Who needs a Form DWC 005?
Form DWC 005, Employer Notice of No Coverage or Termination of Coverage, must be submitted by an employer who doesn’t have workers’ compensation insurance unless the employer’s only employees are exempt from coverage under the Texas Workers’ Compensation Act.
An employer who aborts employee’s compensation insurance coverage must submit Form DWC 005 as well.
In case of failure to file Form DWC 005, an employer may fall within the scope of administrative penalties.
What is Form DWC 005 for?
Filing this notice an employer can obtain a non-subscriber status and Workers Compensation Act won’t be applied to them any longer.
Is Form DWC 005 accompanied by other forms?
The Notice to Employees Concerning Workers’ Compensation in Texas should be posted by an employer in order to notify employees that workers' compensation coverage is not provided anymore.
When is Form DWC 005 due?
If an employer uses this form as a notice of no coverage, Form DWC 005 should be filed: Each year starting from February, 1 till April, 30; During the first 30 days starting from the first employee is hired; During 10 days of receipt of a TDI-DWC request for filing a notice of no coverage. In case of using this form as a notice of termination, Form DWC 005 should be filed: In 10 days term right after the notice of the termination of coverage is delivered to the insurance provider; Thereafter, the employer must submit the DWC Form 005 as a non-subscriber, as long as an employer keeps operating without compensation insurance coverage.
How do I fill out Form DWC 005?
A Frequently Asked Questions block and instructions are provided on the second and third pages of this form. You should check them before filling out.
Where do I send Form DWC 005?
Once completed, this form could be faxed to (512) 804-4146 or mailed to 7551 Metro Center Drive, Suite 100, MS-96 Austin, TX 78844-1645; In case when this form is used for the termination of coverage, it must be submitted via certified mail.
