Failure to comply with the following requirements without good cause is a Class D administrative violation. Penalties will be imposed by The Texas Department of Insurance, Division of Workers' Compensation and employers may be assessed an administrative penalty not to exceed $500 per record.
What is the Employer's Supplemental Report Form (DWC-6) designed to accomplish?
The Employer's Supplemental Report Form (DWC-6) is required by The Texas Department of Insurance, Division of Workers' Compensation (DWC) to account for any period of time lost from work for which the injured worker might be entitled to compensation benefits. The Employer's Supplemental Report Form also serves as written notice to The University of Texas System Workers' Compensation Insurance office (WCI) of an employee's lost time, return-to-work after a period of disability and change in employment status.
What is the process of completing and filing the Employer's Supplemental Report Form (DWC-6)?
Employer's First Report of Injury Form (DWC-1) and the Employer's Supplemental Report Form (DWC-6) is required for all employee injuries no later than three days after the occurrence of any of the following:
- The injured employee returns to work after having lost time from work
- The injured employee, after returning to work, experiences an additional day or days of disability as a result of the injury
The Employer's First Report of Injury Form must be filed with WCI and the injured employee within ten days of any of the following:
- The injured employee has a change in earnings as a result of the work-related injury
- The injured employee resigns or terminates employment
- The injured employee has subsequent lost time from work due to the injury
What is the process of submitting the Employer's Supplemental Report Form (DWC-6)?
The Employer's Supplemental Report Form may be filed with WCI electronically through *WCMENU.
Many forms are in PDF format and require Adobe Reader.
