Workers' Compensation Forms
If a member cannot use the online claim submission tool, they can also submit completed claims forms by emailing them to to [email protected] with a copy to [email protected].
Use the link below to complete the Loss Notice. All members of TWCARMF, other than Lower Colorado River Authority (LCRA), should use the TWCARMF button. LCRA users should only use the LCRA button below.
Once the information is entered, be sure to indicate “yes” and enter the email address that the Loss Notice information and DWC-1 should be emailed to.
DWC-3 and DWC-6 forms may be entered at the above links as well.
To request access to Juris Global Intake, email a completed Juris Global Intake User Access Request Form to [email protected].
If you have a username and need help resetting your password, contact the Help Desk at 866-647-7610, option 2 (Monday-Friday 7:00-7:00). You may also email [email protected].