FAQ
Employer’s first report of injury or illness

Who do I send this form to?
Send this form to your workers’ compensation insurance carrier and to the injured employee or the injured employee’s representative. Do not send this form to the Texas Department of Insurance, Division of Workers’ Compensation (DWC), unless DWC specifically requests it.

When do I need to send this form?
You must send the DWC Form-001 within eight days after:
1. The employee’s first day of absence from work due to the injury;
2. You receive notice of occupational disease; or
3. An employee dies.

Why do I need to send this form?
Employers must file this form so the insurance carrier has the information they need to begin the claims process. You may be fined if you fail to send this report without having a good reason (good cause.)

How should I send this form?
You can file the form with the insurance carrier and send it to the injured employee or the injured employee’s representative by email, fax, U.S. Postal Service, or personal delivery.

Do I need to keep a copy of this form?
Yes, you should keep a copy of this form to serve as the Employer’s Record of Injury required by Texas Labor Code Section 409.006. For more requirements refer to DWC rule 120.2, Employer’s first report of injury and notice of injured employee rights and responsibilities.

Questions?
Call 800-252-7031, Monday through 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).
• 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.