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Online Forms
DWC-1 Employer's
First Report of Injury
DWC-3 Employer's
Wage Statement
DWC-3-SD Employer's
Wage Statement for School Districts
DWC-6 Supplemental
Report of Injury
DWC-48 Request for Travel
Reimbursement(PDF only)
DWC-53 Request
to Change Treating Doctor
Instructions:
1. Download and save the forms to
your computer.
2. Fill out the repetitious information and
save the form again.
3. Filling out a form is a simple "type
and tab" process. After
completing a form, print and sign a copy for your
files. You may
also save the form to your computer.
4. E-mail the form to claims@detsif.com or FAX
the form to
(409) 384-7953. To e-mail do a "file, send to,
mail recipient
(as attachment)".
5. We acknowledge receipt of all e-mailed forms by return
e-mail. If you do not get a response from us you can
assume that
the form was not received.
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