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 Form 4345 2010

2010-2024 Form

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Video instructions and help with filling out and completing Form 4345

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Instructions and help about Form 4345

This video is for the DWC forum 5 the employer notice of no coverage or termination of coverage an employer who does not have workers compensation insurance is called a non subscriber the forum 5 must be filed if you are a non subscriber unless your employees are exempt from coverage under the Texas Workers Compensation Act or if you terminate workers compensation insurance coverage nonsubscribers must file the DWC form 5 each year between February 1st and April 30th or within 30 days of hiring your first employee if you hired them on a day outside February 1st and April 30th you must also file the form within 10 days of receiving a request from TDI DWC there are several ways to file this form you may complete the form online then print if you may also complete the paper form once you have a completed hard copy mail or fax it to the division of workers compensation we prefer you to complete the form online through the TDI website go to the division of workers compensation online and se

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