Dwc 5 2026

1. Click ‘Get Form’ to open the DWC FORM-5 in the editor.
2. Begin by checking one of the options under 'NO COVERAGE OR TERMINATION OF COVERAGE' to indicate whether you elect not to obtain coverage or if you have terminated your existing coverage.
3. Fill in the employer information section, including your Federal Tax ID Number, Business Name, Mailing Address, and a brief description of your business operations.
4. If applicable, provide details for each business location covered by this report. Use a separate DWC FORM 205 for additional locations.
5. Complete the section for the person providing this information by entering their name, title, signature, and date.

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