
A: Yes, there may be fees associated with obtaining and filing the surety bond required by Form DWC210.

Q: How often do I need to submit Form DWC210?
A: Form DWC210 must be submitted annually by certified self-insured employers in Texas.

Q: What happens if I don't submit Form DWC210?
A: Failure to submit Form DWC210 or maintain the required surety bond may result in the revocation of a certified self-insured employer's status.

Q: Can I cancel or change my surety bond?
A: Any changes or cancellations to the surety bond must be reported to the Texas Department of Insurance's Division of Workers' Compensation.

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Form Details:

  • Released on January 1, 2006;
  • The latest edition provided by the Texas Department of Insurance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DWC210 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance.

Download Form DWC210 Surety Bond for Certified Self-insurance Liabilities - Texas

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