DWC Form 066 Statement of Pharmacy Services - Texas

What Is DWC Form 066?

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 DWC Form 066?
A: DWC Form 066 is the Statement of Pharmacy Services for the state of Texas.

Q: Why do I need to fill out DWC Form 066?
A: You need to fill out DWC Form 066 to report and document pharmacy services provided in Texas.

Q: Who needs to fill out DWC Form 066?
A: Pharmacies and other providers of pharmacy services in Texas need to fill out DWC Form 066.

Q: When is DWC Form 066 due?
A: DWC Form 066 is typically due on a specific date each year. You should check with the Texas Department of Insurance for the exact deadline.

Q: What information is required on DWC Form 066?
A: DWC Form 066 requires information such as the pharmacy's name, address, license number, and details of pharmacy services provided.

Q: Are there any fees associated with DWC Form 066?
A: There may be fees associated with filing DWC Form 066. You should refer to the Texas Department of Insurance for information on fees.

Q: Who can I contact for assistance with DWC Form 066?
A: For assistance with DWC Form 066, you can contact the Texas Department of Insurance or refer to the official guidelines and resources available.

Q: What happens if I don't fill out DWC Form 066?
A: Failure to fill out DWC Form 066 or comply with reporting requirements may result in penalties or legal consequences. It is important to submit the form on time and provide accurate information.