Texas employers that do not provide workers’ compensation coverage must file the DWC Form-005, Employer Notice of No Coverage or Termination of Coverage with DWC annually.
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 or within 10 days after notifying the employer’s insurance carrier that the employer intends to end coverage.
Employers that do not file this form on time may face penalties under state law.
Find the form and information on how to file on the TDI website.
For more information email Coverage.Verification@tdi.texas.gov.
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