You must file a form DWC-42 or apply online at TXCOMP.
Send the completed DWC Form-042 to the TDI-DWC at the following address:
Texas Department of Insurance, Division of Workers' Compensation
7551 Metro Center Drive, Suite 100, MS-94
Austin, Texas, 78744-1645
The application for death benefits should include proof of beneficiary status (such as death certificate of the worker, marriage certificate for a spouse, or birth certificates for children). Parents, grandchildren, or other dependents may be eligible in some cases and proof of financial dependent status should be provided.
Like an injury claim, a death claim must be filed within 1 year, with some exceptions.
Law Office of Alan Tysinger
110 West Nueva Street
San Antonio, TX 78204
(210) 446-0713 phone/fax
Toll free (866) 957-2667
866-957-COMP
[email protected]
Areas of practice: workers' compensation, personal injury, work injuries, nonsubscriber workplace injuries.
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