Claims Forms for Employees

TDI Forms

• DWC-32: Request for Designated Doctor
• DWC-41: Employee’s Claim for Compensation for a Work-Related Injury or Occupational Disease
• DWC-48: Request for Travel Reimbursement
• DWC-51: Employee’s Election for Commuted (Lump Sum) Impairment Income Benefits
• DWC-52: Application for Supplemental Income Benefits