Dwc employees form tdi 2026

1. Click ‘Get Form’ to open the dwc employees form tdi in the editor.
2. Begin by entering the employee's name, mailing address, and Social Security Number in the designated fields. Ensure accuracy as this information is crucial for processing.
3. Fill in the claim employer's name and date of injury. This section helps identify where the injury occurred and links it to the correct claim.
4. For non-claim employers, provide their business name and mailing address. Indicate whether the employee was working for them on the date of injury by selecting 'YES' or 'NO'.
5. Complete the wage statement section by reporting gross wages earned in the 13 weeks prior to the injury. Use all applicable columns for accurate reporting.
6. Finally, certify that all information is complete and accurate by signing and dating at the bottom of the form. If someone else submits it, include their name as well.

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