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Workers' Compensation

The employer is required to file an Employer's First Report of Injury of Illness [DWS FORM-001 Rev. 10/05] with the injured worker's insurance carrier, and the injured claimant or the claimant's representative within 8 days after the employee's absence from work or receipt of notice of occupational disease.

The Employer's First Report of Injury or Illness provides information on the claimant, employer, insurance carrier and medical practitioner necessary to begin the claims process. Details of the claimant's employment and circumstances surrounding the injury or illness are also requested.

Employer's First Report of Injury or Illness

Hold Harmless Agreement

For more information about the Texas A&M University System Workers' Compensation Insurance Program, please click here.

  • 7101 University Ave
  • Texarkana, TX 75503
  • p: 903.223.3000
  • f: 903.223.3104
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