We help business owners navigate Texas workers' comp rules.

Welcome to our free forms library for Texas Employers. Please feel free to download and use any of our forms. We're always updating our library so check back for the latest versions of Texas Workers' Comp Forms and applications.

If you have a question about your TX policy or would like assistance completing or locating a form please contact one of our licensed agents. We would appreciate the opportunity to discuss your coverage or provide Texas workers compensation forms for your business.

Call 888-611-7467 for a free Texas workers comp quote today, or start a quote online.

Texas Workers Compensation Insurance Forms

Texas Acord 130 Workers Compensation Application

The standard Acord 130 application form for workers comp coverage in Texas.

Texas First Report of Injury Form

First Report of Injury Form.  Employers should complete this form and send to their insurance company each time an injury occurs.

Texas Application for Exclusion of Officers and Stockholders

Owners and Officers of corporations should complete this form to exclude themselves from a work comp policy.

Accident Prevention Services Worksheet

Assessment form for Workers' Compensation Insurance for the state of Texas.

Workers' Compensation Claim Form

Complete this form to file a workers' compensation claim in the state of Texas.

Employer Notice of No Coverage or Termination of Coverage

Complete this form to notify the state of Texas of a change in coverage by the insurance carrier or you decide to terminate coverage.

Notice to New Employees

This is a notice to inform new employees of some of their basic workers' compensation rights.

Notice to Employees Concerning Workers' Compensation in Texas

This is a notice to inform employee that the employer does not carry workers' compensation insurance.

Required Workers' Compensation Coverage.

This is a notice to be posted to inform employee that workers' compensation insurance is required at the jobsite.

Links to Forms at the Texas Dept. of Insurance Website

Texas state repository of workers compensation employer forms and Notices.

Workers' Comp Exemption

Each state has its own laws and requirements regarding when and how employers are allowed to opt-out of coverage under their workers compensation policy. Some states make it easier than others because they don't require anything to be filed. Other states require special inclusion or exclusion affidavit documentation. Failure to comply often causes employers to have to pay premium on themselves even when they wanted to be excluded form coverage.

Waiver of Subrogation

A waiver of subrogation means that a business and their insurance company is foregoing all rights to file suit, or seek damages, from another business. This is common in the construction industry as builders attempt to protect their company from negligence. A workers' comp waiver of subrogation does not prevent an injured employee from filing a lawsuit for damages. This coverage typically add about $100 to the cost of a work comp policy.

Certificate of Insurance

A Certificate of Insurance is a document that serves as evidence of insurance or proof of coverage. Certificates indicate your current coverages and policy limits. Insurance Agencies issue on an insured's behalf and they often list a third party as a certificate holder. This means they should be notified if a policy cancels prior to expiration. Requests for any special wording should be carefully checked against the policy language before being added to a certificate as they can create legal issues with coverage.


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State Resources for Texas

Texas Department Of Insurance

333 Guadalupe
Austin, TX 78701
800-578-4677
TX Dept. of Insurance

Texas Division of Workers Compensation

7551 Metro Center Drive Ste 100
Austin, TX 78744-1645
800-252-3439
TX Div of Workers Compensation

Texas Mutual Insurance Company

6210 East Highway 290
Austin, Texas 78723-1098
800-859-5995
Texas Mutual Insurance Company

Workers compensation insurance is not required by law for Texas employers. However, non-subscribers may still be liable for paying benefits for injured workers.

We help Texas employers compare coverage and rates from the best insurance companies in the state. We also help them purchase coverage from Texas Mutual in the event no private insurance company is willing to quote coverage.

Why Quote Workers' Comp Insurance with Us?

Find the best workers comp insurance company.

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We work with over 50 workers comp insurance companies across the U.S. We compare rates and deliver your best deal.

Easy payment plans for work comp insurance.
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We offer Pay As You Go Workers comp plans and easy monthly payment options for your business.

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EXCLUSIVE WORK COMP PROGRAMS

We've developed Target Programs with key insurance companies that provide bigger discounts and more credits.

Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.

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