Risk Management

New and Updated

• Type:

  Letters and Forms

  Florida Employee Notification Letter

  As mandated by the Florida Division of Worker's Compensation, employers or their insurance carrier must provide an injured employee with the Employee Notification Letter.

• Type:

  Letters and Forms

  Texas Description of Injured Employee's Employment, DWC074

  As recommended by the Texas Department of Insurance, Division of Workers' Compensation, employers may file the Description of Injured Employee's Employment, DWC074, upon request.

• Type:

  Letters and Forms

  Florida Wage Statement, DWC-1a

  As mandated by the Florida Department of Financial Services, Division of Workers' Compensation, covered employers must complete and file Form DWC-1a.

• Type:

  Letters and Forms

  Texas Supplemental Report of Injury, DWC006

  As mandated by the Texas Department of Insurance, covered employers must use the Texas Supplemental Report of Injury, DWC Form-6.

• Type:

  Letters and Forms

  Texas Employer's First Report of Injury or Illness, DWC001

  As mandated by the Texas Department of Insurance, Division of Workers' Compensation, employers are required to file the Employer's First Report of Injury or Illness, DWC 001.

• Type:

  Letters and Forms

  California Employer's Report of Occupational Injury or Illness, DLSR 5020

  As mandated by the California Department of Industrial Relations, Division of Workers' Compensation, employers are required to complete Form DLSR 5020.