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dwc 73 form pdf

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Austin, Texas 78744 . 0000117290 00000 n

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0000261017 00000 n 0000049662 00000 n 0000080645 00000 n 0000156806 00000 n This section includes space to record a high-level generic description of the injury or condition (e.g. 0000181460 00000 n trailer 0000170456 00000 n 0000203966 00000 n 0000054887 00000 n 0000228851 00000 n 0000129176 00000 n 0000107008 00000 n 0000057565 00000 n 0000193727 00000 n Filing requirements for DWC Form-073 vary depending on the type of doctor filing the Work Status Report. 0000060911 00000 n

0000168304 00000 n 0000034430 00000 n 0000135113 00000 n 0000169247 00000 n 0000100293 00000 n

0000162431 00000 n 0000033298 00000 n 0000200560 00000 n 0000082953 00000 n 0000147022 00000 n 0000063469 00000 n 0000191914 00000 n 0000113799 00000 n 0000191145 00000 n 0000125073 00000 n You may be entitled to workers' compensation benefits if you are injured or become ill because of your job. 0000060664 00000 n 0000168020 00000 n 03/16 PDF: English: … 0000107354 00000 n 0000076825 00000 n 0000174441 00000 n 0000074406 00000 n 0000223904 00000 n

0000151234 00000 n 0000035840 00000 n 0000203375 00000 n 0000185579 00000 n

0000172152 00000 n 0000133887 00000 n 0000044996 00000 n Workers' compensation covers most work- related physical or mental injuries and illnesses. 0000246096 00000 n 0000117974 00000 n 0000051100 00000 n 0000130076 00000 n 0000225965 00000 n 0000211978 00000 n 0000206744 00000 n 0000161538 00000 n 0000140072 00000 n 0000032259 00000 n 0000120478 00000 n 2020 © airSlate, Inc. 0000166456 00000 n 0000165525 00000 n 0000117043 00000 n 0000214160 00000 n 0000194323 00000 n 0000137594 00000 n 0000095372 00000 n

0000125751 00000 n 0000128492 00000 n

0000032056 00000 n 0000087967 00000 n

0000220728 00000 n

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