Your Responsibilities Under Workers' Compensation

1. You have the responsibility to tell your employer about your injury or illness.

   You must tell your employer within 30 days of the date you were injured, or within 30 days of the date you first knew your illness might be work-related. You, or someone helping you, may either talk with or write your employer or any supervisor where you work.

2. You have the responsibility to fill out a claim form and send it to the Commission.

   You must send a completed claim form, called a TWCC-41, to the Commission within one year of the date you were injured, or within one year of the date you first knew your illness might be work-related. Send the completed claim form to the Commission even if you are already getting benefits. If you do not send the form within one year, you could lose your right to get benefits. For a copy of the form, call the field office handling your claim, or call 1-800-252-7031.

3. You have the responsibility to tell the Commission and the insurance carrier any time your income changes.

   If you are not getting benefits and you have changed employers since your injury, tell the Commission if your injury causes you to miss work or lose income. Call 1-800-252-7031. If you are getting benefits and you have changed employers since your injury, tell the Commission and the insurance carrier paying your benefits if your income changes. Tell the Commission and the regardless of whether your income went up or down. If you have stopped working since your injury, tell the Commission and the insurance carrier if you start working again or if you have a job offer.

4. You have the responsibility to tell your doctor how you were injured and if you believe it may be work-related.

   If possible, tell the doctor before the doctor treats you.

5. You have the responsibility to tell the Commission and the insurance carrier how to contact you.

   You should contact the Commission and the insurance carrier if your home address, work address, or phone number change, so the Commission and the insurance carrier will be able to contact you when necessary.

Last Updated on 09/15/06. For questions regarding this department's website, please contact us at x4111 . Privacy Statement  Copyright 2006 University of Texas at Dallas.