Dwc 53 2025

Show details

4.9 out of 5

38 votes

The document is a form (DWC053) from the Texas Department of Insurance, Division of Workers' Compensation, used by employees not in certain health care networks to request a change of their treating doctor. It outlines the necessary information required from the employee, employer, insurance carrier, and current and requested treating doctors. The form also explains the circumstances under which a change can be requested, the importance of obtaining approval before treatment, and the process for submitting the request to TDI-DWC.

Here's how it works

01. Edit your dwc 53 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send dwc 53 form change of treating doctor via email, link, or fax. You can also download it, export it or print it out.

The best way to modify Dwc 53 online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making adjustments to your paperwork takes just a few simple clicks. Make these fast steps to modify the PDF Dwc 53 online free of charge:

Register and log in to your account. Log in to the editor using your credentials or click Create free account to examine the tool’s functionality.
Add the Dwc 53 for redacting. Click the New Document option above, then drag and drop the sample to the upload area, import it from the cloud, or using a link.
Adjust your template. Make any adjustments needed: add text and pictures to your Dwc 53, underline important details, erase sections of content and substitute them with new ones, and insert symbols, checkmarks, and areas for filling out.
Finish redacting the template. Save the modified document on your device, export it to the cloud, print it right from the editor, or share it with all the people involved.

Our editor is very user-friendly and efficient. Try it out now!

See more dwc 53 versions

We've got more versions of the dwc 53 form. Select the right dwc 53 version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2012	4.9 Satisfied (38 Votes)
2008	4.3 Satisfied (151 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a DWC form in Texas?

Form DWC-1 Employers First Report of Injury or Occupational Disease. The employer is required to submit this form with EMPLOYERS and the injured employee or the injured employees attorney within eight days after the employees absence from work or notice of the Injury or Occupational Disease.

Do you get paid 100% on workers comp?

For Open Claims In that case, you may qualify for time-loss compensation due to the fact that youre temporarily unable to return to work. Typically, the workers comp system in most states offers 66% of your wages. Depending on the state, you may receive your salary benefits weekly, bi-weekly, or once a month.

What is the DWC in workers comp?

The Division of Workers Compensation (DWC) monitors the administration of workers compensation claims, and provides administrative and judicial services to assist in resolving disputes that arise in connection with claims for workers compensation benefits.

What is a DWC 3 wage statement in Texas?

The rate of compensation to which an employee is entitled is based upon his or her average weekly wage as defined in the law. The information in the Employers Statement of Wage Earnings Form (DWC-3) is necessary to properly calculate the employees average weekly wage.

Is workers comp 100% pay?

Typically, the workers comp system in most states offers 66% of your wages. Depending on the state, you may receive your salary benefits weekly, bi-weekly, or once a month.