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 the DWC Form 072?
A: The DWC Form 072 is the Medical Quality Review Panel Application in Texas.
Q: What is the purpose of the DWC Form 072?
A: The purpose of the DWC Form 072 is to apply for the Medical Quality Review Panel in Texas.
Q: Who needs to fill out the DWC Form 072?
A: Anyone who wants to apply for the Medical Quality Review Panel in Texas needs to fill out the DWC Form 072.
Form Details:
Download a fillable version of DWC Form 072 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance.