Texas employers that do not provide workers’ compensation coverage must send two types of forms to the Division of Workers’ Compensation (DWC).
DWC Form-005, Employer Notice of No Coverage or Termination of Coverage
- Lets DWC know that an employer has opted out of the workers’ compensation system or ended coverage.
- This form must be sent in each year between February 1 and April 30.
DWC Form-007, Employer’s Report of Non-Covered Employee's Occupational Injury or Disease
- Lets DWC know that an employer, with five or more employees, had a work-related injury, illness, or fatality.
Employers that do not file these forms on time may face penalties under state law.
Find the forms and information on how to file them on the TDI website.
Effective this year, you will no longer be able to submit these interactive forms if they were downloaded before May 2019:
- DWC Form-005, Employer Notice of No Coverage or Termination of Coverage
- DWC Form-020SI, Self-Insured Governmental Entity Coverage Information
To get a current version, go to the forms page on the TDI website.
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