Workers' Compensation Insurance

Forms

Many forms are in PDF format and require Adobe Reader.

Texas Claims

• First Report of Injury or Illness

International Claims- General Information

• International Travel Claims Reporting Guide

Employer Information

• Employer's First Report of Accident/Occupational Disease
• Employer's Statement of Wage Earnings

Defense Base Act Claims

• Employer's First Report of Accident or Occupational Disease- United States Department of Labor (Use this form to report injuries for U.S. federal and military contracts)
• Employer's Supplementary Report of Accident or Occupational Disease
• Employer's Statement of Wage Earnings