Workers compensation
Texas Department of Insurance / Division of Workers’ Compensation
File a Texas employee claim for a work-related injury or occupational disease
Use the number only for the documented purpose and routing rule below.
This listing does not guarantee delivery, processing, acceptance, or deadline treatment. Recheck the official instructions before sending.
Route decision
Is this the right fax route?
Match all three checks before using the number.
- 01 Purpose
- File a Texas employee claim for a work-related injury or occupational disease
- 02 Region or eligibility
- Employees injured in Texas, or a person acting on an injured employee’s behalf, filing a claim for Texas workers’ compensation benefits.
- 03 Required form or document
- Completed DWC Form-041, Employee’s Claim for Compensation for a Work-Related Injury or Occupational Disease.
Submission notes
What to put on the route.
Routing instructions
Complete every applicable field and fax the form to the Texas Division of Workers’ Compensation. The Division uses the filing to create a claim number and notify the employer and insurance carrier.
Official source and check date
Recheck the route before sending.
- Recipient
- Texas Department of Insurance
- Fax
- 512-804-4378
- Last checked
As of August 25, 2026, the linked Texas Department of Insurance source listed this number for the purpose shown. Just One Fax is not affiliated with or endorsed by Texas Department of Insurance.
Before transmission
Questions to answer before sending.
What is the Texas Department of Insurance fax number for this purpose?
512-804-4378 is the fax number published in the cited official source for this specific purpose: File a Texas employee claim for a work-related injury or occupational disease. Recheck the source immediately before sending.
How do I know whether this is the right regional route?
Employees injured in Texas, or a person acting on an injured employee’s behalf, filing a claim for Texas workers’ compensation benefits.
What should I send to this fax number?
Completed DWC Form-041, Employee’s Claim for Compensation for a Work-Related Injury or Occupational Disease. Complete every applicable field and fax the form to the Texas Division of Workers’ Compensation. The Division uses the filing to create a claim number and notify the employer and insurance carrier.
Does this listing guarantee acceptance?
No. The linked source listed this route on August 25, 2026, but only the recipient can determine delivery, eligibility, processing, acceptance, or deadline treatment.
Number prefilled, decision still yours
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Open the send flow with 512-804-4378 prefilled. Compare it with the official source again before checkout.
Send to 512-804-4378