Dwc form 84 2026

See details

4.3 out of 5

49 votes

The document is a declaration form from the Texas Department of Insurance, Division of Workers' Compensation, stating that a Joint Agreement to Affirm Independent Relationship for Certain Building and Construction Workers does not apply to a specific hiring agreement between a Hiring Contractor and an Independent Contractor. It outlines the necessary affirmations, signatures, and filing requirements related to workers' compensation coverage.

Here's how it works

01. Edit your dwc 73 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 85 via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out dwc form 84 with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the dwc form 84 in the editor.
Begin by entering the 'Date of Joint Agreement' and 'Date of Subsequent Hiring Agreement' in the designated fields. Ensure these dates are accurate as they are crucial for record-keeping.
Fill in the 'Location of Specific Job Sites Not Affected by Joint Agreement' section. This helps clarify which job sites are exempt from the joint agreement.
Next, provide the names of both the Independent Contractor and Hiring Contractor. Make sure to include their respective Federal Tax I.D. Numbers for identification purposes.
Both contractors must sign and date the form in their respective sections. This step is essential for validating the agreement.
Finally, review all entries for accuracy before saving your completed form. Once satisfied, you can easily download or share it directly from our platform.

Start using our platform today to fill out your dwc form 84 quickly and efficiently!