DWC Form 072 Medical Quality Review Panel Application - Texas

DWC Form 072 Medical Quality Review Panel Application - Texas

What Is DWC Form 072?

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 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.

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Form Details:

  • Released on January 1, 2013;
  • 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 DWC Form 072 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance.

Download DWC Form 072 Medical Quality Review Panel Application - Texas

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