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TDI-DWC Updates Form 69 in Other Languages
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The Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) has made available in Chinese and Vietnamese the notice included with the DWC Form-069, Report of Medical Evaluation.

This is in addition to the English and Spanish versions already available.

The notice is required by 28 Texas Administrative Code §130.2(a)(3) to be sent to injured employees by treating doctors with the DWC Form-069 following certification of Maximum Medical Improvement and evaluation of Permanent Impairment.

The sample notices are available for download in PDF and Word formats from the TDI website at http://www.tdi.state.tx.us/forms/form20medical.html#dwc069.
 
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