When must an employer file the DWC Form-003SD, Employer’s Wage Statement for School Districts?
An employer must file the completed form with the insurance carrier, the injured employee, and the injured employee’s representative (if any) within 30 days from the earliest of:

• the date the employer is notified that the employee is entitled to income benefits; or
• the date the employee’s death is a result of the injury (compensable); and
• within seven days from getting a request from the Texas Department of Insurance, Division of Workers’ Compensation (DWC).

Note: An employer who fails to timely file a complete wage statement without good cause, as required by Texas Labor Code Section 408.063(c) and 28 TAC Section 120.4(a), may be fined.

How do I report wages?
For non-contract employees, report all wages earned in the 13 weeks before the date of injury according to the employee’s pay period. Employers may report 14 weeks if paid biweekly or three months if paid monthly. In all cases, list the dates that each period covers.

• If the employee was not employed for 13 weeks before their injury, report wages of an employee who has the training, experience, skills, same pay, and same number of hours.
• If no similar employee exists, report all wages the injured employee earned before the injury (28 TAC Section 120.4).

For contract employees, report gross wages of the contract including any stipends.

• If the employee did not work for your district for one of the months listed, type “NE” to show “not employed.”
• If the employee worked for your district during the month, but they did not earn any wages, type “0.”

What is average weekly wage?
The gross average amount of money the employee earns each week in the 13 weeks before the injury or illness.

Contract employee’s average weekly wage (AWW) is calculated differently based on if the employee’s written contract says they are paid based on months or number of days worked. You can learn more about how to calculate average weekly wage AWW at www.tdi.texas.gov/wc/employee/benefits.html.

What if my employee has multiple jobs?
The injured employee will submit the DWC Form-003ME, Employee’s Multiple Employment Wage Statement to their other employer. The injured employee will submit the completed form to the insurance carrier.

Questions?
Call 1-800-252-7031, Monday to Friday, 8 a.m. to 5 p.m., Central time. Go to www.tdi.texas.gov/wc to learn more about workers’ compensation.

Note: With few exceptions, on your request, you are entitled to:

• be informed about the information DWC collects about you;
• receive and review the information (Government Code Sections 552.021 and 552.023); and
• have DWC correct information that is incorrect (Government Code Section 559.004).

For more information, contact [email protected] or go to the Corrections Procedure section at www.tdi.texas.gov.