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.
Q: What is the Form DWC005?
A: Form DWC005 is the Employer Notice of No Coverage or Termination of Coverage in Texas.
Q: When is the Form DWC005 used?
A: The Form DWC005 is used when the employer does not have workers' compensation insurance coverage or when the coverage is terminated.
Q: What information does the Form DWC005 require?
A: The Form DWC005 requires the employer's name, address, FEIN/SSN, contact information, and details about the coverage status.
Q: How do I submit the Form DWC005?
A: The Form DWC005 can be submitted electronically or by mail to the Texas Division of Workers' Compensation.
Q: What are the consequences of not submitting the Form DWC005?
A: Failure to submit the Form DWC005 may result in penalties and legal consequences for the employer.
Form Details:
Download a fillable version of Form DWC005 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance - Division of Workers' Compensation.