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.
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.
Form Details:
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.