Forms

If you need specific documentation, please contact our Policy Services Representatives at 512-708-0148 or Info@RedpointInsurance.com.

Click links below for appropriate forms:

Class Codes Brochure- TX

EFT Form (Policyholders)

EFT Form (Agents)

Employer’s Forms

TX- Employer’s First Report of Injury or Illness (DWC FORM- 001)

TX- Employer’s Wage Statement (DWC FORM- 003)

TX- Supplemental Report of Injury (DWC FORM- 6)

TX- Chapter 120- Compensation Procedures- Employers

 

Employee’s Forms

TX- Employee’s Claim for Compensation (DWC FORM- 041)

TX- Employee’s Claim for Compensation- Spanish (DWC FORM- 041)

Questionnaires

Aircraft Questionnaire

Cable-Wire Installation Questionnaire

Concrete Contractor Questionnaire

Convenience Store Questionnaire

Janitorial Service Questionnaire

Landscaping-Lawn Service Questionnaire

Masonry Contractor Questionnaire

Metal Building Erection Questionnaire

Quarry & Pit Operation Questionnaire

Roofing Questionnaire

Sheet Metal Work Questionnaire

Sign Erection Questionnaire

Tow Truck Questionnaire

Trucking Questionnaire