DWC 73 Form PDF – Texas Workers Compensation Work Report

What is the purpose of the DWC 73 Fillable Form?

The Division of Workers Compensation often requires this form to provide a work status report of the injured worker. The following key objectives will describe its purpose more effectively.

Communication of Work Status

The information on this form ensures the capacity of workload and restrictions after a workplace illness or injury. The healthcare provider communicates with all parties involved to streamline the work status of an injured worker.

Facilitating Recovery

The healthcare provider clearly states the limitations and recommendations of an employee’s workload after a workplace injury to ensure recovery without risking more injury.

Compliance with Legal Requirements

This form ensures the injured worker’s condition and work capacity to meet the legal compliance of Texas workers’ compensation.

Documentation for Claims

This form simplifies the claim process and ensures that insurers and employers know about benefits and accommodations.

How To Download Fillable DWC 73 Texas Workers Compensation Work Status Report?

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• You must type www.formsdude.com in the Google web browser.
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• Click the download button to save it immediately.
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Step-by-Step Instructions for Filling Out the Blank DWC 73 Form

You can now fill out this form by following these step-by-step instructions for transparent communication:

1- General Information

In this section, you must write the injured employee’s name, date of injury, social security number, and accident details. Also, write the physician’s name, facility name, phone and fax number, address, employer’s number, telephone and fax number, insurance carrier, and email address.

2- Work Status Information

In this section, write the estimated dates and description of the employee’s return to work.

3- Activity Restrictions

If the work status information section is filled for returning employees to the workplace after injury with some restrictions, tick the duration boxes for posture, motion, and miscellaneous. restrictions.

4- Treatment/Follow-up Appointment Information

In the last section, write the date and other details for follow-up appointments to ensure recovery.

Additional Details to Consider While Filling Out DWC 73 Form

You must consider these details to ensure the accurate completion of the form:

Incomplete Information

The information provided on this form must be accurate and complete. Incomplete information, such as specific work restrictions, can cause delays.

Inaccurate Diagnosis

The diagnoses report must be accurate to avoid claims disputes. You must re-check all the fields to ensure accuracy.

Failure to Update Form

The work status of injured employees changes with the recovery. The updated form ensures avoiding state regulations.

Late Submission

You must submit the form on time to protect yourself from legal complications. The submission timeframe for verification is mentioned on the form. Also, you can confirm the timescale from the Division of Workers Compensation Department.

FAQS

What is the DWC 73 Form?

It is crucial in Texas to provide information to employers, insurance carriers, and injured workers about work limitations and recommendations to avoid more injury risk.

Who Completes the DWC 73?

After diagnosing the injured worker, the healthcare provider completes this form to mitigate disputes between employers and the insurance provider.

Is the DWC 73 Used Outside of Texas?

This form is only acceptable in Texas. Meanwhile, other states have their own workers’ compensation forms.

What Details are Included in the Texas Workers Compensation Work Status Report Form?

This form contains the worker’s injury, diagnoses, restrictions, work status, and physician’s recommendation information.