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 Carla.Meuth@Sedgwick.com with a copy to Martin.Rangel@Sedgwick.com.
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.
New users need to request access to Juris Global Intake to submit claims online by emailing a completed Juris Global Intake User Access Request Form to Kathy.Hulse@Sedgwick.com.
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 firstname.lastname@example.org.