dwc 73 form pdf

0000211978 00000 n Workers' compensation covers most work- related physical or mental injuries and illnesses. 0000035346 00000 n 0000130076 00000 n 0000199900 00000 n TEXAS WORKERS’ COMPENSATION WORK STATUS REPORT Empleado - Es necesario que reporte su lesión a su empleador dentro de 30 días a partir de la fecha en que se lesionó si es que su empleador cuenta con un seguro de compensación para 0000138268 00000 n 0000217818 00000 n 0000173763 00000 n 0000190470 00000 n 0000129481 00000 n 0000067433 00000 n

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0000068411 00000 n Notice to Employees--Injuries Caused By Work. 0000144505 00000 n 0000260772 00000 n

0000173445 00000 n 0000043113 00000 n 0000060019 00000 n ÜŸwŒä 骶Ûr@Î9™�. %PDF-1.6 %âãÏÓ

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0000134439 00000 n 0000182066 00000 n Form. 0000106482 00000 n 0000098556 00000 n 0000220993 00000 n 0000206153 00000 n 0000110679 00000 n 0000150363 00000 n 0000038301 00000 n 0000202764 00000 n 0000030026 00000 n

0000211368 00000 n 0000159706 00000 n 0000052901 00000 n 0000261017 00000 n 0000083301 00000 n startxref 0000136613 00000 n 0000074406 00000 n 0000039722 00000 n 0000070657 00000 n 0000018683 00000 n 0000191495 00000 n 0000100293 00000 n Form 73 0000148552 00000 n 0000048028 00000 n You have the right to free assistance from the Texas Department, Get, Create, Make and Sign dwc 73 work status form. 0000158383 00000 n is not the form you're looking for? 0000133535 00000 n 0000175553 00000 n 0000065723 00000 n 0000056694 00000 n 0000207864 00000 n 0000143165 00000 n 0000043439 00000 n 0000182383 00000 n 0000129176 00000 n 0000262021 00000 n 0000169782 00000 n 0000048988 00000 n 0000115734 00000 n 0000077151 00000 n 0000170808 00000 n

Find the right form for you and fill it out: TX DWC Form-73 0000164209 00000 n 0000037117 00000 n 0000073722 00000 n 0000169247 00000 n 0000106132 00000 n The specific requirements are shown in the chart below. 0000198356 00000 n

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0000179795 00000 n 07/04) Page 2 TEXAS WORKERS' COMPENSATION COMMISSION FORM TWCC-73 WORK STATUS REPORT INSTRUCTIONS PART I: GENERAL INFORMATION - Contains space to record general information about the employee and the doctor/clinic. 0000155031 00000 n 0000203966 00000 n 0000192850 00000 n

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0000163614 00000 n 0000200213 00000 n 0000198965 00000 n 0000115139 00000 n 0000042487 00000 n 0000223038 00000 n 0000162510 00000 n 2020 © airSlate, Inc. 0000036514 00000 n 0000124418 00000 n 0000126311 00000 n 0000139398 00000 n 0000116695 00000 n 0000181460 00000 n 0000092754 00000 n 0000138873 00000 n 0000236308 00000 n 0000219879 00000 n 0000174362 00000 n 0000094941 00000 n

0000040914 00000 n PDF: English: DWC154 Workers' Compensation Complaint Form Rev. 0000219536 00000 n 0000056441 00000 n All rights reserved. 0000186604 00000 n 0000166741 00000 n 0000181381 00000 n

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0000072834 00000 n 0000079326 00000 n 0000067864 00000 n 0000144752 00000 n 0000156122 00000 n 2011, TX DWC Form-73 0000138620 00000 n 0000120399 00000 n 0000205727 00000 n 0000156806 00000 n 0000153221 00000 n

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0000104516 00000 n 0000209353 00000 n TWCC 73 (Rev. 0000191145 00000 n 0000191751 00000 n 0000175254 00000 n 0000121953 00000 n 0000163115 00000 n

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