
Work Status Report (DWC Form-073) Under what circumstances am I required to file DWC Form-073? Filing requirements for DWC Form-073 vary depending on the type of doctor filing the Work Status Report.
dwc form-73 (rev. 10/05) page 2 division of workers’ compensation Rules 126.6, 129.5, and 130.110 lay out the complete requirements for filing this report (in addition, Rule 129.6 provides information on how the report might be used).
Completing and Submitting the DWC Form 73 in Texas Workers ...
2015年7月21日 · What is the purpose of the DWC Form 73? The Work Status Report is a communication tool used to inform the insurance carrier, employer, and injured employee of the injured employee’s ability to work. When is the DWC Form 73 required? Submitted by the treating doctor and referral doctor •At the request of the insurance carrier:
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Medical Interlocutory Order Request - Continued Use of a Drug Previously Prescribed and Dispensed and Excluded from TDI-DWC’s Closed Formulary Rev. 8/11 PDF English
DWC Form 073 - Fill Out, Sign Online and Download
Download a fillable version of DWC Form 073 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance. Download Fillable Dwc Form 073 In Pdf - The Latest Version Applicable For 2025. Fill Out The Texas Workers' Compensation Work Status Report - Texas Online And Print It Out For Free.
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Division of Workers’ Compensation rules. Where can I find more information about the DWC Form-073? For complete requirements regarding the filing of this report, see 28 TAC §§126.6, 127.10, and 129.5.
Employee - You are required to report your injury to your employer within 30 days if your employer has workers’ compensation insurance. You have the right to free assistance from the Texas Workers’ Compensation Commission and may be entitled to certain medical and income benefits.
2022年2月4日 · 28 Texas Administrative Code Section 129.5 requires health care practitioners (HCP) to use the DWC Form-073 to document the employee's work status and restrictions in the workplace. The updated form now requires HCPs to identify the injured employee's job classification if work restrictions are necessary.
Texas Workers' Compensation Work Status Report - daisyBill
2025年1月10日 · This article outlines the situations in which the Texas Department of Insurance requires providers to file a workers’ compensation Work Status Report Form (DWC Form-073), and explains how to file the report.