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Form DWC121 Claim Administration Contact Information - Texas
What Is Form DWC121?
This is a legal form that was released by the Texas Department of Insurance - Division of Workers' Compensation - 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 a DWC121 form?
A: The DWC121 form is used for claim administration in Texas.
Q: What is the purpose of the DWC121 form?
A: The purpose of the DWC121 form is to provide contact information for claim administration in Texas.
Q: Who should fill out the DWC121 form?
A: The DWC121 form should be filled out by the party responsible for claim administration in Texas.
Q: When should the DWC121 form be submitted?
A: The DWC121 form should be submitted as soon as possible after becoming responsible for claim administration in Texas.
Form Details:
- Released on March 1, 2020;
- The latest edition provided by the Texas Department of Insurance - Division of Workers' Compensation;
- 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 DWC121 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance - Division of Workers' Compensation.
Download Form DWC121 Claim Administration Contact Information - Texas
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