All Things Texas Workers' Compensation

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Information & Instructions for:

DWC007:
Employer’s report of noncovered employee’s work-related injury or illness
DWC007 – Instructions

FAQ
Employer’s report of noncovered employee’s work-related injury or illness

Who must use this form?
Employers that do not have workers’ compensation insurance coverage (non-subscribers) and employ five or more employees who are not exempt from workers’ compensation insurance coverage must file the DWC Form-007, Employer’s report of noncovered employee’s work-related injury or illness. Examples of exempt employees include certain domestic workers and certain farm and ranch workers.

Employers that have workers’ compensation insurance coverage must file the DWC Form-007 to report an on-the-job injury or illness for an employee who has waived workers’ compensation insurance coverage. See Texas Labor Code Section 406.034 for more information.

What do I do if I need to report more than two injured employees?
Copy page three of the form as many times as you need to report more injured employees.

When do I file the DWC Form-007?
You must file the form no later than the 7th day of the month after the month:

  • A work-related death happened;
  • An employee was absent from work for more than one day because of an on-the-job injury; or
  • The employer knew about a work-related illness.

You do not have to report months with no deaths, injuries, or illnesses.

Are any fields on the DWC Form-007 optional?
No, you must answer all fields.

Where can I find more information about NAICS codes?
Find more information at the United States Census Bureau at www.census.gov/naics.

Where do I send this form?

  • Create a profile in TXCOMP and upload documents.
  • Fax: 512-804-4146
  • Mail: Texas Department of Insurance, Division of Workers’ Compensation Business Process Operations, MC BP-OPS PO Box 12050 Austin, TX 78711-2050

Questions?
Call 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 wrong information (Government Code Section 559.004).

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