Form DWC004 Employer's Contest of Compensability - Texas

What Is Form DWC004?

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 the DWC004 Employer's Contest of Compensability form?
A: The DWC004 form is used by employers in Texas to contest the compensability of a worker's compensation claim.

Q: When should an employer use the DWC004 form?
A: An employer should use the DWC004 form when they believe that a worker's compensation claim is not valid and wish to contest its compensability.

Q: What information is required on the DWC004 form?
A: The DWC004 form requires the employer to provide information about the employee, the reason for contesting compensability, and any supporting documentation.

Q: What should an employer do after completing the DWC004 form?
A: After completing the DWC004 form, the employer should submit it to the Texas Department of Insurance and provide a copy to the employee and their attorney, if applicable.